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2. S3 guidelines for intensive care in cardiac surgery patients: hemodynamic monitoring and cardiocirculary system

Author

Schmitt, D. V., Schirmer, U., Markewitz, A., Reuter, D., Marggraf, G., Loer, S. A., Kroener, A., Kastrup, M., Heringlake, M., Heller, A. R., Gogarten, W., Grosse, J., Goepfert, M., Goetz, A., Erb, J., Dongas, A., Braun, J., Alms, A., Carl, M., Wiesenack, C., Zwissler, B., and Spies, C.

Subjects
intensive care medicine, cardiothoracic surgery, monitoring, volume therapy, positive inotropic and vasoactive drugs, Medicine
Abstract

Hemodynamic monitoring and adequate volume-therapy, as well as the treatment with positive inotropic drugs and vasopressors are the basic principles of the postoperative intensive care treatment of patient after cardiothoracic surgery. The goal of these S3 guidelines is to evaluate the recommendations in regard to evidence based medicine and to define therapy goals for monitoring and therapy. In context with the clinical situation the evaluation of the different hemodynamic parameters allows the development of a therapeutic concept and the definition of goal criteria to evaluate the effect of treatment. Up to now there are only guidelines for subareas of postoperative treatment of cardiothoracic surgical patients, like the use of a pulmonary artery catheter or the transesophageal echocardiography. The German Society for Thoracic and Cardiovascular Surgery (Deutsche Gesellschaft für Thorax-, Herz- und Gefäßchirurgie, DGTHG) and the German Society for Anaesthesiology and Intensive Care Medicine (Deutsche Gesellschaft für Anästhesiologie und lntensivmedizin, DGAI) made an approach to ensure and improve the quality of the postoperative intensive care medicine after cardiothoracic surgery by the development of S3 consensus-based treatment guidelines. Goal of this guideline is to assess the available monitoring methods with regard to indication, procedures, predication, limits, contraindications and risks for use. The differentiated therapy of volume-replacement, positive inotropic support and vasoactive drugs, the therapy with vasodilatators, inodilatators and calcium sensitizers and the use of intra-aortic balloon pumps will also be addressed. The guideline has been developed following the recommendations for the development of guidelines by the Association of the Scientific Medical Societies in Germany (AWMF). The presented key messages of the guidelines were approved after two consensus meetings under the moderation of the Association of the Scientific Medical Societies in Germany (AWMF).

Published
2010

7. Qualifikation, Kenntnisse, Aufgaben und Verantwortlichkeiten des Klinischen Perfusionisten Kardiotechnik (KPK): Konsensuspapier der Deutschen Gesellschaft für Kardiotechnik, der Deutschen Gesellschaft für Thorax‑, Herz- und Gefäßchirurgie, der Deutschen Gesellschaft für Kardiologie, der Deutschen Gesellschaft für Pädiatrische Kardiologie, der Deutschen Gesellschaft für Anästhesiologie und Intensivmedizin, der Deutschen Interdisziplinären Vereinigung für Intensiv- und Notfallmedizin und der Deutschen Gesellschaft für internistische Intensiv- und Notfallmedizin

Author

Bauer, A., Benk, C., Thiele, H., Bauersachs, J., Dittrich, S., Dähnert, I., Schirmer, U., Zwißler, B., Jannsens, U., Karagiannidis, C., Kluge, S., Markewitz, A., and Beckmann, A.

Published
2021
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8. Kurzversion der 2. Auflage der deutsch-österreichischen S3-Leitlinie „Infarkt-bedingter Kardiogener Schock – Diagnose, Monitoring und Therapie“

Author

Werdan, K., Boeken, U., Briegel, M. J., Buerke, M., Geppert, A., Janssens, U., Kelm, M., Michels, G., Pilarczyk, K., Schlitt, A., Thiele, H., Willems, S., Zeymer, U., Zwißler, B., Delle-Karth, G., Ferrari, M., Figulla, H., Heller, A., Hindricks, G., Pichler-Cetin, E., Pieske, B. M., Prondzinsky, R., Thielmann, M., Bauersachs, J., Kopp, I., and Ruß, M.

Published
2021
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9. Kurzversion der 2. Auflage der deutsch-österreichischen S3-Leitlinie „Infarkt-bedingter Kardiogener Schock – Diagnose, Monitoring und Therapie“

Author

Werdan, K., Boeken, U., Briegel, M. J., Buerke, M., Geppert, A., Janssens, U., Kelm, M., Michels, G., Pilarczyk, K., Schlitt, A., Thiele, H., Willems, S., Zeymer, U., Zwißler, B., Delle-Karth, G., Ferrari, M., Figulla, H., Heller, A., Hindricks, G., Pichler-Cetin, E., Pieske, B. M., Prondzinsky, R., Thielmann, M., Bauersachs, J., Kopp, I., and Ruß, M.

Published
2020
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11. Präoperative Evaluation erwachsener Patientinnen und Patienten vor elektiven, nicht herz-thoraxchirurgischen Eingriffen.

Author

Zöllner, C., Böhmer, A., Geldner, G., Karst, J., Obertacke, U., Pauschinger, M., Vilz, T., Wappler, F., and Zwissler, B.

Subjects
RISK assessment, PREOPERATIVE period, MEDICAL protocols, PATIENT education, COST control, CARDIOVASCULAR diseases risk factors, ELECTIVE surgery, HEALTH facilities
Abstract

Copyright of Anaesthesiologie & Intensivmedizin is the property of DGAI e.V. - Deutsche Gesellschaft fur Anasthesiologie und Intensivmedizin e.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Published
2024
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12. Analgosedierung in der Kardiologie Konsensuspapier der DGK und DGAI 2024.

Author

Tilz, R. R., Busch, S., Chun, K. R. J., Frerker, C., Gaede, L., Steven, D., Tiefenbacher, C., Eckardt, L., Sander, M., Zwißler, B., Wappler, F., von Dossow, V., and Thiele, H.

Subjects
TRANSESOPHAGEAL echocardiography, CONSENSUS (Social sciences), PATIENT safety, SURGICAL therapeutics, ANALGESICS, ATRIAL fibrillation, IMPLANTABLE cardioverter-defibrillators, PAIN management, CARDIAC pacemakers, CATHETER ablation, HUMAN comfort, ELECTROPHYSIOLOGY, ANESTHESIA
Abstract

Copyright of Anaesthesiologie & Intensivmedizin is the property of DGAI e.V. - Deutsche Gesellschaft fur Anasthesiologie und Intensivmedizin e.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Published
2024
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16. S1-Leitlinie Atemwegsmanagement 2023.

Author

Piepho, T., Kriege, M., Byhahn, C., Cavus, E., Dörges, V., Ilper, H., Kehl, F., Loop, T., Raymondos, K., Sujatta, S., Timmermann, A., Zwißler, B., and Noppens, R.

Subjects
MEDICAL masks, INTENSIVE care units, ANESTHESIOLOGY, AIRWAY (Anatomy), CRITICALLY ill, PATIENTS, MEDICAL protocols, RESPIRATORY therapy, DECISION making in clinical medicine, RESUSCITATION, LARYNGOSCOPY, TRACHEA intubation, CAPNOGRAPHY
Abstract

Copyright of Anaesthesiologie & Intensivmedizin is the property of DGAI e.V. - Deutsche Gesellschaft fur Anasthesiologie und Intensivmedizin e.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Published
2024
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23. Präoperative Evaluation erwachsener Patienten vor elektiven, nicht Herz-Thorax-chirurgischen Eingriffen: Gemeinsame Empfehlung der Deutschen Gesellschaft für Anästhesiologie und Intensivmedizin, der Deutschen Gesellschaft für Chirurgie und der Deutschen Gesellschaft für Innere Medizin

Author

Zwissler, B., Deutsche Gesellschaft für Anästhesiologie und Intensivmedizin (DGAI), Deutsche Gesellschaft für Innere Medizin (DGIM), and Deutsche Gesellschaft für Chirurgie (DGCH)

Published
2017
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