Lungenembolie Intensivtherapie

Lungenembolie Intensivtherapie

Thieme E-Books & E-Journals Intensivtherapie bei Thrombose - Springer Lungenembolie Intensivtherapie


Lungenembolie Intensivtherapie Therapie innerer Krankheiten (Computer file, ) [krampfadern-trade.info]

This service is more advanced with JavaScript available, Lungenembolie Intensivtherapie, learn more at http: Ein Patient mit akuter Lungenembolie ist nur dann auf der Intensivstation zu versorgen, wenn er kreislaufinstabil oder beatmungspflichtig ist oder wenn er bei erhaltenem Kreislauf Zeichen der schweren rechtsventrikulären Dysfunktion aufweist. Für beide Patientengruppen ist die bettseitige Echokardiographie die entscheidende diagnostische Methode.

Therapeutisch ist die wesentliche Entscheidungsfindung die zur Thrombolyse. Sie ist bei Kreislaufinstabilität in der Regel indiziert, bei alleiniger Rechtsherzbelastung nur in Einzelfällen, ohne Rechtsherzbelastung gar nicht. Die bei Verdacht zu beginnende alternative Antikoagulation muss bei Bestätigung in therapeutischer Dosis fortgesetzt, im viel häufigeren Fall der Nicht-Bestätigung aber Lungenembolie Intensivtherapie wieder abgesetzt werden, Lungenembolie Intensivtherapie.

Bezüglich anderer arterieller Verschlüsse kritische Extremitätenischämie, akrale Läsionen, iatrogene Verletzungen werden die bei Intensivpflichtigkeit relevanten Vorgehensweisen geschildert. Acute pulmonary embolism requires ICU management only for patients with hemodynamic instability who need artificial ventilation, or for hemodynamically stable patients with significant right ventricular dysfunction. For both patient groups, echocardiography is the most relevant diagnostic method.

The main therapeutic consideration is on systemic thrombolysis. It is indicated in almost all patients with hemodynamic instability but only in selected cases of right ventricular dysfunction, Lungenembolie Intensivtherapie. All other patients receive standard anticoagulation only.

A second vascular emergency scenario is type 2 heparin-induced thrombocytopeniae HIT II which may cause venous as well as arterial complications, Lungenembolie Intensivtherapie.

Alternative anticoagulation has to be established from the first moment of clinical suspicion. The latter case is by far more frequent. Regarding arterial occlusions acute limb ischemia, acral gangrene, iatrogenic vascular trauma hints are given for the management Lungenembolie Intensivtherapie the setting of intensive care. Authors Authors and affiliations S, Lungenembolie Intensivtherapie. The patient with pulmonary embolism or vascular emergency requiring intensive care.

Clin Chest Med Cochrane Database Syst Rev 8: Dhillon S Argatroban: Am J Cardiovasc Drugs 9: Semin Vasc Surg Er F, Nia AM, Lungenembolie Intensivtherapie N et al Impact of rescue-thrombolysis during Lungenembolie Intensivtherapie resuscitation in patients with pulmonary embolism.

Greinacher A Heparin-induced thrombocytopenia. J Thromb Haemost 7 Suppl 1: Case series, review and proposed algorithm. J Vasc Surg Henke PK Contemporary management of acute limb ischemia: Antithrombotic therapy for venous thromboembolic disease: Chest 6 Suppl: J Invasive Cardiol Konstantinides S, Geibel A, Heusel G et al Heparin plus alteplase compared with heparin alone in patients with submassive pulmonary embolism. Lungenembolie Intensivtherapie Engl J Med Impact on the detected complication rate, Lungenembolie Intensivtherapie.

J Ultrasound Med Rutherford RB Clinical staging of acute limb ischemia as the basis for choice of revascularization method: Sanchez O, Trinquart L, Colombet I et al Prognostic value of right ventricular dysfunction in patients with haemodynamically stable pulmonary embolism: Eur Heart J Crit Care Med Guidelines on the diagnosis and management of acute pulmonary embolism: Tsetis D Endovascular treatment of complications of femoral arterial access.

Cardiovasc Intervent Radiol Zeller T, Tepe G Treatment of acute limb ischemia with focus on endovascular techniques. Schellong 1 Email author 1. Cite article How to cite? Cookies We use cookies to improve your experience with our site.


Intensivtherapie bei Lungenarterienembolie - Springer Lungenembolie Intensivtherapie

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Entstehung einer Thrombose und einer Lungenembolie

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