Universität zu Köln

Trauzeddel, R. F., Ertmer, M., Nordine, M., Groesdonk, H. V., Michels, G., Pfister, R., Reuter, D., Scheeren, T. W. L., Berger, C. and Treskatsch, S. . Perioperative echocardiography-guided hemodynamic therapy in high-risk patients: a practical expert approach of hemodynamically focused echocardiography. J. Clin. Monitor. Comp.. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1573-2614

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Abstract

The number of high-risk patients undergoing surgery is growing. To maintain adequate hemodynamic functioning as well as oxygen delivery to the vital organs (DO2) amongst this patient population, a rapid assessment of cardiac functioning is essential for the anesthesiologist. Pinpointing any underlying cardiovascular pathophysiology can be decisive to guide interventions in the intraoperative setting. Various techniques are available to monitor the hemodynamic status of the patient, however due to intrinsic limitations, many of these methods may not be able to directly identify the underlying cause of cardiovascular impairment. Hemodynamic focused echocardiography, as a rapid diagnostic method, offers an excellent opportunity to examine signs of filling impairment, cardiac preload, myocardial contractility and the function of the heart valves. We thus propose a 6-step-echocardiographic approach to assess high-risk patients in order to improve and maintain perioperative DO2. The summary of all echocardiographic based findings allows a differentiated assessment of the patient's cardiovascular function and can thus help guide a (patho)physiological-orientated and individualized hemodynamic therapy.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Trauzeddel, R. F. UNSPECIFIED UNSPECIFIED UNSPECIFIED Ertmer, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Nordine, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Groesdonk, H. V. UNSPECIFIED UNSPECIFIED UNSPECIFIED Michels, G. UNSPECIFIED UNSPECIFIED UNSPECIFIED Pfister, R. UNSPECIFIED UNSPECIFIED UNSPECIFIED Reuter, D. UNSPECIFIED UNSPECIFIED UNSPECIFIED Scheeren, T. W. L. UNSPECIFIED UNSPECIFIED UNSPECIFIED Berger, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Treskatsch, S. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-332872
DOI:	10.1007/s10877-020-00534-7
Journal or Publication Title:	J. Clin. Monitor. Comp.
Publisher:	SPRINGER HEIDELBERG
Place of Publication:	HEIDELBERG
ISSN:	1573-2614
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language PREDICT FLUID RESPONSIVENESS; VENA-CAVA DIAMETER; PULSE PRESSURE VARIATION; GOAL-DIRECTED THERAPY; RIGHT-VENTRICULAR FUNCTION; AMERICAN SOCIETY; EUROPEAN ASSOCIATION; CARDIAC-SURGERY; INTENSIVE-CARE; TRANSTHORACIC ECHOCARDIOGRAPHY Multiple languages Anesthesiology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/33287