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Cava-Katheter by K. H. Altemeyer, C. Burri, B. Gorgass

Cava-Katheter

by K. H. Altemeyer , C. Burri , B. Gorgass
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Book cover type: Paperback
  • ISBN13: 9783540081906
  • Binding: Paperback
  • Subject: N/A
  • Publisher: Springer
  • Publisher Imprint: Springer
  • Publication Date:
  • Pages: 88
  • Original Price: EUR 51.39
  • Language: German
  • Edition: 1. Aufl. 1977
  • Item Weight: 173 grams
  • BISAC Subject(s): Internal Medicine

Die Anwendung eines Cava-Katheters gehört heute in den Bereichen der Notfall- und der Intensivmedizin zu den Routineverfahren. Ganz allgemein betrachtet, ist diese Form des Zuganges zum Gefä system bei Notfällen auch noch im schweren Schock möglich, um die lebens- rettende Volumensubstitution zu sichern, oder aber sie erlaubt bei In- tensivtherapie-Patienten die heute übliche Langzeitinfusionstherapie, insbesondere die kontinuierliche Zufuhr hyperosmolarer Nährlösungen im Rahmen der für diese Patienten lebenserhaltenden parenteralen Er- nährung. In beiden Bereichen erschlie en wir uns damit gleichzeitig eine der wichtigsten diagnostischen Möglichkeiten zur Beurteilung der Kreislaufverhältnisse in Form der Registrierung des zentralvenösen Druckes. Diesen unbestreitbaren Vorteilen stehen aber Gefahren ge- genüber, die alle invasiven Methoden beinhalten. Nachdem ausreichen- de Erfahrungen und sorgfältige statistische Beurteilungen vorliegen, entsteht die Aufgabe, eine erneute Zwischenbilanz vorzulegen. Wäh- rend noch vor wenigen Jahren die Anwendung des zentralvenösen Zu- ganges propagiert werden mu te, um damit neue therapeutische und diagnostische Wege zu erschlie en, ist es jetzt an der Zeit, die Indika- tionsstellung zu überprüfen und neu zu formulieren. Dabei gilt der Grundsatz, da bei Anwendung des Cava-Katheters in jedem Einzel- fall zwischen erhofften Vorteilen und möglichen Komplikationen abzu- wägen ist. Die kritische Bestandsaufnahme mu zudem eine Bewertung der Techniken, der Zugangswege und schlie lich des Kathetermaterials enthalten. Mit dieser Arbeit wird das Ergebnis einer solchen Bilanz vorgelegt. Jeder Arzt erhält damit die Möglichkeit einer umfassenden Information und die Voraussetzungen für eine kritische überprüfung der in seinem Bereich gültigen Grundsätze. Ulm, im September 1977 C. BURRI F. W. AHNEFELD Inhaltsverzeichnis I. Einleitung . . . . . . . . . . . . . . .

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