10.3205/000101
Carl, M.
M.
Carl
Alms, A.
A.
Alms
Braun, J.
J.
Braun
Dongas, A.
A.
Dongas
Erb, J.
J.
Erb
Goetz, A.
A.
Goetz
Goepfert, M.
M.
Goepfert
Gogarten, W.
W.
Gogarten
Grosse, J.
J.
Grosse
Heller, A. R.
A. R.
Heller
Heringlake, M.
M.
Heringlake
Kastrup, M.
M.
Kastrup
Kroener, A.
A.
Kroener
Loer, S. A.
S. A.
Loer
Marggraf, G.
G.
Marggraf
Markewitz, A.
A.
Markewitz
Reuter, D.
D.
Reuter
Schmitt, D. V.
D. V.
Schmitt
Schirmer, U.
U.
Schirmer
Wiesenack, C.
C.
Wiesenack
Zwissler, B.
B.
Zwissler
Spies, C.
C.
Spies
S3 guidelines for intensive care in cardiac surgery patients: hemodynamic monitoring and cardiocirculary system
German Medical Science GMS Publishing House
2010
JournalArticle
intensive care medicine
cardiothoracic surgery
monitoring
volume therapy
positive inotropic and vasoactive drugs
610 Medical sciences; Medicine
2010-06-15
2010
en
urn:nbn:de:0183-0001014
000101
text/html
GMS German Medical Science; 8:Doc12; ISSN 1612-3174
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).
GMS German Medical Science; 8:Doc12; ISSN 1612-3174