Zusammenfassung
Neben der Verwendung von Scores zur Früherkennung sich kritisch verschlechternder Patienten kann die Patientensicherheit durch zusätzliches Monitoring auch auf der Normalstation erhöht
werden. Hierbei ist die Praktikabilität von entscheidender Bedeutung, wodurch die Auswahl geeigneter nichtinvasiver Verfahren im Rahmen der Behandlung auf Normalstation eingeschränkt
ist.
Abstract
Life threatening events after surgery often occur on the ward. These events could be prevented by early detection of clinical deterioration of patientsʼ health status during ward care.
Therefore, an adequate monitoring could help to identify patients at risk, since there is an imbalance of monitoring intensity and the occurrence of life-threatening events during hospital
stay.
Additional monitoring on the general ward could lead to more patient safety. The practicability of additional monitoring needs to be considered, and therefore the use of available
monitoring systems on the ward is limited. Capillary refill time (CRT) and the passive leg raise test (PLR) seem to be usable intermittent monitoring techniques.
Continuous monitoring systems ensure a better detection of unwanted events and hemodynamic trends. However, the increased workload for the nursing staff and tethered monitors are
unfavorable. Future trends of developing wireless monitoring systems are of paramount importance in this respect. Controlling artefacts is crucial for the successful balance between false
alarms and “missed events”. An adequate reaction is needed when detecting adverse events to avoid a “failure to rescue”.
Schlüsselwörter
hämodynamisches Monitoring - nichtinvasive Monitoringverfahren - Wireless Monitoring - Early Warning Score
Key words
haemodynamic monitoring - non-invasive monitoring - wireless monitoring - Early Warning Score
