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DOI: 10.1055/s-0031-1272539
© Georg Thieme Verlag KG Stuttgart · New York
Hämodynamisches Monitoring auf der Intensivstation: Pulmonalarterienkatheter versus PiCCO
Hemodynamic monitoring in the intensive care unit: pulmonary artery catheter versus PiCCOPublication History
eingereicht: 28.5.2010
akzeptiert: 18.11.2010
Publication Date:
17 February 2011 (online)

Zusammenfassung
Die hämodynamische Überwachung auf der Intensivstation ist unerlässlich und ein wichtiger Bestandteil der Diagnostik und Therapiesteuerung schwerkranker Patienten. Der für den Intensivpatienten zentrale hämodynamische Parameter ist das Herzzeitvolumen (HZV). Eine kritische Kreislaufsituation kann mit diesem Parameter meist zuverlässig erfasst und folglich eine differenzierte Therapie eingeleitet werden. Für die HZV-Bestimmung auf der Intensivstation stehen verschiedene Methoden zur Verfügung, die sich durch eine unterschiedliche Invasivität, Praktikabilität und Zuverlässigkeit auszeichnen. Zu den etablierten Messprinzipien zählen der Pulmonalarterienkatheter (PAK) sowie zunehmend die Pulskonturanalyse mit PiCCO (puls contour cardiac output). Der vorliegende Beitrag stellt die Grundlagen, Limitationen und Komplikationen des hämodynamischen Monitorings mithilfe dieser beiden Systeme dar.
Abstract
Hemodynamic monitoring is essential in the diagnosis and management of critically ill patients. Cardiac output represents a major monitoring parameter. There are a number of methods for measurement of cardiac output with various invasive capacities and functional reliability. Thermodilution pulmonary artery catheter and pulse contour analysis by PiCCO are widely used techniques to measure cardiac output in intensive care unit. This review describes the basic principles, limitations and complications of both monitoring tools.
Schlüsselwörter
hämodynamisches Monitoring - Pulmonalarterienkatheter - PiCCO
Keywords
hemodynamic monitoring - pulmonary artery catheter - PiCCO
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Dr. Natig Gassanov
Herzzentrum Köln
Klinik III für
Innere Medizin
Kerpener Str. 62
50924 Köln
Phone: 0221/47832544
Fax: 0221/47832712
Email: Natig.Gassanov@uk-koeln.de