Kardioanästhesie: Monitoring und aktuelle hämodynamische Konzepte

Translated title of the contribution: Monitoring and Modern Hemodynamic Concepts in Cardiac Anesthesia

Matthias Heringlake*, Christian Schmidt, Sebastian Brandt

*Corresponding author for this work
1 Citation (Scopus)


Patients undergoing cardiac surgery are growing older, present with more comorbidities, and are frequently scheduled for more complex and prolonged surgical procedures. Routine application of neurological as well as extended hemodynamic monitoring combined with goal-directed perioperative hemodynamic optimization, targeting optimization of systemic and cerebral oxygen balance, show promise to reduce postoperative complications and to improve mortality in this high risk population. Expert recommendations suggest to avoid synthetic colloids for fluid optimization. Additionally, pathophysiological reasoning and results from recent trials suggest to start inotropic and vasoactive therapy primarily with non-adrenergic drugs like levosimendan and vasopressin and to add classical catecholamines like dobutamine and noradrenalin only if necessary to accomplish hemodynamic goals.

Translated title of the contributionMonitoring and Modern Hemodynamic Concepts in Cardiac Anesthesia
Original languageGerman
JournalAnasthesiologie Intensivmedizin Notfallmedizin Schmerztherapie
Issue number5
Pages (from-to)332-345
Number of pages14
Publication statusPublished - 01.05.2018


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