DerAnaesthesist.60450526.ger.abstr-passage-0
abstract
Der Gastrointestinaltrakt steht als Motor der Entwicklung eines Multiorgandysfunktionssyndroms ( MODS ) im Mittelpunkt der aktuellen Diskussion . Zur Ueberwachung des Sauerstoff-Angebot-Verbrauchs-Verhaeltnisses in diesem Teilkreislaufgebiet wird in juengster Vergangenheit vermehrt die lebervenoese Oxymetrie eingesetzt . In der vorliegenden Arbeit wird eine ausschliesslich oxymetrisch gesteuerte Katheterisierung einer Lebervene beschrieben , die bettseitig ohne Einsatz bildgebender Diagnostik-Verfahren moeglich ist . In der V. cava inferior ist ein typisches venoeses Sauerstoffsaettigungsprofil zu erwarten . In Hoehe der Einmuendung der Nierenvenen kommt es zu einem sprunghaften Anstieg der venoesen Saettigung aufgrund des hohen Anteils der Organe am Herzzeitvolumen und dem , in Relation dazu geringen Sauerstoffverbrauch . , Im Bereich des Zuflusses der Lebervenen zeigt sich meist ein ebenso deutlicher Abfall der Saettigung . Nach Erreichen des rechten Vorhof steigt die O2-Saettigung auf Grund der Zumischung hoeher gesaettigten V. cava superior Blutes wieder an . Unter Beruecksichtigung dieser physiologischen Gegebenheiten gelang es bei 12 von 14 Patienten mit postoperativem MODS ( Apache II-Score > = ; 20 ) mit alleiniger Hilfe der kontinuierlichen in-vivo Oxymetrie die Leberveneneinmuendung in die V. cava inferior aufzufinden und einen Katheter hepatovenoes zu plazieren . Die Ausgangswerte der lebervenoesen Sauerstoffsaettigung ( shvO2) wurden im Mittel mit 35,1 +/- 9,4% bestimmt . Der minimale Wert betrug 19% , die hoechste shvO2 lag bei 59% . Inwieweit das Monitoring der shvO2 zu einer effizienten , teilkreislaufspezifischen Therapie bei Patienten mit Sepsis und MODS fuehren kann , werden erst zukuenftige Studien mit groesseren Patientenkollektiven zeigen koennen .
DerAnaesthesist.60450526.ger.abstr-s2-r1-t2.1-t3.1
location_of
DerAnaesthesist.60450526.ger.abstr-s11-t2
DerAnaesthesist.60450526.ger.abstr-s11-t3
DerAnaesthesist.60450526.ger.abstr-s2-r2-t3.1-t1.1
analyzes
DerAnaesthesist.60450526.ger.abstr-s11-t3
DerAnaesthesist.60450526.ger.abstr-s11-t1
DerAnaesthesist.60450526.ger.abstr-s3-r1-t5.1-t1.1
isa
DerAnaesthesist.60450526.ger.abstr-s11-t5
DerAnaesthesist.60450526.ger.abstr-s11-t1
DerAnaesthesist.60450526.ger.abstr-s3-r2-t2.1-t1.1
isa
DerAnaesthesist.60450526.ger.abstr-s11-t2
DerAnaesthesist.60450526.ger.abstr-s11-t1
DerAnaesthesist.60450526.ger.abstr-s3-r3-t4.1-t5.1
location_of
DerAnaesthesist.60450526.ger.abstr-s11-t4
DerAnaesthesist.60450526.ger.abstr-s11-t5
DerAnaesthesist.60450526.ger.abstr-s3-r4-t5.1-t2.1
precedes
DerAnaesthesist.60450526.ger.abstr-s11-t5
DerAnaesthesist.60450526.ger.abstr-s11-t2
DerAnaesthesist.60450526.ger.abstr-s3-r5-t3.1-t5.1
location_of
DerAnaesthesist.60450526.ger.abstr-s11-t3
DerAnaesthesist.60450526.ger.abstr-s11-t5
DerAnaesthesist.60450526.ger.abstr-s3-r6-t4.1-t2.1
location_of
DerAnaesthesist.60450526.ger.abstr-s11-t4
DerAnaesthesist.60450526.ger.abstr-s11-t2
DerAnaesthesist.60450526.ger.abstr-s3-r7-t3.1-t2.1
location_of
DerAnaesthesist.60450526.ger.abstr-s11-t3
DerAnaesthesist.60450526.ger.abstr-s11-t2
DerAnaesthesist.60450526.ger.abstr-s5-r1-t1.1-t3.1
measurement_of
DerAnaesthesist.60450526.ger.abstr-s11-t1
DerAnaesthesist.60450526.ger.abstr-s11-t3
DerAnaesthesist.60450526.ger.abstr-s5-r2-t5.1-t3.1
result_of
DerAnaesthesist.60450526.ger.abstr-s11-t5
DerAnaesthesist.60450526.ger.abstr-s11-t3
DerAnaesthesist.60450526.ger.abstr-s5-r3-t4.1-t5.1
measurement_of
DerAnaesthesist.60450526.ger.abstr-s11-t4
DerAnaesthesist.60450526.ger.abstr-s11-t5
DerAnaesthesist.60450526.ger.abstr-s5-r4-t4.1-t3.1
measures
DerAnaesthesist.60450526.ger.abstr-s11-t4
DerAnaesthesist.60450526.ger.abstr-s11-t3
DerAnaesthesist.60450526.ger.abstr-s5-r5-t6.1-t5.1
affects
DerAnaesthesist.60450526.ger.abstr-s5-t6
DerAnaesthesist.60450526.ger.abstr-s11-t5
DerAnaesthesist.60450526.ger.abstr-s5-r6-t2.1-t3.1
location_of
DerAnaesthesist.60450526.ger.abstr-s11-t2
DerAnaesthesist.60450526.ger.abstr-s11-t3
DerAnaesthesist.60450526.ger.abstr-s5-r7-t1.1-t5.1
measurement_of
DerAnaesthesist.60450526.ger.abstr-s11-t1
DerAnaesthesist.60450526.ger.abstr-s11-t5
DerAnaesthesist.60450526.ger.abstr-s5-r8-t4.1-t1.1
measures
DerAnaesthesist.60450526.ger.abstr-s11-t4
DerAnaesthesist.60450526.ger.abstr-s11-t1
DerAnaesthesist.60450526.ger.abstr-s5-r9-t2.1-t4.1
location_of
DerAnaesthesist.60450526.ger.abstr-s11-t2
DerAnaesthesist.60450526.ger.abstr-s11-t4
DerAnaesthesist.60450526.ger.abstr-s5-r10-t4.1-t6.1
analyzes
DerAnaesthesist.60450526.ger.abstr-s11-t4
DerAnaesthesist.60450526.ger.abstr-s5-t6
DerAnaesthesist.60450526.ger.abstr-s5-r11-t4.1-t6.1
measurement_of
DerAnaesthesist.60450526.ger.abstr-s11-t4
DerAnaesthesist.60450526.ger.abstr-s5-t6
DerAnaesthesist.60450526.ger.abstr-s5-r12-t6.1-t3.1
affects
DerAnaesthesist.60450526.ger.abstr-s5-t6
DerAnaesthesist.60450526.ger.abstr-s11-t3
DerAnaesthesist.60450526.ger.abstr-s5-r13-t3.1-t5.1
result_of
DerAnaesthesist.60450526.ger.abstr-s11-t3
DerAnaesthesist.60450526.ger.abstr-s11-t5
DerAnaesthesist.60450526.ger.abstr-s5-r14-t2.1-t5.1
location_of
DerAnaesthesist.60450526.ger.abstr-s11-t2
DerAnaesthesist.60450526.ger.abstr-s11-t5
DerAnaesthesist.60450526.ger.abstr-s5-r15-t4.1-t3.1
measurement_of
DerAnaesthesist.60450526.ger.abstr-s11-t4
DerAnaesthesist.60450526.ger.abstr-s11-t3
DerAnaesthesist.60450526.ger.abstr-s5-r16-t4.1-t5.1
measures
DerAnaesthesist.60450526.ger.abstr-s11-t4
DerAnaesthesist.60450526.ger.abstr-s11-t5
DerAnaesthesist.60450526.ger.abstr-s6-r1-t1.1-t2.1
location_of
DerAnaesthesist.60450526.ger.abstr-s11-t1
DerAnaesthesist.60450526.ger.abstr-s11-t2
DerAnaesthesist.60450526.ger.abstr-s8-r1-t3.1-t1.1
affects
DerAnaesthesist.60450526.ger.abstr-s11-t3
DerAnaesthesist.60450526.ger.abstr-s11-t1
DerAnaesthesist.60450526.ger.abstr-s8-r2-t5.1-t2.1
location_of
DerAnaesthesist.60450526.ger.abstr-s11-t5
DerAnaesthesist.60450526.ger.abstr-s11-t2
DerAnaesthesist.60450526.ger.abstr-s8-r3-t3.1-t2.1
associated_with
DerAnaesthesist.60450526.ger.abstr-s11-t3
DerAnaesthesist.60450526.ger.abstr-s11-t2
DerAnaesthesist.60450526.ger.abstr-s8-r4-t2.1-t1.1
occurs_in
DerAnaesthesist.60450526.ger.abstr-s11-t2
DerAnaesthesist.60450526.ger.abstr-s11-t1
DerAnaesthesist.60450526.ger.abstr-s8-r5-t4.1-t3.1
location_of
DerAnaesthesist.60450526.ger.abstr-s11-t4
DerAnaesthesist.60450526.ger.abstr-s11-t3
DerAnaesthesist.60450526.ger.abstr-s8-r6-t2.1-t3.1
associated_with
DerAnaesthesist.60450526.ger.abstr-s11-t2
DerAnaesthesist.60450526.ger.abstr-s11-t3
DerAnaesthesist.60450526.ger.abstr-s8-r7-t1.1-t3.1
performs
DerAnaesthesist.60450526.ger.abstr-s11-t1
DerAnaesthesist.60450526.ger.abstr-s11-t3
DerAnaesthesist.60450526.ger.abstr-s8-r8-t4.1-t2.1
location_of
DerAnaesthesist.60450526.ger.abstr-s11-t4
DerAnaesthesist.60450526.ger.abstr-s11-t2
DerAnaesthesist.60450526.ger.abstr-s8-r9-t5.1-t3.1
location_of
DerAnaesthesist.60450526.ger.abstr-s11-t5
DerAnaesthesist.60450526.ger.abstr-s11-t3
DerAnaesthesist.60450526.ger.abstr-s9-r1-t1.1-t3.1
location_of
DerAnaesthesist.60450526.ger.abstr-s11-t1
DerAnaesthesist.60450526.ger.abstr-s11-t3
DerAnaesthesist.60450526.ger.abstr-s9-r2-t2.1-t3.1
affects
DerAnaesthesist.60450526.ger.abstr-s11-t2
DerAnaesthesist.60450526.ger.abstr-s11-t3
DerAnaesthesist.60450526.ger.abstr-s11-r1-t3.2-t1.1
associated_with
DerAnaesthesist.60450526.ger.abstr-s11-t3
DerAnaesthesist.60450526.ger.abstr-s11-t1
DerAnaesthesist.60450526.ger.abstr-s11-r2-t3.1-t1.2
occurs_in
DerAnaesthesist.60450526.ger.abstr-s11-t3
DerAnaesthesist.60450526.ger.abstr-s11-t1
DerAnaesthesist.60450526.ger.abstr-s11-r3-t4.1-t1.1
associated_with
DerAnaesthesist.60450526.ger.abstr-s11-t4
DerAnaesthesist.60450526.ger.abstr-s11-t1
DerAnaesthesist.60450526.ger.abstr-s11-r4-t3.2-t1.2
occurs_in
DerAnaesthesist.60450526.ger.abstr-s11-t3
DerAnaesthesist.60450526.ger.abstr-s11-t1
DerAnaesthesist.60450526.ger.abstr-s11-r5-t4.1-t1.2
occurs_in
DerAnaesthesist.60450526.ger.abstr-s11-t4
DerAnaesthesist.60450526.ger.abstr-s11-t1
DerAnaesthesist.60450526.ger.abstr-s11-r6-t3.1-t5.1
occurs_in
DerAnaesthesist.60450526.ger.abstr-s11-t3
DerAnaesthesist.60450526.ger.abstr-s11-t5
DerAnaesthesist.60450526.ger.abstr-s11-r7-t5.1-t1.1
performs
DerAnaesthesist.60450526.ger.abstr-s11-t5
DerAnaesthesist.60450526.ger.abstr-s11-t1
DerAnaesthesist.60450526.ger.abstr-s11-r8-t3.2-t5.1
occurs_in
DerAnaesthesist.60450526.ger.abstr-s11-t3
DerAnaesthesist.60450526.ger.abstr-s11-t5
DerAnaesthesist.60450526.ger.abstr-s11-r11-t3.1-t4.1
degree_of
DerAnaesthesist.60450526.ger.abstr-s11-t3
DerAnaesthesist.60450526.ger.abstr-s11-t4
DerAnaesthesist.60450526.ger.abstr-s11-r12-t4.1-t5.1
occurs_in
DerAnaesthesist.60450526.ger.abstr-s11-t4
DerAnaesthesist.60450526.ger.abstr-s11-t5
DerAnaesthesist.60450526.ger.abstr-s11-r13-t3.1-t4.1
associated_with
DerAnaesthesist.60450526.ger.abstr-s11-t3
DerAnaesthesist.60450526.ger.abstr-s11-t4
DerAnaesthesist.60450526.ger.abstr-s11-r14-t4.1-t3.2
degree_of
DerAnaesthesist.60450526.ger.abstr-s11-t4
DerAnaesthesist.60450526.ger.abstr-s11-t3
DerAnaesthesist.60450526.ger.abstr-s11-r15-t3.2-t4.1
degree_of
DerAnaesthesist.60450526.ger.abstr-s11-t3
DerAnaesthesist.60450526.ger.abstr-s11-t4
DerAnaesthesist.60450526.ger.abstr-s11-r16-t1.1-t5.1
affects
DerAnaesthesist.60450526.ger.abstr-s11-t1
DerAnaesthesist.60450526.ger.abstr-s11-t5
DerAnaesthesist.60450526.ger.abstr-s11-r17-t3.1-t1.1
associated_with
DerAnaesthesist.60450526.ger.abstr-s11-t3
DerAnaesthesist.60450526.ger.abstr-s11-t1
DerAnaesthesist.60450526.ger.abstr-s11-r18-t1.1-t3.2
associated_with
DerAnaesthesist.60450526.ger.abstr-s11-t1
DerAnaesthesist.60450526.ger.abstr-s11-t3
DerAnaesthesist.60450526.ger.abstr-s11-r19-t3.2-t4.1
associated_with
DerAnaesthesist.60450526.ger.abstr-s11-t3
DerAnaesthesist.60450526.ger.abstr-s11-t4
DerAnaesthesist.60450526.ger.abstr-s11-r20-t4.1-t3.2
associated_with
DerAnaesthesist.60450526.ger.abstr-s11-t4
DerAnaesthesist.60450526.ger.abstr-s11-t3
DerAnaesthesist.60450526.ger.abstr-s11-r21-t1.1-t4.1
associated_with
DerAnaesthesist.60450526.ger.abstr-s11-t1
DerAnaesthesist.60450526.ger.abstr-s11-t4
DerAnaesthesist.60450526.ger.abstr-s11-r22-t4.1-t3.1
degree_of
DerAnaesthesist.60450526.ger.abstr-s11-t4
DerAnaesthesist.60450526.ger.abstr-s11-t3
DerAnaesthesist.60450526.ger.abstr-s11-r24-t1.1-t3.1
associated_with
DerAnaesthesist.60450526.ger.abstr-s11-t1
DerAnaesthesist.60450526.ger.abstr-s11-t3
DerAnaesthesist.60450526.ger.abstr-s11-r25-t4.1-t3.1
associated_with
DerAnaesthesist.60450526.ger.abstr-s11-t4
DerAnaesthesist.60450526.ger.abstr-s11-t3