[Endoscopy on the surgical intensive care unit].

Szczegóły
Abstrakt

Tytuł:: [Endoscopy on the surgical intensive care unit].
Autorzy:: Braun G; Medizinische Klinik 3 am Universitätsklinikum Augsburg, Klinik für Anästhesiologie und Operative Intensivmedizin, Stenglinstr. 2, 86156, Augsburg, Deutschland. .
Mück A; Medizinische Klinik 3 am Universitätsklinikum Augsburg, Klinik für Anästhesiologie und Operative Intensivmedizin, Stenglinstr. 2, 86156, Augsburg, Deutschland.
Transliterated Title:: Endoskopie auf der operativen Intensivstation.
Źródło:: Der Anaesthesist [Anaesthesist] 2021 Nov; Vol. 70 (11), pp. 977-990. Date of Electronic Publication: 2021 Oct 28.
Typ publikacji:: Journal Article
Język:: German
Imprint Name(s):: Original Publication: Berlin, Springer-Verlag.
MeSH Terms:: Decompression, Surgical*
Lumbar Vertebrae*
Critical Care ; Critical Illness ; Endoscopy ; Humans ; Intensive Care Units
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Contributed Indexing:: Keywords: Anastomotic leakage; Endoscopic decompression; Endoscopic vacuum therapy; Enteral nutrition; Tube feeding
Local Abstract: [Publisher, German] Am häufigsten werden Endoskopien auf Intensivstationen im Rahmen gastrointestinaler Blutungen durchgeführt. Es gibt aber auch andere Indikationen für eine Endoskopie auf der „intensive care unit“ (ICU). Der vorliegende Beitrag zeigt diese, die Hintergründe sowie das peri- und postinterventionelle Management auf. Die endoskopische Anlage einer jejunalen Ernährungssonde ist ein gut etabliertes Verfahren. Allerdings ist die Medikamentengabe über jejunale Ernährungssonden erschwert. Bei Insuffizienzen von Anastomosen in Ösophagus und Rektum ist die endoskopische Vakuumtherapie die Therapie der Wahl. Störungen der gastrointestinalen Motilität sind ein häufiges Phänomen bei kritisch kranken Patienten und mit einer erhöhten Mortalität assoziiert. Bei einem Zökumdurchmesser > 9–12 mm kann eine endoskopische Dekompression durchgeführt werden, die allerdings mit einem erhöhten Perforationsrisiko assoziiert ist und erst nach Versagen einer konservativen Therapie erfolgen sollte.
Entry Date(s):: Date Created: 20211028 Date Completed: 20211124 Latest Revision: 20211124
Update Code:: 20240105
DOI:: 10.1007/s00101-021-01047-x
PMID:: 34709412
: Czasopismo naukowe

Endoscopy is most frequently performed in intensive care units (ICU) for gastrointestinal bleeding; however, there are other indications for performing an endoscopy on the ICU. This article shows the indications for this, the background and the peri-interventional and postinterventional management. The endoscopic placement of a postpyloric feeding tube is a well-established procedure. For anastomotic leakage in the esophagus and rectum, the endoscopic vacuum therapy is the treatment of choice. Gastrointestinal motility disorders are a frequent phenomenon in critically ill patients and are associated with increased mortality. With a cecal diameter > 9-12 mm, endoscopic decompression can be performed; however, this is associated with an increased risk of perforation and should only be carried out after the failure of conservative treatment.
(© 2021. Springer Medizin Verlag GmbH, ein Teil von Springer Nature.)

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