{"id":13761,"date":"2023-10-19T09:54:50","date_gmt":"2023-10-19T07:54:50","guid":{"rendered":"https:\/\/www.cnsystems.com\/topic-events\/news-blog\/essenzielle-verbesserung-von-patientensicherheit-und-perioperativem-management\/"},"modified":"2023-10-19T11:22:22","modified_gmt":"2023-10-19T09:22:22","slug":"essenzielle-verbesserung-von-patientensicherheit-und-perioperativem-management","status":"publish","type":"post","link":"https:\/\/www.cnsystems.com\/de\/topic-events\/news-blog\/essenzielle-verbesserung-von-patientensicherheit-und-perioperativem-management\/","title":{"rendered":"Essenzielle Verbesserung von Patientensicherheit und perioperativem Management &#8211; kont. BP vs. NIBP"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"13761\" class=\"elementor elementor-13761 elementor-13688\" data-elementor-settings=\"{&quot;element_pack_global_tooltip_width&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;element_pack_global_tooltip_width_widescreen&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;element_pack_global_tooltip_width_laptop&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;element_pack_global_tooltip_width_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;element_pack_global_tooltip_width_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;element_pack_global_tooltip_padding&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_padding_widescreen&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_padding_laptop&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_padding_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_padding_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_border_radius&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_border_radius_widescreen&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_border_radius_laptop&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_border_radius_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_border_radius_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true}}\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-aaf9cfb elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"aaf9cfb\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-cbd211f\" data-id=\"cbd211f\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-97801a2 elementor-widget elementor-widget-text-editor\" data-id=\"97801a2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3>Der klinische Mehrwert der kontinuierlichen nicht-invasiven Blutdruckmessung im Vergleich zur intermittierenden Blutdruckmessung am Oberarm<\/h3>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-96f711f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"96f711f\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-a4abc8a\" data-id=\"a4abc8a\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5f897fc elementor-widget elementor-widget-text-editor\" data-id=\"5f897fc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>H\u00e4modynamische Stabilit\u00e4t mit kontinuierlicher nicht-invasiver Blutdruck\u00fcberwachung im direkten Vergleich mit intermittierender oszillometrischer Blutdruck\u00fcberwachung bei Krankenhaus-Patienten: Eine brandneue systematische Review und Metaanalyse von Rajarathinam et al.<sup>1<\/sup><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-46c126a elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"46c126a\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-58ba4aa\" data-id=\"58ba4aa\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-65bdd8e elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"65bdd8e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-38cffce elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"38cffce\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-a59c735\" data-id=\"a59c735\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e5a0b23 elementor-widget elementor-widget-image\" data-id=\"e5a0b23\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"600\" height=\"800\" src=\"https:\/\/www.cnsystems.com\/wp-content\/uploads\/2023\/10\/NBP_Size_Indicator-e1697630684583.jpg\" class=\"attachment-large size-large wp-image-13747\" alt=\"NBP Upper arm measurement\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-2cd5f0c\" data-id=\"2cd5f0c\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5b4681a elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"5b4681a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Die <em>American Society of Anaesthesiologists<\/em> empfiehlt die \u00dcberwachung der Vitalparameter zumindest alle 5 Minuten, um den Versorgungsstandard im perioperativen Umfeld zu gew\u00e4hrleisten<sup>1<\/sup>. Die h\u00e4ufig verwendete nicht-invasive Methode um diese Anforderung zu erf\u00fcllen, ist die \u00dcberwachung mit einer intermittierenden nicht-invasiven oszillometrischen Blutdruckmanschette (NIBP), die zu bestimmten Zeitpunkten automatisch misst. Da die Fr\u00fcherkennung von zu niedrigen oder zu hohen Blutdrucksequenzen f\u00fcr das perioperative Management von entscheidender Bedeutung ist, ist diese Methode m\u00f6glicherweise nicht ausreichend, um wichtige Blutdruck\u00e4nderungen rechtzeitig zu erkennen.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-dadff39 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"dadff39\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-d7c1c78\" data-id=\"d7c1c78\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c1af451 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"c1af451\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Bei kritisch kranken Patienten oder schweren Operationen ist die invasive Blutdruck\u00fcberwachung (BD) zur Ermittlung von Beat-to-Beat-Werten der Goldstandard, wird jedoch immer wieder mit Komplikationen in Verbindung gebracht<sup>1<\/sup>. Bei Operationen mit geringerem Risiko ist eine invasive kontinuierliche \u00dcberwachung aufgrund potenzieller Risiken nicht gerechtfertigt oder vorgesehen, obwohl eine unentdeckte intraoperative Hypotonie in unterschiedlichen Studien mit schlechten Patientenergebnissen wie etwa Nieren- und Organsch\u00e4den, Myokardsch\u00e4den und erh\u00f6hte Krankenhausmortalit\u00e4t in Verbindung gebracht wurde.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-c9e6f1b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c9e6f1b\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-a9122e2\" data-id=\"a9122e2\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-12ebed8 elementor-widget__width-initial elementor-widget elementor-widget-image\" data-id=\"12ebed8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"599\" height=\"466\" src=\"https:\/\/www.cnsystems.com\/wp-content\/uploads\/2023\/10\/Invasive_BP_Measurement_web.jpg\" class=\"attachment-large size-large wp-image-13737\" alt=\"\" srcset=\"https:\/\/www.cnsystems.com\/wp-content\/uploads\/2023\/10\/Invasive_BP_Measurement_web.jpg 599w, https:\/\/www.cnsystems.com\/wp-content\/uploads\/2023\/10\/Invasive_BP_Measurement_web-300x233.jpg 300w\" sizes=\"(max-width: 599px) 100vw, 599px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-38116a6\" data-id=\"38116a6\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-bf8d823 elementor-widget elementor-widget-image\" data-id=\"bf8d823\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"600\" height=\"466\" src=\"https:\/\/www.cnsystems.com\/wp-content\/uploads\/2023\/10\/Noninvasive_CNAP_Sensor_in_OR.jpg\" class=\"attachment-large size-large wp-image-13739\" alt=\"CNAP Sensor Continuous blood pressure noninvasive\" srcset=\"https:\/\/www.cnsystems.com\/wp-content\/uploads\/2023\/10\/Noninvasive_CNAP_Sensor_in_OR.jpg 600w, https:\/\/www.cnsystems.com\/wp-content\/uploads\/2023\/10\/Noninvasive_CNAP_Sensor_in_OR-300x233.jpg 300w\" sizes=\"(max-width: 600px) 100vw, 600px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5fb1075 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5fb1075\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-eab77f3\" data-id=\"eab77f3\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-440383e elementor-widget elementor-widget-text-editor\" data-id=\"440383e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: center;\">Kontinuierliche Blutdruckmessung: Invasiver Gold Standard und nicht-invasive Fingersensor-Technologien<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-bd49fa8 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"bd49fa8\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-9cbb0c2\" data-id=\"9cbb0c2\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-fc81334 elementor-widget elementor-widget-text-editor\" data-id=\"fc81334\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>J\u00fcngste Erkenntnisse haben gezeigt, dass ein intraoperativer mittlerer arterieller Blutdruck von &lt; 80 mm f\u00fcr mehr als 10 Minuten zu Organsch\u00e4digungen f\u00fchren kann<sup>2<\/sup>. Kontinuierliche Messungen k\u00f6nnen dazu beitragen, den Outcome in solchen Situationen zu verbessern. Nicht-invasive \u00dcberwachungsger\u00e4te, die den Blutdruck auch kontinuierlich messen k\u00f6nnen, sind ideal, um die L\u00fccke zwischen invasiver arterieller und intermittierender oszillometrischer Blutdruckmessung zu schlie\u00dfen.<\/p><p>Neueste Forschungsergebnisse best\u00e4tigen den Vorteil kontinuierlicher nicht-invasiver Technologien gegen\u00fcber der intermittierenden oszillometrischen Methode. Das Ziel dieser neuen systematischen Review und Metaanalyse bestand darin, genau diese Vorteile zu analysieren<sup>1<\/sup>. Sechs randomisierte kontrollierte Studien (RCTs) mit 686 chirurgischen Patienten und sechs Beobachtungsstudien in verschiedenen chirurgischen Indikationen wurden herangezogen und konzentrierten sich auf den h\u00e4modynamischen Outcome in Bezug auf folgende Zielsetzungen:<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d24b195 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d24b195\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-9d14a07\" data-id=\"9d14a07\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7dec2bc elementor-widget elementor-widget-text-editor\" data-id=\"7dec2bc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ol><li>Prim\u00e4r: Auftreten von Hypotonie und Hypertonie<\/li><li>Sekund\u00e4r: Dauer der Hypotonie oder Hypertonie und Blutdruck au\u00dferhalb der klinischen Normbereiche, Zeit bis zur Erkennung von Hypotonie und\/oder Hypertonie<\/li><\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-fe1ac98 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"fe1ac98\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-25b8a35\" data-id=\"25b8a35\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3ccc670 elementor-widget elementor-widget-text-editor\" data-id=\"3ccc670\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Die Ergebnisse zeigen verschiedene Aspekte der Vorteile einer nicht-invasiven kontinuierlichen \u00dcberwachung, die sich vor allem positiv auf den postoperativen Genesungsprozess auswirken k\u00f6nnen. F\u00fcnf der sechs RCTs berichteten \u00fcber einen <strong>klaren R\u00fcckgang der Hypotonie-Inzidenz<\/strong>. Bei den mit kontinuierlicher Messung \u00fcberwachten Patienten war die Wahrscheinlichkeit einer Hypotonie um 75 % geringer.<\/p>\n<p>F\u00fcnf der sechs Beobachtungsstudien untersuchten inwieweit die kontinuierliche nicht-invasiven Messung hypotone Episoden im Vergleich zur standardm\u00e4\u00dfigen NIBP-\u00dcberwachung bei unterschiedlichen Eingriffen wie etwa Endoskopien und Kaiserschnitten, aber auch in der Notfallabteilung, verfolgen kann. Mit der nicht-invasiven, kontinuierlichen Messung konnte eine <strong>Hypotonie mindestens 1,5 Minuten fr\u00fcher erkannt<\/strong> werden.<\/p>\n<p>Zusammenfassend l\u00e4sst sich sagen, dass eine kontinuierliche nicht-invasive Messung die h\u00e4modynamische Stabilit\u00e4t bei chirurgischen Patienten verbessert, indem<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-26aca58 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"26aca58\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-65a9b3c\" data-id=\"65a9b3c\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4888af1 elementor-widget elementor-widget-text-editor\" data-id=\"4888af1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ol><li><strong>die Inzidenz von Hypotonie und Hypertonie verringert wird,<\/strong><\/li><li><strong>die Dauer von hypotonen Phasen verk\u00fcrzt wird,<\/strong><\/li><li><strong>die Dauer der Phasen mit Blutdruckwerten au\u00dferhalb der Normbereiche um bis zur H\u00e4lfte verringert wird,<\/strong><\/li><li><strong>Hypotonie fr\u00fcher erkannt wird.<\/strong><\/li><\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-76792bd elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"76792bd\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6fcc59b\" data-id=\"6fcc59b\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-aa6e21f elementor-widget elementor-widget-image\" data-id=\"aa6e21f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"344\" src=\"https:\/\/www.cnsystems.com\/wp-content\/uploads\/2023\/10\/Grafik_Rajarathinam_DE_web-1-1024x440.png\" class=\"attachment-large size-large wp-image-13777\" alt=\"Verbesserung der Patientensicherheit im perioperativen Umfeld durch nicht-invasive kontinuierliche Blutdruck\u00fcberwachung\" srcset=\"https:\/\/www.cnsystems.com\/wp-content\/uploads\/2023\/10\/Grafik_Rajarathinam_DE_web-1-1024x440.png 1024w, https:\/\/www.cnsystems.com\/wp-content\/uploads\/2023\/10\/Grafik_Rajarathinam_DE_web-1-300x129.png 300w, https:\/\/www.cnsystems.com\/wp-content\/uploads\/2023\/10\/Grafik_Rajarathinam_DE_web-1-768x330.png 768w, https:\/\/www.cnsystems.com\/wp-content\/uploads\/2023\/10\/Grafik_Rajarathinam_DE_web-1.png 1033w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-095c2a1 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"095c2a1\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f32c77a\" data-id=\"f32c77a\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8eb018d elementor-widget elementor-widget-text-editor\" data-id=\"8eb018d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Der Vorteil der rascheren Erkennung einer Hypotonie durch Echtzeit\u00fcberwachung erm\u00f6glicht die rechtzeitige Einleitung von Ma\u00dfnahmen zur Stabilisierung des Blutdrucks. Dies wiederum kann im Vergleich zur intermittierenden Blutdruckmessung zu einer deutlichen Reduktion von hypotonen Episoden w\u00e4hrend der Operation f\u00fchren. Nicht-invasive, kontinuierliche Methoden mit einer Fingermanschette verk\u00fcrzten die Dauer von Hypotonie und h\u00e4modynamischer Instabilit\u00e4t, indem die Episoden fr\u00fcher erkannt wurden als durch die intermittierende NIBP-\u00dcberwachung. Die durchaus positive Schlussfolgerung der Autoren ist zukunftsweisend:<\/p>\n<p><em>\u201cThe findings of this review and the individual studies show the promising value of continuous non-invasive measurement in selected clinical settings, where it can improve patient care and safety. This, in addition to the improvement of the monitoring algorithms and measurement performance in these new devices, is more likely to change the future of hemodynamic monitoring in acute care settings.\u201d<sup>1<\/sup>.<\/em><\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7f7043e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7f7043e\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-109159b\" data-id=\"109159b\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-067c12d elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"067c12d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-05961c4 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"05961c4\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f6593a7\" data-id=\"f6593a7\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-97cc554 elementor-widget elementor-widget-text-editor\" data-id=\"97cc554\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h5><span style=\"color: #d10019;\">Referenzen:<\/span><\/h5>\n<p>[1] Rajarathinam, M. <em>et al.<\/em> Comparison of hemodynamic stability with continuous noninvasive blood pressure monitoring and intermittent oscillometric blood pressure monitoring in hospitalized patients: A systematic review and meta-analysis. <em>Anesth. Essays Res.<\/em> <strong>0<\/strong>, 0 (2023)<\/p>\n<p>[2] Wesselink, E. M., Kappen, T. H., Torn, H. M., Slooter, A. J. C. &amp; van Klei, W. A. Intraoperative hypotension and the risk of postoperative adverse outcomes: a systematic review. <em>Br. J. Anaesth.<\/em> 121, 706\u2013721 (2018)<\/p>\n<p>Bilder\/Grafiken: CNSystems und Adobe Stock<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Der klinische Mehrwert der kontinuierlichen nicht-invasiven Blutdruckmessung im Vergleich zur intermittierenden Blutdruckmessung am Oberarm H\u00e4modynamische Stabilit\u00e4t mit kontinuierlicher nicht-invasiver Blutdruck\u00fcberwachung im direkten Vergleich mit intermittierender oszillometrischer Blutdruck\u00fcberwachung bei Krankenhaus-Patienten: Eine brandneue systematische Review und Metaanalyse von Rajarathinam et al.1 Die American Society of Anaesthesiologists empfiehlt die \u00dcberwachung der Vitalparameter zumindest alle 5 Minuten, um den [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":13686,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[65],"tags":[],"class_list":["post-13761","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-neue-studie"],"_links":{"self":[{"href":"https:\/\/www.cnsystems.com\/de\/wp-json\/wp\/v2\/posts\/13761","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.cnsystems.com\/de\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.cnsystems.com\/de\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.cnsystems.com\/de\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.cnsystems.com\/de\/wp-json\/wp\/v2\/comments?post=13761"}],"version-history":[{"count":10,"href":"https:\/\/www.cnsystems.com\/de\/wp-json\/wp\/v2\/posts\/13761\/revisions"}],"predecessor-version":[{"id":13786,"href":"https:\/\/www.cnsystems.com\/de\/wp-json\/wp\/v2\/posts\/13761\/revisions\/13786"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.cnsystems.com\/de\/wp-json\/wp\/v2\/media\/13686"}],"wp:attachment":[{"href":"https:\/\/www.cnsystems.com\/de\/wp-json\/wp\/v2\/media?parent=13761"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.cnsystems.com\/de\/wp-json\/wp\/v2\/categories?post=13761"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.cnsystems.com\/de\/wp-json\/wp\/v2\/tags?post=13761"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}