1. Intraoperatives Management eines unerwarteten Blutdruckabfalls bei Bandscheibenoperationen
- Author
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Volker Dörges, D. Fauter, R. Schwachenwaldt, Klaus Gerlach, A. J. A. Terzis, and Peter Schmucker
- Subjects
medicine.medical_specialty ,business.industry ,Vascular disease ,Arterial hypotension ,General surgery ,medicine.medical_treatment ,General Medicine ,Specific knowledge ,Surgical procedures ,Critical Care and Intensive Care Medicine ,medicine.disease ,Surgery ,Anesthesiology and Pain Medicine ,Lumbar ,Discectomy ,Emergency Medicine ,Medicine ,Lumbar spine ,Differential diagnosis ,business - Abstract
An anesthesiological management is difficult in surgical procedures in which the operative situs is not to be seen by the anesthesist. Therefore specific knowledge of the operative procedure and related hazards are mandatory for optimal anesthesiological care. By describing the anesthesiologic proceduces in two lumbar discectomys, the specific problems in recognition and treatment of severe injuries of retroperitoneal vascular structures are explained. In addition, the differential diagnosis of intraoperative arterial hypotension is described. The communication between all disciplines involved is mandatory, especially in cases of severe complications. The management of such complications can only be solved through in-time interdisciplinary cooperation of all involved disciplines.
- Published
- 2000