Stellenwert des Nephrologen in der Intensivmedizin View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2006-07

AUTHORS

A. Jörres, R. Schindler

ABSTRACT

Die frühzeitige Erkennung des akuten Nierenversagens (ANV) beim Intensivpatienten ist von großer Bedeutung für den Krankheitsverlauf, da nur durch die rasche Wiederherstellung des renalen Blutflusses der Übergang einer prärenalen Niereninsuffizienz in eine manifeste akute Tubulusnekrose und damit ein dialysepflichtiges ANV verhindert werden kann. Neben der raschen Erkennung und Differenzialdiagnostik des Nierenversagens kommt dem Nephrologen eine wichtige Rolle bei seiner konservativen Behandlung zu. Dies umfasst insbesondere die kausalen Therapie einer möglichen Grunderkrankung, die rasche Erkennung und Korrektur von prä- und postrenalen Störungen, die adäquate Dosierung von Medikamenten, sowie die Vermeidung von Komplikationen des Nierenversagens. Falls nötig, muss er rechtzeitig die Indikation zur Einleitung einer akuten Nierenersatztherapie stellen und das optimale, auf die spezielle Situation des Patienten zugeschnittene Behandlungsverfahren auswählen und steuern. Voraussetzung hierfür ist die frühzeitige und umfassende Einbindung des Nephrologen in die Intensivtherapie kritisch kranker Patienten. More... »

PAGES

80-87

Journal

TITLE

Der Nephrologe

ISSUE

2

VOLUME

1

Author Affiliations

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s11560-006-0017-3

DOI

http://dx.doi.org/10.1007/s11560-006-0017-3

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1029600863


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