[Intensive therapy in surgery. Value, goals and outcome].
Intensive care is one tool of medicine. Resuscitation, treatment of organ failure, maintenance of homeostasis and prophylaxis of postoperative complications are it's duties. Over the last three decades the results of critical care medicine have significantly improved and the mortality rate has been halved. Not only the better understanding of development and significance of multiple organ failure, but also the re-evaluation of the role of age and co-morbidity have contributed to this improvement. Also, increased experience and competence of the physician, as well as a growing knowledge of systemic inflammatory response syndrome (SIRS) and the sepsis syndrome have promoted this progress. Hemofiltration is a novel method of neutralizing sepsis-related mediators and cytokines from the circulation.
Schildberg
F W
FW
Chirurgische Klinik und Poliklinik, Klinikum Grosshadern, Ludwig-Maximilians-Universität, München.
Inthorn
D
D
D018806:APACHE; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D003422:Critical Care / Q000379:methods*; D005260:Female; D006440:Hemofiltration; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D009102:Multiple Organ Failure / Q000401:mortality / Q000628:therapy; D010348:Patient Care Team; D011183:Postoperative Complications / Q000401:mortality / Q000628:therapy*; D013530:Surgical Wound Infection / Q000401:mortality / Q000628:therapy; D015996:Survival Rate; D018746:Systemic Inflammatory Response Syndrome / Q000401:mortality / Q000628:therapy
Intensivtherapie in der Chirurgie. Sinn, Ziele und Erreichtes.