{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:34:16Z","timestamp":1740126856344,"version":"3.37.3"},"reference-count":8,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Klin Monbl Augenheilkd"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Bei zunehmender Alterung unserer Gesellschaft behandeln An\u00e4sthesistInnen und AugenchirurgInnen zusehends mehr GlaukompatientInnen, die gleichzeitig an Aortenklappenstenose (AKS) leiden. In\n\t\t\t\t\tder chirurgischen und an\u00e4sthesiologischen Therapie erfordert diese Konstellation eine anspruchsvolle gemeinsame Herangehensweise. Wir berichten \u00fcber 6\u00a0F\u00e4lle von AKS-PatientInnen, die sich\n\t\t\t\t\teiner Glaukomoperation in Sub-Tenon-Block oder subkonjunktivaler An\u00e4sthesie unterzogen haben. Dabei musste einer Patientin mit intraoperativen Schmerzen wiederholt eine subkonjunktivale\n\t\t\t\t\tLokalan\u00e4sthesie gegeben werden. Die Patientin war anhaltend hypertensiv und es kam zu einer umschriebenen Choroidalblutung. Das komplizierte Follow-up war gepr\u00e4gt durch exorbitante\n\t\t\t\t\tintraokulare Druckschwankungen und einer sekund\u00e4ren Choroidalblutung. An\u00e4sthesiologie und Ophthalmochirurge m\u00fcssen ihre Strategie aufeinander abstimmen, um den optimalen transmuralen Druck\n\t\t\t\t\t\u00fcber die choroidalen Gef\u00e4\u00dfe, aber auch den stenotischen aortalen Ausflusstrakt gew\u00e4hrleisten zu k\u00f6nnen. Oftmals sind den Klinikern die pathophysiologischen Kernkonzepte der Partnerdisziplin\n\t\t\t\t\tnicht gel\u00e4ufig. Die Diskussion unserer Fallserie er\u00f6rtert die differenzierte Herangehensweise beider beteiligter Disziplinen, Pathophysiologie der AKS und der choroidalen Blutung und\n\t\t\t\t\tbesonders jene Arbeitsschritte und therapeutischen Entscheidungen, die zur Sicherheit solcher Hochrisikopatienten gemeinsam angegangen werden m\u00fcssen.<\/jats:p>","DOI":"10.1055\/a-1741-5460","type":"journal-article","created":{"date-parts":[[2022,3,23]],"date-time":"2022-03-23T23:56:03Z","timestamp":1648079763000},"page":"454-457","source":"Crossref","is-referenced-by-count":0,"title":["Eine Fallserie wacher Glaukomoperationen mittels Sub-Tenon- oder subkonjunktivaler An\u00e4sthesie bei \u00e4lteren PatientInnen mit Aortenklappenstenose"],"prefix":"10.1055","volume":"239","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5090-4989","authenticated-orcid":false,"given":"Friedrich","family":"Lersch","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinik f\u00fcr An\u00e4sthesiologie und Schmerztherapie, Bern, Schweiz"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johannes","family":"Harte","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinik f\u00fcr An\u00e4sthesiologie und Schmerztherapie, Bern, Schweiz"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gesar","family":"Ugen","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinik f\u00fcr An\u00e4sthesiologie und Schmerztherapie, Bern, Schweiz"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Astrid","family":"Kuonen","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinik f\u00fcr An\u00e4sthesiologie und Schmerztherapie, Bern, Schweiz"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,3,23]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1002","DOI":"10.1016\/j.jacc.2013.05.015","article-title":"Aortic stenosis in the elderly: 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