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Prophylaxen in der Intensivmedizin

Die Intensivmedizin

Part of the book series: Springer Reference Medizin ((SRM))

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Zusammenfassung

Dieses Kapitel widmet sich den verschiedenen Prophylaxemaßnahmen in der Intensivmedizin.

Die Pneumonieprophylaxe ist aufgrund deutlich erhöhter Morbiditäts- und Letalitätsraten und Therapiekosten von großer Bedeutung. Ziel dieses Kapitels ist es, einen Überblick über die empfohlenen allgemeinen und spezifischen Maßnahmen zu geben.

Die Notwendigkeit einer Thromboseprophylaxe bei allen intensivmedizinisch behandelten Patienten steht außer Frage und resultiert aus dem hohen Thromboserisiko durch dispositionelle und expositionelle Faktoren.

Die Stressulkusprophylaxe dient dem Schutz vor einer Schädigung der Magenschleimhaut.

Das Delir ist, insbesondere in der stillen bzw. hypoaktiven Form, ein oft unterschätztes (und nicht diagnostiziertes) Krankheitsbild auf Intensivstationen. Delirprophylaktische Maßnahmen umfassen zielgerichtetes Monitoring, die protokollgesteuerte Wahl von Substanzen für Sedierung, Analgesie und Delirium sowie nichtpharmakologische Ansätze.

Die Dekubitusprophylaxe wird als ein Qualitätsindikator der Pflege gewertet und stellt in der stationären Versorgung zunehmend älterer und multimorbider Patienten eine Herausforderung dar.

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Authors and Affiliations

  1. Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie, Universitätsklinikum Frankfurt, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Deutschland

    Tobias M. Bingold

  2. Klinik für Chirurgie, Universitätsklinikum Schleswig-Holstein – Campus Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Deutschland

    Martin Hoffmann, Susanne Krotsetis & Elke Muhl

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  1. Tobias M. Bingold
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  2. Martin Hoffmann
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  3. Susanne Krotsetis
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  4. Elke Muhl
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Correspondence to Tobias M. Bingold .

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Editors and Affiliations

  1. Klinik für Anästhesiologie, RWTH Aachen Universitätsklinikum Aachen, Aachen, Germany

    Gernot Marx

  2. Klinik für Chirurgie, Universitätsklinikum Schleswig-Holstein Campus Lübeck, Lübeck, Germany

    Elke Muhl

  3. Dir. der Klinik fuer Anaesthesie Intensivmed. und Schmerzther., Frankfurt, Hessen, Germany

    Kai Zacharowski

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Bingold, T.M., Hoffmann, M., Krotsetis, S., Muhl, E. (2015). Prophylaxen in der Intensivmedizin. In: Marx, G., Muhl, E., Zacharowski, K. (eds) Die Intensivmedizin. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-54675-4_43-1

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  • DOI: https://doi.org/10.1007/978-3-642-54675-4_43-1

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  1. Latest

    Prophylaxen
    Published:
    12 February 2023

    DOI: https://doi.org/10.1007/978-3-642-54675-4_43-2

  2. Original

    Prophylaxen in der Intensivmedizin
    Published:
    14 September 2015

    DOI: https://doi.org/10.1007/978-3-642-54675-4_43-1

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