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Management von Komplikationen: Sepsis, Multiorganversagen, ARDS

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Management des Schwerverletzten

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Zusammenfassung

Sepsis, akutes Lungenversagen (Acute Respiratory Distress Syndrome, ARDS) und Multiorganversagen stellen lebensbedrohliche Komplikation nach Polytrauma dar. Eine umgehende, entschlossene und zielgerichtete Therapie dieser Komplikationen ist für den klinischen Verlauf des Patienten von herausragender Bedeutung. So entscheidet die Therapie einer Sepsis anhand vorher festgelegter Protokolle und Zielparameter besonders in den ersten 6 h nach Diagnosestellung über die Letalität des Patienten. Die Therapie des ARDS inkludiert eine lungenprotektive Beatmung, die Rekrutierung geschädigter Lungenareale durch ein adäquates PEEP-Niveau und ein subtiles Flüssigkeitsmanagement zur Vermeidung der Entstehung oder Progredienz eines Lungenödems.

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Authors and Affiliations

  1. Klinik für Operative Intensivmedizin und Intermediate Care, Uniklinikum der RWTH Aachen, Pauwelsstraße 30, 52074, Aachen, Deutschland

    Dr. med. L. Martin, PD Dr. med. J. Bickenbach & Prof. Dr. med. G. Marx

  2. Klinik und Poliklinik für Anästhesiologie und Intensivmedizin, Universitätsmedizin Rostock, Schillingallee 35, 18057, Rostock, Deutschland

    Prof. Dr. med. T. Schürholz

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  1. Dr. med. L. Martin
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  2. Prof. Dr. med. T. Schürholz
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  3. PD Dr. med. J. Bickenbach
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  4. Prof. Dr. med. G. Marx
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Corresponding authors

Correspondence to L. Martin , T. Schürholz , J. Bickenbach , G. Marx , L. Martin , T. Schürholz , G. Marx , J. Bickenbach or G. Marx .

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Editors and Affiliations

  1. Universitätsspital Zürich, Zürich, Switzerland

    Hans-Christoph Pape

  2. Klinik für Unfall- und Wiederherstellung, Universitätsklinikum RWTH Aachen, Aachen, Deutschland

    Frank Hildebrand

  3. Klinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Marburg, Marburg, Deutschland

    Steffen Ruchholtz

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Martin, L., Schürholz, T., Bickenbach, J., Marx, G. (2018). Management von Komplikationen: Sepsis, Multiorganversagen, ARDS. In: Pape, HC., Hildebrand, F., Ruchholtz, S. (eds) Management des Schwerverletzten. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-54980-3_26

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  • DOI: https://doi.org/10.1007/978-3-662-54980-3_26

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  • Online ISBN: 978-3-662-54980-3

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