Notfall + Rettungsmedizin

, Volume 20, Issue 8, pp 658–667 | Cite as

Nichtinvasive Beatmung in der Notaufnahme

Leitthema
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Zusammenfassung

Patienten mit dem Leitsymptom Luftnot oder der Diagnose einer akuten respiratorischen Insuffizienz (ARI) sind Hochrisikopatienten, die häufig in Notaufnahmen vorgestellt werden. Die Möglichkeit zur und die Kompetenz in der Durchführung einer nichtinvasiven Beatmung (NIV) in der Notaufnahme sind für diese Patienten ein positiver Prädiktor für den Krankheitsverlauf. Neben den Indikationen zur NIV bei zunächst häufig noch unklaren Krankheitsentitäten werden in diesem Artikel auch strukturelle und technische Aspekte fokussiert, um die Vorteile, aber auch Grenzen der NIV im Notaufnahmesetting darzustellen.

Schlüsselwörter

Nicht invasive Beatmung (NIV) Notaufnahme High-flow-Oxygenierung Akute respiratorische Insuffizienz (ARI) Luftnot 

Non-invasive positive pressure ventilation in the emergency department

Abstract

Patients with the chief complaint of dyspnea or the diagnosis of acute respiratory insufficiency (ARI) are high risk patients who are often presented at emergency departments. In these cases, the possibility for and competence in carrying out non-invasive ventilation (NIV) in the emergency department represents the main predictor for a successful outcome for these patients. In addition to the indications for NIV with often still unclear disease entities, this article focusses on structural and technical aspects in order to present the advantages as well as the limitations of NIV in the adult emergency setting.

Keywords

Non-invasive ventilation (NIV) Emergency department High-flow-oxygen therapy Acute respiratory insufficiency (ARI) Dyspnea 

Notes

Einhaltung ethischer Richtlinien

Interessenkonflikt

H. Dormann und S. Lödel geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren. Alle Patienten, die über Bildmaterial oder anderweitige Angaben innerhalb des Manuskripts zu identifizieren sind, haben hierzu ihre schriftliche Einwilligung gegeben. Im Fall von nichtmündigen Patienten liegt die Einwilligung eines Erziehungsberechtigten oder des gesetzlich bestellten Betreuers vor.

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Copyright information

© Springer Medizin Verlag GmbH 2017

Authors and Affiliations

  1. 1.Zentrale NotaufnahmeKlinikum FürthFürthDeutschland

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