Auszug
Das Atmungsorgan besteht aus 2 Kompartimenten:
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- der muskulären Atempumpe mit dem Zwerchfell als wichtigstem Muskel und
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- dem Lungenparenchym, in dem der Gasaustausch stattfindet (. Abb. 41.1) [1].
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Literatur
Schönhofer B, Köhler D (1994) Ventilatorische Insuffizienz und hyperkapnische Kompensation infolge chronisch belasteter »Atempumpe«. Dtsch Med Wochenschr 119:1209–1214
Schönhofer B, Köhler D (1997) Hyperkapnie. Intensivmedizin 34: 501–512
Tobin MJ (2001) Advances in mechanical ventilation. N Engl J Med 344:1986–1996
Plotz FB, Slutsky AS, van Vught AJ et al. (2004) Ventilator-induced lung injury and multiple system organ failure: a critical review of facts and hypotheses. Intensive Care Med 30:1865–1872
Shapiro M, Wilson RK, Casar G et al. (1986) Work of breathing through different sized endotracheal tubes. Crit Care Med 14:1028–1031
Boque MC, Gualis B, Sandiumenge A et al. (2004) Endotracheal tube intraluminal diameter narrowing after mechanical ventilation: use of acoustic reflectometry. Intensive Care Med 30:2204–2209
Craven DE, Duncan RA (2006) Preventing ventilator-associated pneumonia: tiptoeing through a minefield. Am J Respir Crit Care Med 173:1297–1298
Fagon JY, Chastre J, Hance AJ etal. (1993) Nosocomial pneumonia in ventilated patients: a cohort study evaluating attributable mortality and hospital stay. Am J Med 94:281–288
Kollef MH (2004) Prevention of hospital-associated pneumonia and ventilator-associated pneumonia. Crit Care Med 32:1396–1405
Lassen HCA (1953) A preliminary report on the 1952 epidemic of poliomyelitis in Copenhagen with special reference to the treatment of acute respiratory insufficiency. Lancet 1:37–40
Gorini M, Ginanni R, Villella G et al. (2004) Non-invasive negative and positive pressure ventilation in the treatment of acute on chronic respiratory failure. Intensive Care Med 30:875–881
Schönhofer B, Sortor-Leger S (2002) Equipment needs for noninvasive mechanical ventilation. Eur Respir J 20:1029–1036
Bunburaphong T, Imanaka H, Nishimura M et al.(1997) Performance characteristics of bilevel pressure ventilators: a lung model study. Chest 111:1050–1060
Brochard L, Mancebo J, Wysocki Metal.(1995) Noninvasive ventilation for acute exacerbations of chronic obstructive pulmonary disease. N Engl J Med 333:817–822
Vitacca M, Clini E, Pagani Metal. (2000) Physiologic effects of early administered mask proportional assist ventilation in patients with chronic obstructive pulmonary disease and acute respiratory failure. Crit Care Med 28:1791–1797
Bott J, Carroll MP, Conway JH et al. (1993) Randomised controlled trial of nasal ventilation in acute ventilatory failure due to chronic obstructive airways disease. Lancet 341:1555–1557
Mehta S, McCool FD, Hill NS (2001) Leak compensation in positive pressure ventilators: a lung model study. Eur Respir J 17:259–267
Delclaux C, L’Her E, Alberti C et al. (2000) Treatment of acute hypoxemic nonhypercapnic respiratory insufficiency with continuous positive airway pressure delivered by a face mask: A randomized controlled trial. JAMA 284:2352–2360
Kwok H, McCormack J, Cece R et al. (2003) Controlled trial of oronasal versus nasal maskventilation in the treatment of acute respiratory failure. Crit Care Med 31:468–473
Mehta S, Hill NS (2001) Noninvasive ventilation. Am J Respir Crit Care Med 163:540–577
Pepin JL, Leger P, Veale D et al. (1995) Side effects of nasal continuous positive airway pressure in sleep apnea syndrome. Study of 193 patients in two French sleep centers. Chest 107:375–381
Antonelli M, Conti G, Pelosi P et al. (2002) New treatment of acute hypoxemic respiratory failure: noninvasive pressure support ventilation delivered by helmeta pilot controlled trial. Crit Care Med 30:602–608
Antonelli M, Pennisi MA, Pelosi P et al. (2004) Noninvasive positive pressure ventilation using a helmet in patients with acute exacerbation of chronic obstructive pulmonary disease: a feasibility study. Anesthesiology 100:16–24
Patroniti N, Foti G, Manfio A et al. (2003) Head helmet versus face maskfor non-invasive continuous positive airway pressure: a physiological study. Intensive Care Med 29:1680–1687
Moerer O, Fischer S, Hartelt M et al. (2006) Influence of two different interfaces for noninvasive ventilation compared to invasive ventilation on the mechanical properties and performance of a respiratory system:a lung model study. Chest 129:1424–1431
Bott J, Baudouin SV, Moxham J (19912) Nasal intermittent positive pressure ventilation in the treatment of respiratory failure in obstructive sleep apnoea. Thorax 46:457–458
Confalonieri M, Potena A, Carbone G et al. (1999) Acute respiratory failure in patients with severe community-acquired pneumonia. A prospective randomized evaluation of noninvasive ventilation. Am J Respir Crit Care Med 160:1585–1591
Kramer N, Meyer TJ, Meharg J et al. (1995) Randomized, prospective trial of noninvasive positive pressure ventilation in acute respiratory failure. Am J Respir Crit Care Med 151:1799–1806
Nava S, Evangelisti I, Rampulla C et al. (1997) Human and financial costs of noninvasive mechanical ventilation in patients affected by COPD and acute respiratory failure. Chest 111:1631–1638
Schönhofer B, Wagner TOF (2006) Ort der maschinellen Beatmung im Beatmungszentrum-Intensivstation, Intermediate care oder spezialisierte Normalstation. Pneumologie 60:376–382
Plant PK, Owen JL, Elliott MW (2000) Early use of non-invasive ventilation for acute exacerbations of chronic obstructive pulmonary disease on general respiratory wards: a multicentre randomised controlled trial. Lancet 355:1931–1935
Burchardi H, Kuhlen R, Schönhofer B et al. (2002) Konsensus-Statement zu Indikationen, Möglichkeiten und Durchführung der nichtinvasiven Beatmung bei der akuten respiratorischen Insuffizienz. Anaesthesist 51:33–41
International Consensus Conferences in Intensive Care Medicine (2001) Noninvasive positive pressure ventilation in acute Respiratory failure. Am J Respir Crit Care Med 163:283–291
Esteban A, Anzueto A, Frutos F et al. (2002) Characteristics and outcomes in adult patients receiving mechanical ventilation: a 28-day international study. JAMA 287:345–355
Carlucci A, Delmastro M, Rubini F et al. (2003) Changes in the practice of non-invasive ventilation in treating COPD patients over 8 years. Intensive Care Med 29:419–425
Burchardi H, Schönhofer B (2000) Invasive oder nicht-invasive Beatmung? Kein entweder — oder! Pneumologie 54:2–4
Carlucci A, Richard JC, Wysocki M et al. (2001) Noninvasive versus conventional mechanical ventilation. An epidemiologic survey. Am J Respir Crit Care Med 163:874–880
Lightowler JV, Wedzicha JA, Elliott MW et al. (2003) Non-invasive positive pressure ventilation to treat respiratory failure resulting from exacerbations of chronic obstructive pulmonary disease: Cochrane systematic review and meta-analysis. BMJ 326:185
Peter JV, Moran JL, Phillips-Hughes J et al. (2002) Noninvasive ventilation in acute respiratory failurea meta-analysis update. Crit Care Med 30:555–562
Conti G, Antonelli M, Navalesi P et al. (2002) Noninvasive vs. conventional mechanical ventilation in patients with chronic obstructive pulmonary disease after failure of medical treatment in the ward: a randomized trial. Intensive Care Med 28:1701–1707
Diaz GG, Alcaraz AC, Talavera JC et al. (2005) Noninvasive positivepressure ventilation to treat hypercapnic coma secondary to respiratory failure. Chest 127:952–960
Scala R, Naldi M, Archinucci I et al. (2005) Noninvasive positive pressure ventilation in patients with acute exacerbations of COPD and varying levels of consciousness. Chest 128:1657–1666
Meduri GU, Abou-Shala N, Fox RC et al. (1991) Noninvasive face mask mechanical ventilation in patients with acute hypercapnic respiratory failure. Chest 100:445–454
Moretti M, Cilione C, Tampieri A et al. (2000) Incidence and causes of non-invasive mechanical ventilation failure after initial success. Thorax 55:819–825
Ferrer M, Esquinas A, Leon M et al. (2003) Noninvasive ventilation in severe hypoxemic respiratory failure: a randomized clinical trial. Am J Respir Crit Care Med 168:1438–1444
Hilbert G, Gruson D, Vargas F et al. (2001) Noninvasive ventilation in immunosuppressed patients with pulmonary infiltrates, fever, and acute respiratory failure. N Engl J Med 344:481–487
Wysocki M, Tric L, Wolff MA et al. (1995) Noninvasive pressure support ventilation in patients with acute respiratory failure. A randomized comparison with conventional therapy. Chest 107: 761–768
Martin TJ, Hovis JD, Costantino JP et al. (2000) A randomized, prospective evaluation of noninvasive ventilation for acute respiratory failure. Am J Respir Crit Care Med 161:807–813
Domenighetti G, Gayer R, Gentilini R (2002) Noninvasive pressure support ventilation in non-COPD patients with acute cardiogenic pulmonary edema and severe community-acquired pneumonia: acute effects and outcome. Intensive Care Med 28:1226–1232
Antonelli M, Conti G, Moro ML et al. (2001) Predictors of failure of noninvasive positive pressure ventilation in patients with acute hypoxemic respiratory failure: a multi-center study. Intensive Care Med 27:1718–1728
Neumann P, Berglund JE, Mondejar EF et al. (1998) Effect of different pressure levels on the dynamics of lung collapse and recruitment in oleic-acid-induced lung injury. Am J Respir Crit Care Med 158: 1636–1643
Baillard C, Fosse JP, Sebbane M et al. (2006) Noninvasive Ventilation Improves Preoxygenation before Intubation of Hypoxic Patients. Am J Respir Crit Care Med 174:171–177
Winck JC, Azevedo LF, Costa-Pereira A et al. (2006) Efficacy and safety of non-invasive ventilation in the treatment of acute cardiogenic pulmonary edema — a systematic review and meta-analysis. Crit Care 10:R69
Rasanen J, Heikkila J, Downs J et al. (1985) Continuous positive airway pressure by face mask in acute cardiogenic pulmonary edema. Am J Cardiol 55:296–300
Masip J, Betbese AJ, Paez J et al. (2000) Non-invasive pressure support ventilation versus conventional oxygen therapy in acute cardiogenic pulmonary oedema: a randomised trial. Lancet 356:2126–2132
Rusterholtz T, Kempf J, Berton C et al. (1999) Noninvasive pressure support ventilation (NIPSV) with face mask in patients with acute cardiogenic pulmonary edema (ACPE). Intensive Care Med 25: 21–28
Nava S, Carbone G, DiBattista N et al. (2003) Noninvasive ventilation in cardiogenic pulmonary edema: a multicenter randomized trial. Am J Respir Crit Care Med 168:1432–1437
Karg O, Bullemer F, Thetter O (1996) Perioperativer Einsatz der nichtinvasiven Beatmung. Med Klin (München) 91Suppl 2:38–40
Wiebel M, Laier-Groeneveld G, Schönhofer B et al. (1999) Die Rolle der intermittierenden Selbstbeatmung bei Volumenreduktionschirurgie des Lungenemphysems. Med Klin 94:81–85
Efrati O, Modan-Moses D, Barak A et al. (2004) Long-term non-invasive positive pressure ventilation among cystic fibrosis patients awaiting lung transplantation. Isr Med Assoc J 6:527–530
Wahba RW (1991) Perioperative functional residual capacity. Can J Anaesth 38:384–400
Hedenstierna G, Freyschuss U (1989) Assessment of ventilation-perfusion distribution by multiple inert gas elimination techniques: its application in the child. Eur Respir J Suppl 4:181S–183S
Lindner KH, Lotz P, Ahnefeld FW (1987) Continuous positive airway pressure effect on functional residual capacity, vital capacity and its subdivisions. Chest 92:66–70
Antonelli M, Conti G, Bufi M et al. (2000) Noninvasive ventilation for treatment of acute respiratory failure in patients undergoing solid organ transplantation: a randomized trial. JAMA 283:235–241
Auriant I, Jallot P, Hervé P et al. (2001) Noninvasive ventilation reduces mortality in acute respiratory failure following lung resection. Am J Respir Crit Care Med 164:1231–1235
Azoulay E, Alberti C, Bornstain C et al. (2001) Improved survival in cancer patients requiring mechanical ventilatory support: impact of noninvasive mechanical ventilatory support. Crit Care Med 29:519–525
Hoffmann B, Jepsen M, Hachenberg T etal.(2003) Cardiopulmonary effects of non-invasive positive pressure ventilation (NPPV)a controlled, prospective study. Thorac Cardiovasc Surg 51:142–146
Squadrone V, Coha M, Cerutti E et al. (2005) Continuous positive airway pressure for treatment of postoperative hypoxemia: a randomized controlled trial. JAMA 293:589–595
Coplin WM, Pierson DJ, Cooley KD et al. (2000) Implications of extubation delay in brain-injured patients meeting standard weaning criteria. Am J Respir Crit Care Med 161:1530–1536
Lemaire F (1993) Difficult weaning. Intensive Care Med 19: S69–73
Udwadia ZF, Santis GK, Steven MH et al. (1992) Nasal ventilation to facilitate weaning in patients with chronic respiratory insufficiency. Thorax 47: 715–718
Goodenberger DM, Couser J I Jr, May JJ (1993) Successful discontinuation of ventilation via tracheostomy by substitution of nasal positive pressure ventilation. Chest 102:1277–1279
Restrick LJ, Scott AD, Ward EM et al. (1993) Nasal intermittent positive-pressure ventilation in weaning intubated patients with chronic respiratory disease from assisted intermittent, positive-pressure ventilation. Respir Med 87:199–204
Ferrer M, Esquinas A, Arancibia F et al. (2003) Noninvasive ventilation during persistent weaning failure: a randomized controlled trial. Am J Respir Crit Care Med 168:70–76
Girault C, Daudenthun I, Chevron V et al. (1999) Noninvasive ventilation as a systematic extubation and weaning technique in acuteon-chronic respiratory failure: a prospective, randomized controlled study. Am J Respir Crit Care Med 160:86–92
Nava S, Ambrosino N, Clini E et al. (1998) Noninvasive mechanical ventilation in the weaning of patients with respiratory failure due to chronic obstructive pulmonary disease. A randomized, controlled trial. Ann Intern Med 128:721–728
Kilger E, Briegel J, Haller M et al. (1999) Effects of noninvasive positive pressure ventilatory support in non-COPD patients with acute respiratory insufficiency after early extubation. Intensive Care Med 25:1374–1380
Epstein SK, Ciubotaru RL, Wong JB (1997) Effect of failed extubation on the outcome of mechanical ventilation. Chest 112:186–192
Epstein SK, Ciubotaru RL (1998) Independent effects of etiology of failure and timeto reintubation on outcomefor patients failing extubation. Am J Respir Crit Care Med 158:489–493
Carlucci A, Gregoretti C, Squadrone V et al. (2001) Preventive use of non-invasive mechanical ventilation to avoid post-Extubation respiratory failure: a randomised controlled study. Eur Respir J 18Suppl 33:306
Hilbert G, Gruson D, Portel L et al. (1998) Noninvasive pressure support ventilation in COPD patients with postextubation hypercapnic respiratory insufficiency. Eur Respir J 11:1349–1353
Nava S, Gregoretti C, Fanfulla F et al. (2005) Noninvasive ventilation to prevent respiratory failure after extubation in high-risk patients. Crit Care Med 33:2465–2470
Ferrer M, Valencia M, Nicolas JM et al. (2006) Early noninvasive ventilation averts extubation failure in patients at risk: a randomized trial. Am J Respir Crit Care Med 173:164–170
Schönhofer B, Euteneuer S, Nava S et al. (2002) Survival of mechanically ventilated patients admitted to a specialised weaning centre. Intensive Care Med 28:908–916
Keenan SP, Powers C, McCormack DG et al. (2002) Noninvasive positive-pressure ventilation for postextubation respiratory distress: a randomized controlled trial. JAMA 287:3238–3244
Esteban A, Frutos-Vivar F, Ferguson ND et al. (2004) Noninvasive positive-pressure ventilation for respiratory failure after extubation. N Engl J Med 350:2452–2460
Girou E, Schortgen F, Delclaux C et al. (2000) Association of noninvasive ventilation with nosocomial infections and survival in critically ill patients. JAMA 284:2361–2367
Confalonieri M, Calderini E, Terraciano S et al. (2002) Noninvasive ventilation for treating acute respiratory failure in AIDS patients with Pneumocystis carinii pneumonia. Intensive Care Med 28:1233–1238
Gregory S, Siderowf A, Golaszewski AL et al. (2002) Gastrostomy insertion in ALS patients with low vital capacity: respiratory support and survival. Neurology 58:485–487
Antonelli M, Conti G, Riccioni L et al. (1996) Noninvasive positivepressure ventilation via face mask during bronchoscopy with BAL in high-risk hypoxemic patients. Chest 110: 724–728
Antonelli M, Conti G, Rocco M et al. (2002) Noninvasive positive-pressure ventilation vs. conventional oxygen supplementation in hypoxemic patients undergoing diagnostic bronchoscopy. Chest 121: 1149–1154
Antonelli M, Pennisi MA, Conti G et al. (2003) Fiberoptic bronchoscopy during noninvasive positive pressure ventilation delivered by helmet. Intensive Care Med 29:126–129
Kress JP, Christenson J, Pohlman AS et al. (1999) Outcomes of critically ill cancer patients in a university hospital setting. Am J Respir Crit Care Med 160:1957–1961
Kroschinsky F, Weise M, Illmer T et al. (2002) Outcome and prognostic features of intensive care unit treatment in patients with hematological malignancies. Intensive Care Med 28:1294–1300
Meert AP, Berghmans T, Hardy M et al. (2005) Non-invasive ventilation for cancer patients with life-support techniques limitation. Support Care Cancer 14(2): 167–171
Cuomo A, Delmastro M, Ceriana P et al. (2004) Noninvasive mechanical ventilation as a palliative treatment of acute respiratory failure in patients with end-stage solid cancer. Palliat Med 18:602–610
Nava S, Cuomo AM (2004) Acute respiratory failure in the cancer patient: the role of non-invasive mechanical ventilation. Crit Rev Oncol Hematol 51:91–103
Benhamou D, Girault C, Faure C et al. (1992) Nasal mask ventilation in acute respiratory failure. Experience in elderly patients. Chest 102: 912–917
Chu CM, Chan VL, Wong IW et al. (2004) Noninvasive ventilation in patients with acute hypercapnic exacerbation of chronic obstructive pulmonary disease who refused endotracheal intubation. Crit Care Med 32:372–377
Meduri GU, Fox RC, Abou-Shala N et al. (1994) Noninvasive mechanical ventilation via face mask in patients with acute respiratory failure who refused endotracheal intubation. Crit Care Med 22:1584–1590
Meduri GU, Turner RE, Abou-Shala N et al. (1996) Noninvasive positive pressure ventilation via face mask. First-line intervention in patients with acute hypercapnic and hypoxemic respiratory failure. Chest 109:179–193
Soo Hoo GW, Santiago S, Williams AJ (1994) Nasal mechanical ventilation for hypercapnic respiratory failure in chronic obstructive pulmonary disease: determinants of success and failure. Crit Care Med 22:1253–1261
Levy M, Tanios MA, Nelson D et al. (2004) Outcomes of patients with do-not-intubate orders treated with noninvasive ventilation. Crit Care Med 32:2002–2007
Clarke DE, Vaughan L, Raffin TA (1994) Noninvasive positive pressure ventilation for patients with terminal respiratory failure: the ethical and economic costs of delaying the inevitable are too great. Am J Crit Care 3:4–5
Schönhofer B, Köhler D, Kutzer K (2006) Ethische Betrachtungen zur Beatmungsmedizin unter besonderer Berücksichtigung des Lebensendes. Pneumologie 60:408–416
Gregoretti C, Confalonieri M, Navalesi P et al. (2002) Evaluation of patient skin breakdown and comfort with a new face mask for noninvasive ventilation: a multi-center study. Intensive Care Med 28: 278–284
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Schönhofer, B. (2008). Nicht-invasive Beatmung zur Therapie der akuten respiratorischen Insuffizienz. In: Burchardi, H., Larsen, R., Kuhlen, R., Jauch, KW., Schölmerich, J. (eds) Die Intensivmedizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-72296-0_41
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