Advertisement

Beatmung pp 259-274 | Cite as

Praxis der Beatmung

Auszug

Grundlegendes Ziel jeder Beatmungstherapie ist die Aufrechterhaltung eines ausreichenden pulmonalen Gasaustausches, d. h. der Oxygenierung des Blutes and der alveolären Ventilation. Daneben wird die Beatmung auch für spezielle Zwecke eingesetzt, ohne dass eine Störung der Lungenfunktion vorläge, so z. B. bei der kontrollierten Hyperventilation zur Senkung des intrakraniellen Drucks.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. Brochard L, Rauss A, Benito S et al. (1996) Comparison of three methods of gradual withdrawal from ventilatory support during weaning from mechanical ventilation. Am J Respir Crit Care Med 150: 896–903Google Scholar
  2. Cohen IL (1994) Weaning from mechanical ventilation — the team approach and beyond. Intensive Care Med 20: 317–318PubMedCrossRefGoogle Scholar
  3. Demling RH, Read T, Lind LJ, Flangan HL (1988) Incidence and morbidity of extubation failure in surgical intensive care patients. Crit Care Med 16: 573–577PubMedCrossRefGoogle Scholar
  4. Esteban A, Frutos F, Tobin MJ et al. (1995) A comparison of four methods of weaning patients from mechanical ventilation. N Engl J Med 332: 345–350PubMedCrossRefGoogle Scholar
  5. Estebean A, Alia I, Gordo F et al. (1997) Extubation outcome after spontaneous breathing trials with T-tube or pressure support ventilation. Am J Respir Crit Care Med 156: 459–465Google Scholar
  6. Goldstone J, Moxham J (1991) Weaning from mechanical ventilation. Thorax 46: 56–62PubMedCrossRefGoogle Scholar
  7. Huster T, Böhrer H, Bach A, Martin E (1992) Die Entwöhnung vom Respirator (Weaning). Anästhesiol Intensivmed 33: 209–218Google Scholar
  8. Kollef MH, Shapiro SD, Silver P et al. (1997) A randomized, controlled trial of protocol-directed versus physician-directed weaning from mechanical ventilation. Crit Care Med 25: 567–574PubMedCrossRefGoogle Scholar
  9. Kuhlen R, Guttmann J, Nibbe L et al. (1997). Proportional pressure support and automatic tube compensation: new options for assisted spontaneous breathing. Acta Anaesth Scand [Suppl] 41: 155–159Google Scholar
  10. Marini JJ, Roussos CS, Tobin MJ et al. (1988) Weaning from mechanical ventilation. Am Rev Respir Dis 138: 1043–1046PubMedGoogle Scholar
  11. Meissner E, Fabel H (1992) Entwöhnung vom Beatmungsgerät: Kunst oder Wissenschaft. Intensivmedizin 29: 114–122Google Scholar
  12. Schaffartzik W (1994) Ventilations-Perfusionsverhältnisse. Anaesthesis 43: 683–697CrossRefGoogle Scholar
  13. Slutsky AS (1993) ACCP consensus conference: mechanical ventilation. Chest 104: 1833–1859PubMedCrossRefGoogle Scholar
  14. Sykes K (1994) Mechanical ventilation in acute respiratory failure. Eur J Anaesthesiol 11: 1–4PubMedGoogle Scholar
  15. Tobin MJ, Alex CG (1994) Discontinuation of mechanical ventilation. In: Tobin MJ (ed) Principles and practice of mechanical ventilation. McGraw-Hill, New York St. Louis San Francisco, pp 1177–1206Google Scholar
  16. Young JD, Sykes MK (1990) Artificial ventilation: history, equipment and techniques. Thorax 45: 753–758PubMedCrossRefGoogle Scholar

Weaning

  1. Butler R, Keenan SP, Inman KJ et al. (1999) Is there a preferred technique for weaning the difficult to wean patient? A systematic review of the literature. Crit Care Med 27: 2331–2336PubMedCrossRefGoogle Scholar
  2. Epstein SK (2001) Controversies in weaning from mechanical ventilation. J Intensive Care Med 16: 270–286CrossRefGoogle Scholar
  3. Alia I, Esteban A (2000) Weaning from mechanical ventilation. Crit Care 4: 72–80PubMedCrossRefGoogle Scholar
  4. Kuhlen R, Jürgens E, Max M (2000) Die Entwöhnung von der Beatmung. In: Kuhlen R, Guttmann J, Rossaint R (Hrsg) Neue Formen der assistierten Spontanatmung. Urban u. Fischer, München Jena, S 147–176Google Scholar
  5. Tobin MJ (2001) Advances in mechanical ventilation. N Engl J Med 344: 1986–1996PubMedCrossRefGoogle Scholar

Copyright information

© Springer Medizin Verlag Heidelberg 2009

Personalised recommendations