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Wirkungen und Nebenwirkungen der Beatmung auf Lungen-, Herz- und Kreislauffunktion

  • Chapter
Grundzüge der Beatmung

Part of the book series: Klinische Anästhesiologie und Intensivtherapie ((KAI,volume 39))

Zusammenfassung

Die Anwendung kontinuierlicher oder zyklisch variierender positiver Atemwegsdrucke, d.h. über den umgebenden Atmosphärendruck hinausgehender intratrachealer und damit auch intraalveolärer Drucke (Palv), ist ein akzeptiertes Verfahren bei der Behandlung von Störungen des pulmonalen Gasaustausches und/oder einer Insuffizienz der Atemmuskulatur. Das technische Spektrum reicht dabei von Beatmungsfrequenzen zwischen 6 (intermittierende Überdruckbeatmung, IPPV) und 4000 min−1 (High frequency oscillation) mit einer entsprechenden Anpassung des Tidalvolumens (VT) zur Erzielung einer Normokarbie, über die intermittierende mandatorische Beatmung (IMV) und Spontanatmung mit Druckunterstützung (ASB), bis hin zur reinen Spontanatmung. Dabei kann den dynamischen intratrachealen Druckschwankungen durch das Beatmungsgerät jeweils zusätzlich ein statischer kontinuierlicher positiver Atemwegsdruck (CPAP) überlagert werden. Der nachstehende Beitrag bezieht sich zwar insbesondere auf die Wirkungen von kontrollierter maschineller Beatmung (CMV) mit positiv endexspiratorischem Druck (PEEP) bzw. CPAP auf die Lungen- und Herz-Kreislauf-Funktion, jedoch gelten die meisten Überlegungen prinzipiell auch für andere Formen der Atemtherapie und Beatmung.

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Authors
  1. J. Peters
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Editors and Affiliations

  1. Universitätsklinik für Anästhesiologie, Klinikum der Universität Ulm, Prittwitzstraße 43, D-7900, Ulm (Donau), Deutschland

    Jürgen Kilian

  2. Intensivmedizin, Anichstraße 35, A-6020, Innsbruck, Österreich

    H. Benzer (Vorstand der Universitätsklinik für Anaesthesie und Allgemeine) (Vorstand der Universitätsklinik für Anaesthesie und Allgemeine)

  3. Universitätsklinik für Anästhesiologie, Klinikum der Universität Ulm, Steinhövelstraße 9, D-7900, Ulm (Donau), Deutschland

    Friedrich Wilhelm Ahnefeld

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© 1991 Springer-Verlag Berlin Heidelberg

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Peters, J. (1991). Wirkungen und Nebenwirkungen der Beatmung auf Lungen-, Herz- und Kreislauffunktion. In: Kilian, J., Benzer, H., Ahnefeld, F.W. (eds) Grundzüge der Beatmung. Klinische Anästhesiologie und Intensivtherapie, vol 39. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-00177-6_17

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  • DOI: https://doi.org/10.1007/978-3-662-00177-6_17

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-53078-7

  • Online ISBN: 978-3-662-00177-6

  • eBook Packages: Springer Book Archive

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