Skip to main content

Langzeitbeatmung nach thoraxchirurgischen Eingriffen

  • Chapter
  • First Online:
Book cover Thoraxchirurgie für den Allgemein- und Viszeralchirurgen
  • 2669 Accesses

Zusammenfassung

Die Entwöhnung von der invasiven Beatmung (Respiratorentwöhnung, Weaning) ist nach thoraxchirurgischen Eingriffen häufig erschwert. In einer Datenerhebung eines großen deutschen Weaningzentrums stammten 21 % der Patienten mit prolongiertem Weaning von thoraxchirurgischen Intensivstationen. Nach einem herzchirurgischen Eingriff benötigen 5 % der Patienten eine Langzeitbeatmung (>72 h).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Institutional subscriptions

Literatur

  • Bellemare F, Grassino A (1982) Effect of pressure and timing of contraction on human diaphragm fatigueJ Appl Physiol Respir Environ Exerc Physiol 53: 1190–1195

    CAS  PubMed  Google Scholar 

  • Boles, JM, Bion J, Connors A, et al. (2007) Weaning from mechanical ventilation. Eur Respir J 29: 1033–1056

    Article  Google Scholar 

  • Garnacho-Montero J, Amaya-Villar R, Garcia-Garmendia JL, et al. (2005) Effect of critical illness polyneuropathy on the withdrawal from mechanical ventilation and the length of stay in septic patients. Crit Care Med 33: 349–354

    Article  Google Scholar 

  • Gay PC, Rodarte JR, Hubmayr RD (1989) The effects of positive expiratory pressure on isovolume flow and dynamic hyperinflation in patients receiving mechanical ventilation. Am Rev Resp Dis 139: 621–626

    Article  CAS  Google Scholar 

  • Girard TD, Kress JP, Fuchs BD, et al. (2008) Efficacy and safety of a paired sedation and ventilator weaning protocol for mechanically ventilated patients in intensive care (Awakening and Breathing Controlled trial): a randomised controlled trial. Lancet 371: 126–134

    Article  Google Scholar 

  • Hermans G, De Jonghe B, Bruyninckx F, Van den Berghe G (2008) Clinical review: Critical illness polyneuropathy and myopathy. Crit Care 12: 238

    Article  Google Scholar 

  • Hermans G, De Jonghe B, Bruyninckx F, Van den Berghe G (2014) Interventions for preventing critical illness polyneuropathy and critical illness myopathy. Cochrane database Syst Rev 2014;1: CD006832

    Google Scholar 

  • Ibrahim EH, Ward S, Sherman G, Kollef MH (2000) A comparative analysis of patients with early-onset vs late-onset nosocomial pneumonia in the ICU setting. Chest 117: 1434–1442

    Article  CAS  Google Scholar 

  • Jubran A, Mathru M, Dries D, Tobin MJ (1998) Continuous recordings of mixed venous oxygen saturation during weaning from mechanical ventilation and the ramifications thereof. Am J Resp Crit Care Med 158: 1763–1769

    Article  CAS  Google Scholar 

  • Jubran A (2006) Critical illness and mechanical ventilation: effects on the diaphragm. Respir Care 51: 1054–1061; discussion 1062–1054

    PubMed  Google Scholar 

  • Mancebo J (1996) Weaning from mechanical ventilation. Eur Resp J 9:1923–1931

    Article  CAS  Google Scholar 

  • Murthy SC, Arroliga AC, Walts PA, et al. (2007) Ventilatory dependency after cardiovascular surgery. J Thorac Cardiovasc Surg 134: 484–490

    Article  Google Scholar 

  • Nava S, Bruschi C, Rubini F, Zanotti E (1997) Passive mechanics of lung and chest wall in patients who failed or succeeded in trials of weaning. Am J Resp Crit Care Med 156: 669–670

    CAS  PubMed  Google Scholar 

  • Pinsky MR (2005) Cardiovascular issues in respiratory care. Chest 128 (5 Suppl 2): 592S–597S

    Article  Google Scholar 

  • Quinnell TG, Pilsworth S, Shneerson JM, Smith IE (2006) Prolonged invasive ventilation following acute ventilatory failure in COPD: weaning results, survival, and the role of noninvasive ventilation. Chest 129: 133–139

    Article  Google Scholar 

  • Schonhofer B, Geiseler J, Dellweg D, et al. (2015) S2k-Guideline „Prolonged Weaning“. Pneumologie 69: 595–607

    Article  CAS  Google Scholar 

  • Vassilakopoulos T, Zakynthinos S, Roussos C (1996) Respiratory muscles and weaning failure. Eur Respir J 9: 2383–2400

    Article  CAS  Google Scholar 

  • Vassilakopoulos T, Petrof BJ (2004) Ventilator-induced diaphragmatic dysfunction. Am J Resp Crit Care Med 169: 336–341

    Article  Google Scholar 

  • Zilberberg MD, Luippold RS, Sulsky S, Shorr AF (2008) Prolonged acute mechanical ventilation, hospital resource utilization, and mortality in the United States. Crit Care Med 36: 724–730

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding authors

Correspondence to G. Sofianos or W. Randerath .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 © Springer-Verlag GmbH Deutschland

About this chapter

Cite this chapter

Sofianos, G., Randerath, W. (2018). Langzeitbeatmung nach thoraxchirurgischen Eingriffen. In: Schneider, P., Kruschewski, M., Buhr, H. (eds) Thoraxchirurgie für den Allgemein- und Viszeralchirurgen. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-48710-5_9

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-48710-5_9

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-48709-9

  • Online ISBN: 978-3-662-48710-5

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics