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Pathophysiologie der Beatmung

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Beatmung

Part of the book series: Intensivmedizinisches Seminar ((INTENSIVM.SEM.,volume 5))

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Zusammenfassung

Sowohl eine Erhöhung des intratrachealen Druckes durch positiv endexspiratorischen Druck (PEEP) oder kontinuierlichen positiven Atemwegsdruck (CPAP) als auch der Wechsel zwischen Spontanatmung und maschineller Beatmung haben nicht selten erhebliche Kreislaufeffekte zur Folge. Dabei ist zwischen den Effekten von Änderungen des intrathorakalen Druckes, des Lungenvolumens und der Atemarbeit zu differenzieren [24]. Die direkten mechanischen Kreislaufeffekte können dabei je nach den vorliegenden Rahmenbedingungen (wacher bzw. narkotisierter Patient, Vorliegen einer obstruktiven Lungenerkrankung oder Herzerkrankung, Blutvolumen, Sympathikusblockade durch kontinuierliche Periduralanalgesie) modifiziert und durch reflektorische Kreislaufeinflüsse modifiziert werden (Abb. 1).

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Author information

Authors and Affiliations

  1. Abteilung für Klinische Anästhesiologie, Zentrum für Anästhesiologie, Heinrich-Heine-Universität Düsseldorf, Moorenstraße 5, D-W-4000, Düsseldorf 1, Bundesrepublik Deutschland

    Priv. Doz. Dr. med. J. Peters

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  1. Priv. Doz. Dr. med. J. Peters
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Editors and Affiliations

  1. Steyr, Austria

    Gunther Kleinberger

  2. Wien, Austria

    Kurt Lenz , Georg Simbruner  & Jörg Slany ,  & 

  3. Basel, Switzerland

    Rudolf Ritz

  4. Hildesheim, Deutschland

    Hans-Peter Schuster

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© 1993 Springer-Verlag/Wien

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Peters, J. (1993). Pathophysiologie der Beatmung. In: Kleinberger, G., Lenz, K., Ritz, R., Schuster, HP., Simbruner, G., Slany, J. (eds) Beatmung. Intensivmedizinisches Seminar, vol 5. Springer, Vienna. https://doi.org/10.1007/978-3-7091-7543-9_1

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  • DOI: https://doi.org/10.1007/978-3-7091-7543-9_1

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-211-82438-2

  • Online ISBN: 978-3-7091-7543-9

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