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2015 | OriginalPaper | Buchkapitel

7. Analgosedierung in der Intensivmedizin

verfasst von : Peter H. Tonner, Prof. Dr.

Erschienen in: NeuroIntensiv

Verlag: Springer Berlin Heidelberg

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Zusammenfassung

Das Bild analgosedierter Patienten auf einer Intensivstation hat sich in den letzten Jahrzehnten grundlegend verändert. Dazu haben neue, besser geeignete Medikamente für die Analgosedierung beigetragen, aber auch eine deutlich differenziertere Beatmungstherapie von kritisch Kranken. Während noch vor wenigen Jahren Patienten auf Intensivstationen im Wesentlichen tief sediert und nicht kooperationsfähig waren, setzt sich zunehmend die Erkenntnis durch, dass der Bewusstseinsgrad eines Patienten nur soweit eingeschränkt sein sollte, wie es im Rahmen des zugrundeliegenden Krankheitsbildes und der entsprechenden Therapie erforderlich ist. Eine regelmäßige Überprüfung der Sedierungstiefe, wie zum Beispiel durch eine tägliche Unterbrechung der Sedierung bis zum Wiederauftreten der Wachheit eines Patienten, kann zu einer signifikanten Reduktion der Beatmungsdauer, aber auch der Aufenthaltsdauer auf der Intensivstation führen.

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Titel: Analgosedierung in der Intensivmedizin
verfasst von: Peter H. Tonner, Prof. Dr.
Verlag: Springer Berlin Heidelberg
Buch: NeuroIntensiv
Print ISBN: 978-3-662-46499-1

Electronic ISBN: 978-3-662-46500-4

Copyright-Jahr: 2015
DOI: https://doi.org/10.1007/978-3-662-46500-4_7

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7. Analgosedierung in der Intensivmedizin

Zusammenfassung

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Magen-Darm-Blutungen werden präklinisch oft falsch eingeschätzt

Sepsis-Verdacht: Eine Stunde, fünf essenzielle Maßnahmen

Hinter dieser Appendizitis steckte ein Erreger

Ärztliche Empathie hilft gegen Rückenschmerzen

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Neu im Fachgebiet AINS

Magen-Darm-Blutungen werden präklinisch oft falsch eingeschätzt

Sepsis-Verdacht: Eine Stunde, fünf essenzielle Maßnahmen

Hinter dieser Appendizitis steckte ein Erreger

Ärztliche Empathie hilft gegen Rückenschmerzen

Update AINS