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23.11.2022 | Pflege | Leitthema

Weaning von invasiver Beatmung

Herausforderungen im klinischen Alltag

verfasst von: Prof. Dr. med. Johannes Bickenbach, Sebastian Fritsch

Erschienen in: Die Anaesthesiologie | Ausgabe 12/2022

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Zusammenfassung

Die moderne Intensivmedizin bewegt sich im Spannungsfeld einer leistungsfähigen, jedoch auch zunehmend technisierten Intensivtherapie mit zahlreichen therapeutischen Optionen und zugleich einer älter werdenden Gesellschaft mit steigender Morbidität. Dies zeigt sich u. a. in der steigenden Zahl beatmeter Patienten auf den Intensivstationen und zugleich in einem zunehmenden Patientenanteil, bei dem die Beatmung nicht ohne Weiteres beendet werden kann. Der Beatmungsentwöhnung (Weaning), die einen Anteil von mehr als 50 % der gesamten Beatmungsdauer ausmachen kann, kommt eine zentrale Rolle in diesem Prozess zu. In diesem Leitthemenbeitrag wird die Notwendigkeit eines strategisch klugen und ganzheitlichen Handelns dargestellt, um die Folgen invasiver, maschineller Beatmung für die Patienten gering zu halten. Es soll der Versuch unternommen werden, einzelne Aspekte der Beatmungsentwöhnung mit hoher Relevanz für die klinische Praxis näher zu beleuchten. Insbesondere für das prolongierte Weaning sind weitaus mehr Konzepte erforderlich, als die Beatmung schlicht zu beenden.

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Titel: Weaning von invasiver Beatmung
Herausforderungen im klinischen Alltag
verfasst von: Prof. Dr. med. Johannes Bickenbach
Sebastian Fritsch
Publikationsdatum: 23.11.2022
Verlag: Springer Medizin
Schlagwörter: Pflege
Tracheostomie
Intensivmedizinische Therapie
Erschienen in: Die Anaesthesiologie / Ausgabe 12/2022
Print ISSN: 2731-6858
Elektronische ISSN: 2731-6866
DOI: https://doi.org/10.1007/s00101-022-01219-3

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