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Erschienen in: Der Nervenarzt 12/2018

08.11.2018 | Hirndruck | CME

Moderne Prinzipien der neurologischen Intensivmedizin

verfasst von: Prof. Dr. Julian Bösel, FNCS

Erschienen in: Der Nervenarzt | Ausgabe 12/2018

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Zusammenfassung

Häufige intensivpflichtige neurologische Erkrankungen sind raumfordernde ischämische Schlaganfälle, intrazerebrale Blutung, Subarachnoidalblutung, Schädel-Hirn-Trauma, Status epilepticus, bakterielle Meningitis, myasthene Krise, Guillain-Barré-Syndrom etc. Insbesondere wegen der hierbei notwendigen Analgosedierung und Beatmung kommt idealerweise ein Neuromonitoring zur Anwendung. Dieses besteht aus bettseitigen invasiven und nichtinvasiven Monitoringmethoden zur Erfassung der zerebralen Durchblutung, Oxygenierung, Stoffwechselleistung und Neurophysiologie. Gängige und moderne neurointensivmedizinische Therapiekonzepte dienen der Verhinderung/Abmilderung insbesondere sekundärer Hirnschäden und sind v. a. auf die ausreichende Durchblutung und Sauerstoffversorgung ausgerichtet. Hierzu gehören Maßnahmen wie neuroprotektive Beatmung und Kreislaufstabilisierung, ICP-Senkung bei Hirnödem oder raumforderndem Prozess, Anfallsbehandlung, Temperaturregulierung und gezielte krankheitsspezifische Therapien.
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Metadaten
Titel
Moderne Prinzipien der neurologischen Intensivmedizin
verfasst von
Prof. Dr. Julian Bösel, FNCS
Publikationsdatum
08.11.2018
Verlag
Springer Medizin
Erschienen in
Der Nervenarzt / Ausgabe 12/2018
Print ISSN: 0028-2804
Elektronische ISSN: 1433-0407
DOI
https://doi.org/10.1007/s00115-018-0634-x

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