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Dtsch Med Wochenschr 2004; 129(10): 517-522
DOI: 10.1055/s-2004-820541
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Pneumologie
© Georg Thieme Verlag Stuttgart · New York

Beatmung als Therapie der akuten respiratorischen Insuffizienz

Artificial ventilation in the treatment of acute respiratory failureB. Schönhofer1 , R. Kuhlen2
  • 1Abteilung für Pneumologie und Intensivmedizin, Klinikum Hannover, Oststadtkrankenhaus und Heidehaus
  • 2Klinik für Anästhesie, Universitätsklinikum Aachen
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Publication History

eingereicht: 3.12.2003

akzeptiert: 20.2.2004

Publication Date:
25 February 2004 (online)

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Die maschinelle Beatmung dient im Wesentlichen zwei Zielen: Der Übernahme einer erhöhten Atemarbeit sowie der Korrektur einer schweren Gasaustauschstörung. Während die Übernahme der Atemarbeit vor allem beim primär hyperkapnischen respiratorischen Versagen aufgrund einer versagenden Atempumpe wichtig ist [45], steht die Wiederherstellung eines gestörten Gasaustauschs bei der hypoxämischen Insuffizienz aufgrund eines akuten Lungenschadens (acute lung injury, ALI; acute respiratory distress, ARDS) im Fokus der Indikation zur Beatmung [48], wenn trotz O2 Applikation keine ausreichende Oxygenierung aufrechterhalten werden kann.

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PD Dr. Bernd Schönhofer

Abteilung für Pneumologie und Intensivmedizin, Klinikum Hannover, Oststadtkrankenhaus und Heidehaus

Podbielskistr. 380

30659 Hannover

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