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Maschinelle Beatmung und Entwöhnung von der Beatmung

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Die maschinelle Beatmung mit positivem Atemwegsdruck dient der Übernahme oder Unterstützung der Ventilation und der Aufrechterhaltung eines ausreichenden pulmonalen Gasaustauschs bei der akuten respiratorischen Insuffizienz. Bei physiologischer Atmung wird von der Atemmuskulatur ein negativer Druckgradient aufgebaut, dem entlang inspiratorisch Gas in die Lungen fließt. Bei der Beatmung resultiert demgegenüber der inspiratorische Druckgradient aus einem positiven Atemwegsdruck. Die Umkehrung der intrathorakalen Druckverhältnisse hat zahlreiche pathophysiologische Konsequenzen. Dementsprechend ist mit der maschinellen Beatmung ein Überwachungsaufwand verbunden, der lediglich auf einer Intensivstation gewährleistet werden kann.

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  1. Klinik für Operative Intensivmedizin und Intermediate Care, Universitätsklinikum Aachen, Pauwelsstraße 30, 52074, Aachen, Deutschland

    PD Dr. med. Johannes Bickenbach

  2. Klinik für Intensivmedizin und Notfallmedizin, Klinikum Bremen-Mitte, St.-Jürgen-Str. 1, 28177, Bremen, Deutschland

    Prof. Dr. Rolf Dembinski

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  1. PD Dr. med. Johannes Bickenbach
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  2. Prof. Dr. Rolf Dembinski
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Editors and Affiliations

  1. Klinik für Anästhesiologie, RWTH Aachen Universitätsklinikum Aachen, Aachen, Germany

    Gernot Marx

  2. Klinik für Chirurgie, Universitätsklinikum Schleswig-Holstein Campus Lübeck, Lübeck, Germany

    Elke Muhl

  3. Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie, Goethe-Universität Frankfurt, Frankfurt, Hessen, Germany

    Kai Zacharowski

  4. Medizinische Klinik I, Universitätsklinikum Frankfurt, Frankfurt, Germany

    Stefan Zeuzem

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Bickenbach, J., Dembinski, R. (2015). Maschinelle Beatmung und Entwöhnung von der Beatmung. In: Marx, G., Muhl, E., Zacharowski, K., Zeuzem, S. (eds) Die Intensivmedizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-54953-3_26

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  • DOI: https://doi.org/10.1007/978-3-642-54953-3_26

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-54952-6

  • Online ISBN: 978-3-642-54953-3

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