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Akuttherapie

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Pflegewissen Stroke Unit

Part of the book series: Fachwissen Pflege ((FACHPFL))

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Zusammenfassung

Ziel der Basistherapie auf der Stroke Unit ist vornehmlich eine allgemeine Stabilisierung der Vitalparameter, der Homöostase sowie die Verhinderung von Komplikationen. Sie schafft damit die Voraussetzung für spezifische Therapien und die frühe Erholung der Patienten. Alle beschriebenen spezifischen Therapiemöglichkeiten zielen auf eine möglichst rasche und vollständige Wiedereröffnung des ursächlichen Gefäßverschlusses ab. Die nicht-invasive Beatmung (NIV) entwickelte sich in den letzten 25 Jahren im Bereich der Intensiv- und Notfallmedizin bei akuter respiratorischer Insuffizienz zu einer sicheren und effektiven Methode. Aktuell gilt die NIV als Therapie der ersten Wahl bei exazerbierter COPD, kardialem Lungenödem, Atemversagen bei immunsupprimierten Patienten und beim Weaning extubierter COPD-Patienten. Die in diesem Kapitel aufgeführten generellen Überlegungen orientieren sich an den Empfehlungen der Europäischen Schlaganfall Organisation (ESO) sowie den Leitlinien der Deutschen Gesellschaft für Neurologie (DGN).

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Authors and Affiliations

  1. Klinik für Neurologie, Universitätsklinikum Essen (AöR), Hufelandstraße 55, 45147, Essen, Deutschland

    M. Köhrmann

  2. Neurologische Klinik, Universitätsklinikum Erlangen, Schwabachanlage 6, 91054, Erlangen, Deutschland

    E. M. Sauer

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  1. M. Köhrmann
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Correspondence to M. Köhrmann .

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  1. Pflegedirektion, Universitätsklinikum Erlangen, Erlangen, Germany

    Christine Fiedler

  2. Klinik für Neurologie, Universitätsklinikum Essen (AöR) , Essen, Germany

    Martin Köhrmann

  3. Klinik für Neurologie und Neurogeriatrie, Klinikum Darmstadt , Darmstadt, Germany

    Rainer Kollmar

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Köhrmann, M., Sauer, E.M. (2017). Akuttherapie. In: Fiedler, C., Köhrmann, M., Kollmar, R. (eds) Pflegewissen Stroke Unit. Fachwissen Pflege. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-53625-4_6

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