Posttraumatisches akutes Lungenversagen: Behandlung durch drucklimitierte Beatmung und kontinuierlichen Lagewechsel [Acute posttraumatic lung failure. Its treatment through pressure-limited respiration and continuous postural change]

DOI zum Zitieren dieses Dokuments:

10.5283/epub.14724 Copy

Schlitt, Hans-Jürgen ; Werner, U. ; Schandelmaier, P. ; Krettek, C. ; Dreinhöfer, K. ; Hauss, J. ; Pichlmayr, R.

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Veröffentlichungsdatum dieses Volltextes: 10 Mai 2010 12:20

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Alternative Links zum Volltext:PubmedDOI

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Details

Dokumentenart:	Artikel
Titel eines Journals oder einer Zeitschrift:	Deutsche medizinische Wochenschrift (1946)
Verlag:	Thieme
Band:	116
Nummer des Zeitschriftenheftes oder des Kapitels:	34
Seitenbereich:	S. 1257-1264
Datum:	23 August 1991
Institutionen:	Medizin > Lehrstuhl für Chirurgie
Identifikationsnummer:	Wert Typ 1874128 PubMed-ID 10.1055/s-2008-1063744 DOI
Klassifikation:	Notation Art Adult MESH Beds MESH Combined Modality Therapy MESH Female MESH Humans MESH Lung Compliance MESH Male MESH Middle Aged MESH Positive-Pressure Respiration/methods MESH Posture MESH Prognosis MESH Respiratory Distress Syndrome, Adult/therapy MESH Time Factors MESH Wounds and Injuries/complications MESH
Dewey-Dezimal-Klassifikation:	600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin
Status:	Veröffentlicht
Begutachtet:	Unbekannt / Keine Angabe
An der Universität Regensburg entstanden:	Unbekannt / Keine Angabe
Dokumenten-ID:	14724

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Zusammenfassung

Nine patients (4 women and 5 men; mean age 31 [20-48] years) with severe posttraumatic adult respiratory distress syndrome (ARDS) were treated with continuous postural change (kinetic bed) and pressure-limited ventilation. Seven patients survived; only one patient died as a result of pulmonary insufficiency. As compliance was markedly reduced (less than 20 ml/cm H2O), low stroke volumes (up to ...

Zusammenfassung

Nine patients (4 women and 5 men; mean age 31 [20-48] years) with severe posttraumatic adult respiratory distress syndrome (ARDS) were treated with continuous postural change (kinetic bed) and pressure-limited ventilation. Seven patients survived; only one patient died as a result of pulmonary insufficiency. As compliance was markedly reduced (less than 20 ml/cm H2O), low stroke volumes (up to 380 ml) and high respiratory rate (up to 45/min) were employed to keep airway peak pressure below 40 mmHg. Kinetic treatment lasted for a mean of 14 (2-28) days; artificial ventilation was maintained for 31 (9-49) days. Practical problems of the method are the intensive nursing care required for the kinetic bed and the risk of decubitus ulcers, as well as disconnection of infusion tubing. The results indicate that kinetic treatment with pressure-limited ventilation constitutes a low-risk and, in many cases, effective treatment of severe ARDS.

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