Advertisement

Neue Entwicklungen in der Beatmungstherapie

  • R. Kuhlen
  • M. Max
  • R. Rossaint
Conference paper
Part of the Refresher Course Aktuelles Wissen für Anästhesisten book series (REFRESHER COUR, volume 24)

Zusammenfassung

In den letzten Jahren hat sich in den Möglichkeiten der maschinellen Beatmungstherapie eine enorme Entwicklung vollzogen, die v. a. durch die technische Entwicklung der entsprechenden Beatmungsgeräte bedingt war. Die Steuerung moderner Beatmungsgeräte durch Mikroprozessoren ermöglicht verschiedene Beatmungsformen als Softwarefunktionen zu programmieren und zu modifizieren. Zusammen mit der Weiterentwicklung schnell reagierender Ventilsysteme hat dies zu einer breiten Palette an Beatmungsformen geführt, die für den klinischen Gebrauch zur Verfügung stehen.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. Brochard L, Rua F, Lorini H, Lemaire F, Harf A (1991) Inspiratory pressure support compensates for the additional work of breathing caused by the endotracheal tube. Anesthesiology 75: 739–45PubMedCrossRefGoogle Scholar
  2. Burchardi H (1996) New strategies in mechanical ventilation for acute lung injury. Eur Respir J 9: 1063–72PubMedCrossRefGoogle Scholar
  3. Fabry B, Guttmann J, Eberhard L, Wolff G (1994) Automatic compensation of endotracheal tube resitance in spontaneously breathing patients. Technol Health Care 1: 281–91Google Scholar
  4. Fabry B, Guttmann J, Eberhard L, Bauer T, Haberthür C, Wolff G (1995) An analysis of desynchronisation between the spontaneously breathing patient and the ventilator during inspiratory pressure support. Chest 107: 1387–94PubMedCrossRefGoogle Scholar
  5. Fabry B, Haberthür C, Zappe D, Guttmann J, Kuhlen R, Stocker R (1997) Breathing pattern and additional work of breathing in spontaneously breathing patients with different ventilatory demand during inspiratory pressure support and automatic tube compensation. Intensive Care Med 23/5: 545–552PubMedCrossRefGoogle Scholar
  6. Guttmann J, Eberhard L, Fabry B, Bertschmann W, Wolff G (1993) Continuous calculation of intratracheal pressure in tracheally intubated patients. Anesthesiology 73: 503–13CrossRefGoogle Scholar
  7. Haberthür C, Fabry B, Zappe D, Eberhard L, Trüeb K, Stulz P (1996) Automatic tube compensation (ATC) and proportional assist ventilation (PAV): Klinische Erfahrungen mit einem neuen Modus zur Unterstützung von spontan atmenden Patienten. Intensivmedizin 33: 282–92Google Scholar
  8. Hedenstierna G, Tokics L, Lundquist H, Andersson T, Strandberg A, Brismar B (1994) Phrenic nerve Stimulation during halothane anesthesia. Anesthesiology 80: 751–60PubMedCrossRefGoogle Scholar
  9. Hörmann C, Baum M, Putensen C, Kleinsasser A, Benzer H (1997) Effects of spontaneous breathing with BIPAP on pulmonary gas exchange in patients with ARDS. Acta Anaesthesiol Scand 41 Supp 1: 152–155Google Scholar
  10. Kuhlen R, Guttmann J, Nibbe L et al. (1997) Proportional pressure support and automatic tube compensation: New options for assisted spontaneous breathing. Acta Anaesthesiol Scand 41 Supp 1: 155–159Google Scholar
  11. Kuhlen R, Rossaint R, Hausmann S, Pappert D, Falke K (1994) Entwöhnung vom Respirator. In: Deutsche Akademie für Anaesthesiologische Fortbildung (Hrsg) Refresher Course (Aktuelles Wissen für Anae-sthesisten), Bd 20. Springer, Berlin Heidelberg New York Tokio, S 89–105Google Scholar
  12. Putensen C, Räsänen J, Lopez FA (1994) Ventilation-perfusion distributions during mmechanical ventilation with superimposed spontaneous breathing in canine lung injury. Am J Respir Crit Care Med 150: 101–8PubMedGoogle Scholar
  13. Steinhoff H, Falke K, Schwarzhoff W (1982) Enhanced renal function associated with intermittend mandatory ventilation in acute respiratory failure. Intensive Care Med 8: 69–74PubMedCrossRefGoogle Scholar
  14. Stocker R (1997) New modes of ventilatory support in spontaneous breathing intubated patients. In: Vincent JL (ed) Yearbook of intensive care and emergency medicine. Springer, Berlin Heidelberg New York Tokio, pp 514–533Google Scholar
  15. Sydow M, Burchardi H, Ephraim E, Zielmann S, Crozier TA (1994) Airway pressure release ventilation vs. volume-controlled inverse ratio ventilation in patients with acute lung injury. Am J Respir Crit Care Med 149:1550–1556PubMedGoogle Scholar
  16. Wolff G, Fabry B, Guttmann J, Eberhard L, Habicht J (1994) Automatische Tubus-Kompensation mit volumen- und flußproportionaler Druckunterstützung — ATC with VPPS and FPPS. INA 84: 79–99Google Scholar
  17. Younes M (1991) Proportional assist ventilation and pressure support ventilation. In: Marini JJ, Roussos C (eds) Ventilatory failure. Springer, Berlin Heidelberg New York Tokio (Update in intensive care and emergeny medicine)Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1998

Authors and Affiliations

  • R. Kuhlen
  • M. Max
  • R. Rossaint

There are no affiliations available

Personalised recommendations