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Sauerstoffversorgung bei Narkoseeinleitung

  • Conference paper
Aktuelles Wissen für Anästhesisten

Part of the book series: Refresher Course ((REFRESHER COUR,volume 20))

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Zusammenfassung

Die Einleitungsphase ist infolge der atemdepressorischen Wirkung aller Injektions- und Inhalationsanästhetika einer der kritischen Abschnitte im Verlauf einer Narkose. Der Patient ist dabei jedoch zunächst weniger durch das Auftreten einer Hypoventilation mit konsekutiver Hyperkapnie gefährdet, sondern vielmehr durch die gleichzeitig einsetzende und sich wesentlich schneller ausprägende Hypoxie. Die Verwendung einer gegenüber Raumluft (FIO2 = 0,21) im Atembzw. Beatmungsgas erhöhten inspiratorischen Sauerstofffraktion (FIO2 > 0,33) bei der Narkoseeinleitung trägt diesem Umstand Rechnung. Bei Einleitung einer Intubationsnarkose kommt erschwerend dazu, daß der Patient

  • während des Intubationsvorgangs apnoisch ist und

  • die Dauer des Intubationsvorgangs nicht sicher vorhersehbar ist.

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© 1994 Springer-Verlag Berlin Heidelberg

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Brandt, L., Merkelbach, D., Rudlof, B. (1994). Sauerstoffversorgung bei Narkoseeinleitung. In: Aktuelles Wissen für Anästhesisten. Refresher Course, vol 20. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-78786-7_4

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  • DOI: https://doi.org/10.1007/978-3-642-78786-7_4

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