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Atemversagen, Lungenschädigung

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Zusammenfassung

Ein Atemversagen aus nichtpulmonalen Ursachen ist immer ein Pumpversagen, also hyperkapnisch durch alveoläre Hypoventilation. 20% aller ventilatorischen Pumpversagen haben extrapulmonale Ursachen. Die Pumpfunktion kann dabei auf verschiedenen Ebenen beeinträchtigt werden:

  • Störung des neuromuskulären Atemantriebs (z. B. zentrale Atemdepression, periphere Nervenschädigung, Muskeldystrophie).

  • Zunahme der Widerstände in der Pumpmechanik (z. B. Pleuraschwarte, obere Atemwegsobstruktion).

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Literatur

  1. Abdulmajid OA, Abelmomen ME, Motaweh MM, Kleibo IS (1976) Aspirated foreign bodies in the tracheaobronchial tree: Report of 250 cases. Thorax 31: 635–640

    Article  PubMed  CAS  Google Scholar 

  2. Argov Z, Mastaglia FL (1979) Drug therapy: Disorders of neuromuscular transmission caused by drugs. N Engl J Med 301: 409–413

    Article  PubMed  CAS  Google Scholar 

  3. Artigas A (1988) Adult respiratory distress syndrome: Changing concepts of clinical evolution and recovery. In: Vincent JL (ed) Update in intensive care and emergency medicine, vol 5. Springer, Berlin Heidelberg New York Tokyo, pp 97–114

    Google Scholar 

  4. Bartlett JG, Gorbach SL (1975) The triple threat of aspiration pneumonia. Chest 68: 560–566

    Article  PubMed  CAS  Google Scholar 

  5. Beeley JM, Clark RJ (1988) Inhalation injury. In: Vincent JL (ed) Update in intensive care and emergency medicine, vol 5. Springer, Berlin Heidelberg New York Tokyo, pp 136–145

    Google Scholar 

  6. Bell RC, Coalson JJ, Smith JD, Johanson WG (1983) Multiple organ system failure and infection in adult respiratory distress syndrome. Ann Intern Med 99: 293–298

    PubMed  CAS  Google Scholar 

  7. Black MJ, Harbour J, Remsen KA, Baxter JD (1981) Acute epiglottitis in adults. J Otolarygol 10: 23–27

    CAS  Google Scholar 

  8. Bone RC, Fisher CJ, Clemmer TP et al. (1987) A controlled clinical trial of highdose methyloprednisolone in the treatment of severe sepsis and septic shock. N Engl J Med 317: 653–658

    Article  PubMed  CAS  Google Scholar 

  9. Brigham KL (1986) Role of free radicals in lung injury. Chest 89: 859–863

    Article  PubMed  CAS  Google Scholar 

  10. Cahalane M, Demling RH (1984) Early respiratory abnormalities from smoke inhalation. JAMA 351: 771–773

    Article  Google Scholar 

  11. Catley DM, Thornton C, Jordan C et al. (1985) Pronounced, episodic oxygen desaturation in the postoperative period: Its associationwith ventilatory pattern and analgesic regimen. Anesthesiology 63: 20–28

    Article  PubMed  CAS  Google Scholar 

  12. Christou NV (1989) Role of neutrophils and macrophages in multiple organ failure. In: Vincent JL (ed) Update in intensive care and emergency medicine, vol 8. Springer, Berlin Heidelberg New York Tokyo, pp 15–23

    Google Scholar 

  13. Crandall EB, Staub NC, Goldberg HS, Effros RM (1983) Recent developments in pulmonary edema. Ann Intern Med 99: 808–822

    PubMed  CAS  Google Scholar 

  14. Dantzker DR, Brook CJ, Dehart P et al. (1979) Ventilation-perfusion distributions in the adult respiratory distress syndrome. Am Rev Respir Dis 120: 1039–1052

    PubMed  CAS  Google Scholar 

  15. Elliott CG, Morris AH, Cengiz M (1981) Pulmonary function and exercise gas exchange in survivors of adult respirator distress syndrome. Am Rev Respir Dis 123: 492–495

    PubMed  CAS  Google Scholar 

  16. Ellmauer S (1985) Anästhesiologische Probleme der Adipositas. Anaesth Intensivmed 26: 354–360

    Google Scholar 

  17. Fein A, Leff A, Hopewell PC (1980) Pathophysiology and management of the complications resulting from fire and the inhaled products of combustion: Review of the literature. Crit Care Med 8: 94–98

    Article  PubMed  CAS  Google Scholar 

  18. Fein AM, Goldberg SK, Lippmann ML et al. (1982) Adult respiratory distress syndrome. Br J Anaesth 54: 723–736

    Article  PubMed  CAS  Google Scholar 

  19. Fein AM, Lippmann, Holtzman et al. (1983) Risk factors, incidence, and prognosis of ARDS following septicemia. Chest 83: 40–42

    Article  PubMed  CAS  Google Scholar 

  20. Fowler AA, Hamman RF, Good JT et al. (1983) Adult respiratory distress syndrome: Risk with common predispositions. Ann Int Med 98: 593–597

    PubMed  CAS  Google Scholar 

  21. Fox GS, Whalley DG, Bevan DR (1981) Anaesthesia for the morbidly obese. Br J Anaesth 53: 811–816

    Article  PubMed  CAS  Google Scholar 

  22. Gelfand JA, Boss GR, Conley CL et al. (1979) Acquired Cl esterase inhibitor deficiency and angioedema: A review. Medicine 58: 321–328

    Article  PubMed  CAS  Google Scholar 

  23. Hack CE, Thijs LG (1991) The orchestra of mediators in the pathogenesis of septic shock: A review. In: Vincent JL (ed) Update in intensive care and emergency median, vol 14. Springer, Berlin Heidelberg New York Tokyo, pp 232–246

    Google Scholar 

  24. Hedenstierna G, Tokics L, Strandberg A et al. (1986) Correlation of gas exchange impairment to development of atelectasis during anaesthesia and muscle paralysis. Acta Anaesth Scand 30: 183–191

    Article  PubMed  CAS  Google Scholar 

  25. Heffner JE, Sahn, SA, Repine JE (1987) The role of platelets in the adult respiratory distress syndrome. Am Rev Respir Dis 135: 482–492

    PubMed  CAS  Google Scholar 

  26. Hillmann K (1985) Pulmonary barotrauma. In: Dobb G (ed) Clinics in anaesthesiology, vol 3/4: Current topics in intensive care. Saunders, London Philadelphia Toronto, pp 877–898

    Google Scholar 

  27. Holcroft W, Vassar MJ, Weber CJ (1986) Prostaglandin El and survival in patients with the adult respiratory distress sydrome. Ann Surg 203: 371–378

    Article  PubMed  CAS  Google Scholar 

  28. Hughes JM, Blumenthal JR, Merson MH et al. (1981) Clinical features of types A and B food-borne botulism. Ann Intern Med 95: 442–445

    PubMed  CAS  Google Scholar 

  29. Irwin RS (1989) Toxic gas, fume and smoke inhalation. 48. In: Rippe JM (ed) Manual of intensive care medicine, 2nd edn. Little Brown, Boston Toronto, pp 253–261

    Google Scholar 

  30. Irwin RS (1989) Aspiration. In: Rippe JM (ed) Manual 49. of intensive care medicine, 2nd edn. Little Brown, Boston Toronto, pp 276–282 50.

    Google Scholar 

  31. Jackson RM (1985) Pulmonary oxygen toxicity. Chest 88: 900–905

    Article  PubMed  CAS  Google Scholar 

  32. Jochum M, Duswald KH, Neumann S et al. (1984) Proteinases and their inhibitors insepticemia - basic con- 51. septs and clinical implications. Adv Exp Med Biol 167: 391–404

    Article  PubMed  CAS  Google Scholar 

  33. Jones JG (1986) Postoperative respiratory management. 52. In: Vincent JL (ed) Update in intensive care and emergency medicine, vol 1. Springer, Berlin Heidelberg New York Tokyo, pp 63–70

    Google Scholar 

  34. Kinsey SE, Machin SJ (1989) The role of the contact sys- 53. tem in the pathophysiology of ARDS. In: Vincent JL (ed) Update in intesive care and emergency medicine, vol 8. Springer, Berlin Heidelberg New York Tokyo, pp 39–47 54.

    Google Scholar 

  35. Lachmann B (1987) The role of pulmonary surfactant in the pathogenesis and therapy of ARDS. In: Vincent JL (ed) Update in intensive care and emergency medicine, vol 3. Springer, Berlin Heidelberg New York Tokyo, 55. pp 123–134

    Google Scholar 

  36. Lucas CE, Ledgerwood AM (1981) Pulmonary response of massive steroids in seriously injured patients. Ann Surg 194: 256–260 56.

    Google Scholar 

  37. Luce JM (1985) Medical management of spinal cord injury. Crit Care Med 13: 126–131

    Article  PubMed  CAS  Google Scholar 

  38. Luce JM, Montgomery AB, Marks JD et al. (1988) Ineffectiveness of highdose methylprednisolone in preven- 57. ting parenchymal lung injury and improving mortality in patients with septic shock. Am Rev Respir Dis 138: 62–68 58.

    Google Scholar 

  39. Maunder RJ, Hackman RC, Riff E et al. (1986) Occurence of the adult respiratory distress syndrome in neutropenic patients. Am Rev Respir Dis 133: 313–316

    PubMed  CAS  Google Scholar 

  40. Mayo-Smith MF, Hirsch PJ, Wodzinski SF, Schiffman FJ (1986) Acute epiglottitis in adults. N Engl J Med 314: 1133–1139

    Article  CAS  Google Scholar 

  41. Milic-Emili J, Gottfried SB, Rossi A (1987) Dynamic hyperinflation: Intrinsic PEEP and its ramifications in pa- 60. tients with respiratory failure. In: Vincent JL (ed) Update in intensive care and emergency medicine, vol 3. Springer,Berlin Heidelberg New York, Tokyo, pp 192198 61.

    Google Scholar 

  42. Miller KS, Sahn SA (1987) Chest tubes. Indications, technique, management and complications. Chest 91: 62. 258–264

    Article  PubMed  CAS  Google Scholar 

  43. Montgomery AB, Stager MA, Carrico CJ, Hudson LD (1985) Causes of mortality in patients with the adult re 63. spiratory distress syndrome. Am Rev Respir Dis 132: 485–489

    PubMed  CAS  Google Scholar 

  44. Moore P, James 0 (1981) Guillain-Barré syndrome: Incidence, management and outcome of major complicati- 64. ons. Crit Care Med 9: 549–555

    CAS  Google Scholar 

  45. Morel DR (1988) Role of arachidonic acid metabolism in ARDS. In: Vincent JL (ed) Update in intensive care and emergency medicine, vol 5. Springer, Berlin Heidel- 65. berg New York Tokyo, pp 115–124

    Google Scholar 

  46. Murray JF, Matthay MA, Luce JM, Flick MR (1988) An 66. expanded definition of the adult respiratory distress syndrome. Am Rev Respir Dis 138: 720–723

    PubMed  CAS  Google Scholar 

  47. Ognibene FP, Martin SE, Parker MM et al. (1986) Adult 67. respiratory distress syndrome in patients with severe neutropenia. N Engl J Med 315: 547–551

    Article  PubMed  CAS  Google Scholar 

  48. Pepe PE, Potkin RT, Reus DH et al. (1982) Clinical predictors of the adult respiratory distress syndrome. Am J Surg 144: 124–130

    Article  PubMed  CAS  Google Scholar 

  49. Peters J, Steinhoff H (1983) Anaesthesieprobleme bei extremer Fettsucht. Anaesthesist 32: 374–381

    PubMed  CAS  Google Scholar 

  50. Repine JE (1985) Neutrophils, oxygen radicals, and acute pulmonary edema. In: Zapol WM, Falke KJ (eds) Acute respiratory failure. Dekker, New York Basel, pp 347–377

    Google Scholar 

  51. Rinaldo JE (1986) Mediation of ARDS by leukocytes. Clinical evidence and implications for therapy. Chest 89: 590–593

    Article  PubMed  CAS  Google Scholar 

  52. Schwartz D (1989) Smoke inhalation and carbon monoxide poisoning. In: Hefferman JJ, Witzburg RA, Cohen AS (eds) Clinical problems in acute care medicine. Saunders, Philadelphia, pp 571–574

    Google Scholar 

  53. Schwartz DJ, Wynne JW, Gibbs CP et al. (1980) The pulmonary consequences of aspiration of gastric contents at pH values greater than 2.5. Am Rev Respir Dis 121: 119–126

    PubMed  CAS  Google Scholar 

  54. Seidenfeld JJ, Pohl DF, Bell RC et al. (1986) Incidence, site, and outcome of infections in patients with the adult respiratory distress syndrome. Am Rev Respir Dis 134: 12–16

    PubMed  CAS  Google Scholar 

  55. Shoemaker WC (1985) Controversies in the pathophysiology and fluid management of postoperative adult respiratory distress syndrome. Surg Clin N Am 65: 931–963

    PubMed  CAS  Google Scholar 

  56. Sibbald WJ, Driedger DD, Wells GA et al. (1983) The short term effects of increasing plasma colloid osmotic pressure in patients with non-cardiac pulmonary edema. Surgery 93: 620–633

    PubMed  CAS  Google Scholar 

  57. Simmons RS, Berdine GG, Seidenfeld JJ et al. (1987) Fluid balance and the adult respiratory distress syndrome. Am Rev Respir Dis 135: 924–929

    PubMed  CAS  Google Scholar 

  58. Simon RH, Ward PA (1988) Adult respiratory distress syndrome. In: Gallin JI, Goldstein IM, Snyderman R (eds) Inflammation: Basic principles and clinical correlates. Raven, New York, pp 815–827

    Google Scholar 

  59. Sottile FD (1988) Complications of mechanical ventilation. In: Lumb PD, Bryan-Brown CW (eds) Complications in critical care medicine. Year Book Medical Publisher, Chicago London, pp 12–44

    Google Scholar 

  60. Sprung CL, Caralis PV, Marcial EH et al. (1984) The effects of high dose corticosteroids in patients with septic shock: A prospective, controlled study. N Engl J Med 311: 1137–1143

    Article  PubMed  CAS  Google Scholar 

  61. Steinhauslin CA, Cuttat JF (1985) Spontaneous pneumothorax. Chest 88: 709–713

    Article  PubMed  CAS  Google Scholar 

  62. Tate RM, Repine JE (1983) Neutrophils and the adult respiratory distress syndrome. Am Rev Respir Dis 128: 552–559

    PubMed  CAS  Google Scholar 

  63. Vender JS (1986) Pulmonary aspiration: In: Vincent JL (ed) Update in intensive care and emergency medicine, vol 1. Springer, Berlin Heidelberg New York Tokyo, pp 71–77

    Google Scholar 

  64. Weiland JE, Davis WB, Holter JF et al. (1986) Lung neutrophils in the adult respiratory distress syndrome. Clinical and pathophysiologic significance. Am Rev Respir Dis 133: 218– 225

    Google Scholar 

  65. Winter PM, Miller JN (1976) Carbon monoxide poisoning. JAMA 236: 1502

    Article  PubMed  CAS  Google Scholar 

  66. Yamazaki S, Ogawa J, Shohzu A, Suzuki Y (1982) Pulmonary blood flow to reexpanded lung in spontaneous pneumothorax. Chest 81: 118–120

    Article  PubMed  CAS  Google Scholar 

  67. Zapol WM, Falke KJ (1985) Acute respiratory failure. Dekker, New York Basel

    Google Scholar 

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Burchardi, H. (1993). Atemversagen, Lungenschädigung. In: Benzer, H., Burchardi, H., Larsen, R., Suter, P.M. (eds) Intensivmedizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-97183-9_23

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  • DOI: https://doi.org/10.1007/978-3-642-97183-9_23

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  • Print ISBN: 978-3-642-97184-6

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