Skip to main content

Respiratorische Störungen — akutes Atemversagen

  • Chapter
  • 140 Accesses

Zusammenfassung

Atemversagen aus nichtpulmonaler Ursache 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:

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

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

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   54.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. Albert R (1996) Positioning and the patient with acute respiratory distress. Curr Opinion Crit Care 2: 67–72

    Article  Google Scholar 

  2. Amato MB, Barbas CS, Medeiros DM et al. (1998) Effect of a protective-ventilation strategy on mortality in the acute respiratory distress syndrome. N Engl J Med 338: 347–354

    Article  PubMed  CAS  Google Scholar 

  3. ARDS Network (2000) Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med 342: 13011308

    Google Scholar 

  4. Artigas A, Bernard G, Carlet J et al. (1998) The American-European Consensus Conference on ARDS, pt 2. Am J Respir Crit Care Med 157: 1332–1347

    Article  PubMed  CAS  Google Scholar 

  5. Bernard G, Artigas A, Brigham K et al. (1994) Report of the American-European consensus conference on ARDS: definitions, mechanisms, relevant outcomes and clinical trial coordination. Intensive Care Med 20: 225–232

    Article  PubMed  CAS  Google Scholar 

  6. BlackwellTS, Christman JW (1996) Sepsis and cytokines: current status. Br J Anaesth 77: 110–117

    Article  PubMed  CAS  Google Scholar 

  7. Bone R, Balk R, Cerra F (1992) Definitions for sepsis and organ failure and guidelines for the use of innovative therapies in sepsis. Chest 101: 1644–1655

    Article  PubMed  CAS  Google Scholar 

  8. De Jonghe B, Cook D, Sharshar T (1998) Acquired neuromuscular disorders in critically ill patients: a systematic review. Intensive Care Med 24: 1242–1250

    Article  PubMed  Google Scholar 

  9. Demling R (1985) Burns. N Engl J Med 313: 1389–1398

    Article  CAS  Google Scholar 

  10. Downey G, Granton J (1997) Mechanisms of acute lung injury. Curr Opinion Crit Care 3: 43–50

    Article  Google Scholar 

  11. Feihl F, Perret C (1994) Permissive hypercapnia. How permissive should we be? Am J Respir Crit Care Med 150: 1722–1737

    Article  PubMed  CAS  Google Scholar 

  12. Frampton M, Utell M (1995) Inhalation injuries due to accidental and environmental exposures. Curr Opinion Crit Care 1: 246–252

    Article  Google Scholar 

  13. Gattinoni L, Pelosi P (1996) Pathophysiologic insights into acute respiratory failure. Curr Opinion Crit Care 2: 8–12

    Article  Google Scholar 

  14. Gattinoni L, Pelosi P, Suter PM, Pedoto A, Vercesi P, Lissoni A (1998) Acute respiratory distress syndrome caused by pulmonary and extra-pulmonary disease. Different Syndromes? Am J respir Crit Care Med 158: 3–11

    Article  PubMed  CAS  Google Scholar 

  15. Haake R, Schlichtig R, Ulstad DR, Henschen RR (1991) Barotrauma: Pathophysiology, risk factors, and prevention. Chest 4: 608–613

    Google Scholar 

  16. Heffner J, Brown L, Barbieri C, Harpel K, DeLeo J (1995) Prospective validation of an acute respiratory distress syndrome predictive score. Am J Respir Crit Care Med 152: 1518–1526

    Article  PubMed  CAS  Google Scholar 

  17. KnausW, Sun X, Hakim R, Wagner D (1994) Evaluation of definitions for adult respiratory distress syndrome. Am J Respir Crit Care Med 150: 311–317

    Article  PubMed  CAS  Google Scholar 

  18. Kollef M, Schuster D (1995)The acute respiratory distress syndrome. N Engl J Med 332: 27–37

    Google Scholar 

  19. Krafft P, Fridrich P, PernerstorferT et al. (1996)The acute respiratory distress syndrome: definitions, severity and clinical outcome. An analysis of 101 clinical investigations. Intensive Care Med 22: 519–529

    Google Scholar 

  20. Kreimeier U, Frey L, Messmer K (1993) Small-volume resuscitation. Curr Opinion Anaesth 6: 400–408

    Article  Google Scholar 

  21. Lentz C, Peterson H (1996) Smoke inhalation is a multilevel insult to the pulmonary system. Curr Opinion Crit Care 2: 230–235

    Article  Google Scholar 

  22. Lewandowski K, Metz J, Deutschmann C (1995) Incidence, severity, and mortality of acute respiratory failure in Berlin, Germany. Am J Respir Crit Care Med 151: 1121–1125

    Google Scholar 

  23. Marini J, Evans T (1998) Round table conference: acute lung injury. Intensive Care Med 24: 878–883

    Article  PubMed  CAS  Google Scholar 

  24. Milberg JA, Davis DR, Steinberg KP, Hudson LD (1995) Improved survival of patients with aute respiratory distress syndrome (ARDS): 1983–1993. JAMA 273: 306–309

    Article  PubMed  CAS  Google Scholar 

  25. Mitchell J, Schuller D, Calandrino F, Schuster D (1992) Improved outcome based on fluid management in critically ill patient requiring pulmonary artery catherization. Am Rev Respir Dis 145: 990–998

    Article  PubMed  CAS  Google Scholar 

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

    Article  PubMed  CAS  Google Scholar 

  27. O’Keefe G, Maier R (1997) New regimens in the management of posttraumatic respiratory failure. Curr Opinion Pulm Med 3: 227233

    Google Scholar 

  28. Pape H, Regel G,Tscherne H (1996) Controversies regarding fracture management in the patient with multiple trauma. Curr Opinion Crit Care 2: 295–303

    Article  Google Scholar 

  29. Ranieri VM, Suter PM, Tortorella C et al. (1999) Effect of mechanical ventilation on inflammatory mediators in patients with acute respiratory distress syndrome: a randomized controlled trial. JAMA 282: 54–61

    Article  PubMed  CAS  Google Scholar 

  30. Regel G, Lobenhoffer P, Lehmann U, Pape H, Pohlemann T, Tscherne H (1993) Ergebnisse in der Behandlung Polytraumatisierter. Eine vergleichende Analyse von 3406 Fällen zwischen 1972 and 1991. Unfallchirurg 96: 350–362

    PubMed  CAS  Google Scholar 

  31. Rossaint R, Pappert D, Falke K (1996) Nitric oxide and pulmonary circulation. Curr Opinion Crit Care 2: 29–34

    Article  Google Scholar 

  32. Sabbe M (1995) Recent advances in the diagnosis and treatment of thoracic injuries. Curr Opinion Crit Care 1: 503–508

    Article  Google Scholar 

  33. Schuller D, Schuster D (1996) Fluid management in acute respiratory distress syndrome. Curr Opin Crit Care 2: 1–7

    Article  Google Scholar 

  34. Schuster D (1995) What is acute lung injury? What is ARDS? Chest 107: 1721–1726

    Article  PubMed  CAS  Google Scholar 

  35. Schuster D (1997) Identifying patients with ARDS: time for a different approach. Intensive Care Med 23: 1197–1203

    Article  PubMed  CAS  Google Scholar 

  36. Stewart T, Meade M, Cook D (1998) Evaluation of a ventilation strategy to prevent barotrauma in patients at high risk for acute respiratory distress syndrome. Pressure-and Volume-Limited Ventilation Strategy Group. N Engl J Med 338: 355–361

    Google Scholar 

  37. Sydow M, Burchardi H (1996) Inverse ratio ventilation and airway pressure release ventilation. Curr Opinion Anaesthesiology 9: 523–528

    Google Scholar 

  38. Villar J, Slutsky A (1996) Is the outcome from acute respiratory distress syndrome improving? Curr Opinion Crit Care 2: 79–87

    Article  Google Scholar 

  39. Witt N, Zochodne D, Bolton C et al. (1991) Peripheral nerve function in sepsis and multiple organ failure. Chest 99: 176–184

    Article  PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2004 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Burchardi, H. (2004). Respiratorische Störungen — akutes Atemversagen. In: Burchardi, H., Larsen, R., Schuster, HP., Suter, P.M. (eds) Die Intensivmedizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-06654-6_25

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-06654-6_25

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-06655-3

  • Online ISBN: 978-3-662-06654-6

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics