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:
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Beeinträchtigung des neuromuskulären Atemantriebs (z. B. zentrale Atemdepression, periphere Nervenschädigung, Muskeldystrophie)
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Zunahme der Widerstände in der Pumpmechanik (z. B. Pleuraschwarte, obere Atemwegsobstruktion).
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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
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