Zusammenfassung
Entwöhnung oder Weaning bezeichnet den Prozess des Übergangs von der Beatmung mit künstlichem Atemweg (Endotracheal- oder Trachealtubus) zur Spontanatmung ohne Tubus. Da die Beatmung kein Selbstzweck ist, sondern immer nur eine vorübergehende, mit spezifischen Gefahren einhergehende Unterstützung der Atemfunktion, muss möglichst bereits vor ihrem Beginn erwogen werden, wann, wie und unter welchen Bedingungen sie auch wieder beendet werden kann.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsWeiterführende Literatur
Blackwood B, Alderdice F, Burns K, Cardwell C, Lavery G, O’Halloran P (2011) Use of weaning protocols for reducing duration of mechanical ventilation in critically ill adult patients. Cochrane systematic review and meta-analysis. BMJ 342: c7237
Davies MG, Quinnell TG, Oscroft NS, Clutterbuck SP, Shneerson JM, Smith IE (2017) Hospital outcomes and long-term survival after referral to a specialized weaning unit. Br J Anaesth 18(4): 563–569
Hernández G, Vaquero C, Colinas L, et al. (2016) Effect of postextubation high-flow nasal cannula vs noninvasive ventilation on reintubation and postextubation respiratory failure in high-risk patients: a randomized clinical trial. JAMA. 316(15): 1565–1574
Hill AD, Fowler RA, Burns KE, Rose L, Pinto RL, Scales DC (2017) Long-Term Outcomes and Health Care Utilization after Prolonged Mechanical Ventilation. Ann Am Thorac Soc 14(3): 355–362
Jordan J, Rose L, Dainty KN, Noyes J, Blackwood B (2016) Factors that impact on the use of mechanical ventilation weaning protocols in critically ill adults and children: a qualitative evidence-synthesis. Cochrane Database Syst Rev 10: CD011812
Ladeira MT, Vital FM, Andriolo RB, Andriolo BN, Atallah AN, Peccin MS (2017) Pressure support versus T-tube for weaning from mechanical ventilation in adults. Cochrane Database Syst Rev (5): CD006056
Liu J, Shen F, Teboul JL, Anguel N, Beurton A, et al. (2017) Cardiac dysfunction induced by weaning from mechanical ventilation: incidence, risk factors, and effects of fluid removal. Crit Care 20(1): 369. Correction in: Crit Care 21: 50
Mahul M, Jung B, Galia F, Molinari N, de Jong A, et al. (2017) Spontaneous breathing trial and post-extubation work of breathing in morbidly obese critically ill patients. Crit Care 20(1): 346
Ruan SY, Teng NC, Wu HD, Tsai SL, Wang CY, et al. (2017) Durability of weaning success for Liberation from invasive mechanical ventilation: An analysis of a nationwide database. Am J Respir Crit Care Med. doi: 10.1164/rccm.201610-2153LE
Schönhofer B, Geiseler J, Dellweg D, Moerer O, Barchfeld T, et al. (2014) Prolongiertes Weaning. S2k-Leitlinie herausgegeben von der Deutschen Gesellschaft für Pneumologie und Beatmungsmedizin e.V. Pneumologie 68: 19–75
Walterspacher S, Gückler J, Pietsch F, Walker DJ, Kabitz HJ, Dreher M (2017) Activation of respiratory muscles during weaning from mechanical ventilation. J Crit Care 38: 202–208
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer-Verlag GmbH Germany
About this chapter
Cite this chapter
Larsen, R., Ziegenfuß, T., Mathes, A. (2018). Entwöhnung von der Beatmung (Weaning). In: Beatmung. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-54853-0_21
Download citation
DOI: https://doi.org/10.1007/978-3-662-54853-0_21
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-54852-3
Online ISBN: 978-3-662-54853-0
eBook Packages: Medicine (German Language)