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Nichtinvasive und invasive Beatmungszugänge

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Neurologische Beatmungsmedizin

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Zusammenfassung

Unter dem Beatmungszugang versteht man den Weg über den die Beatmungstherapie am Patienten durchgeführt wird, d. h. die Verbindung von Beatmungssystem und Patient. Grundsätzlich muss zwischen nichtinvasiven und invasiven Beatmungszugängen unterschieden werden. Die unterschiedlichen nichtinvasiven Beatmungszugänge und das Trachealkanülenmanagement werden ebenso wie das Sprechen unter invasiver Beatmung in diesem Kapitel erörtert.

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Literatur

Literatur zu Abschn. 8.2

  • Bordon A, Bokhari R, Sperry J, Testa D, Feinstein A, Ghaemmaghami V (2011) Swallowing dysfunction after prolonged intubation: analysis of risk factors in trauma patients. Am J Surg 202:679–682

    Article  Google Scholar 

  • Brown CV, Hejl K, Mandaville AD, Chaney PE, Stevenson G, Smith C (2011) Swallowing dysfunction after mechanical ventilation in trauma patients. J Crit Care 26:108.e9–108.e13

    Google Scholar 

  • Davis LA, Thompson SS (2004) Characteristics of dysphagia in elderly patients requiring mechanical ventilation. Dysphagia 19(1):7–14

    Article  Google Scholar 

  • Dezfulian C, Shojania K, Collard HR, Kim HM, Matthay MA, Saint S (2005) Subglottic secretion drainage for preventing ventilator-associated pneumonia: a meta-analysis. Am J Med 118(1):11–18

    Article  Google Scholar 

  • Dikeman KJ, Kazandjian MS (1995) Communication and swallowing management of tracheostomized and ventilator-dependent adult. Singular Publishing Group, San Diego

    Google Scholar 

  • Donzelli J, Brady S, Wesling M et al (2005) Effects of removal of the tracheostomy tube on swallowing during the Fiberoptic Endoscopic Exam of the Swallow (FEES). Dysphagia 20:283–289

    Article  Google Scholar 

  • Frank U (2008) Die Behandlung tracheotomierter Patienten mit schwerer Dysphagie – Eine explorative Studie zur Evaluation eines interdisziplinären Interventionsansatzes. Universitätsverlag, Potsdam

    Google Scholar 

  • Garuti G, Reverberi C, Briganti A, Massobrio M, Lombardi F, Lusuardi M (2014) Swallowing disorders in tracheostomised patients: a multidisciplinary/ multiprofessional approach in decannulation protocols. Multidiscip Respir Med 9(1):36

    Article  Google Scholar 

  • Harkin H (2004) Decannulation. In: Russell C, Matta B (Hrsg) Tracheostomy. A multiprofessional handbook. Greenwich Medical Media, London, S 255–268

    Google Scholar 

  • Heidler M-D, Bidu L, Friedrich N, Völler H (2015) Oralisierung langzeitbeatmeter Patienten mit Trachealkanüle. Med Klin – Intensivmed Notfallmed 110:55–60

    Article  Google Scholar 

  • Hess DR, Altobelli NP (2014) Tracheostomy tubes. Respir Care 59(6):956–971

    Article  Google Scholar 

  • Kommission für Krankenhaushygiene und Infektionsprävention (KRINKO) beim Robert Koch-Institut (2013) Prävention der nosokomialen beatmungsassoziierten Pneumonie. Empfehlung der Kommission für Krankenhaushygiene und Infektionsprävention (KRINKO) beim Robert Koch-Institut. Bundesgesundheitsbl 56(11):1578–1590

    Google Scholar 

  • Konradi JK, Tremel K, Welschold S (2011) Effects of difficult therapeutic interventions on spontaneous swallowing frequency for tracheotomized patients. In: 1st NeuroRehabilitation Congress, Meran, October

    Google Scholar 

  • Lacherade JC, De Jonghe B, Guezennec P, Debbat K, Hayon J, Monsel A et al (2010) Intermittent subglottic secretion drainage and ventilator-associated pneumonia: a multicenter trial. J Respir Crit Care Med 182(7):910–917

    Article  Google Scholar 

  • Mullins JB, Templer JW, Kong J, Davis WE, Hinson J (1993) Airway resistance and work of breathing in tracheostomy tubes. Laryngoscope 103(12):1367–1372

    Article  CAS  Google Scholar 

  • Prosiegel M, Weber S (2010) Dysphagie. Diagnostik und Therapie. Springer Verlag, Berlin

    Google Scholar 

  • Prosiegel M, Allescher H, Bartolome G, Beilenhoff U, Dziewas R, Fehodoroff K et al. (2012, August 2015) Leitlinie „Neurogene Dysphagie“. http://www.dgn.org/leitlinien/2433-II-91-2012-neurogene-dysphagien. Zugegriffen: 15. Dez. 2017

  • Schimandl D (2017) Trachealkanülenmanagement. Atemwegs-und Lungenkrankheiten. Diagn Ther 43(5):231–236

    Google Scholar 

  • Schlaegel W (2009) Das Trachealkanülenmanagement in der neurologischen Rehabilitation. Int J Neurorehabilitation 15:171–177

    Google Scholar 

  • Schmidt U, Hess D, Bittner E (2011) To decannulate or not to decannulate: a combination of readiness for the floor and floor readiness? Crit Care Med 39(10):2360–2361

    Article  Google Scholar 

  • Schwegler H (2016) Trachealkanülenmanagement. Dekanülierung beginnt auf der Intensivstation. Schulz Kirchner, Idstein

    Google Scholar 

  • Seidl RO, Nusser-Müller-Busch R, Ernst A (2005) The influence of tracheotomy tubes on the swallowing frequency in neurogenic dysphagia. Otolaryngol Head Neck Surg 132(3):484–486

    Article  Google Scholar 

  • Singh RK, Saran S, Baronia AK (2017) The practice of tracheostomy decannulation-a systematic review. J Intensive Care 5:38

    Article  CAS  Google Scholar 

  • Terk AR, Lederer SB, Burrell MI (2007) Hyoid bone and laryngeal movement dependent upon presence of a tracheotomy tube. Dysphagia 22:89–93

    Google Scholar 

  • Valles J, Artigas A, Rello J, Bonsoms N, Fontanals D, Blanche L et al (1995) Continuous aspiration of subglottic secretions in preventing ventilator-associated pneumonia. Ann Intern Med 122(3):179–186

    Article  CAS  Google Scholar 

  • Wang F, Bo L, Tang L, Lou J, Wu Y, Chen F et al (2012) Subglottic secretion drainage for preventing ventilator-associated pneumonia: an updated meta-analysis of randomized controlled trials. J Trauma Acute Care Surg 72(5):1276–1285

    Article  Google Scholar 

  • Winklmaier U (2009) Dysphagien bei Patienten mit Trachealkanülen. In: Seidl S, Stanschus S (Hrsg) Dysphagie-Diagnostik und Therapie. Schulz-Kirchner, Idstein, S 217–252

    Google Scholar 

  • Winklmaier U, Wust K, Schiller S, Wallner F (2006) Leakage of fluid in different types of tracheal tubes. Dysphagia 21(4):237–242

    Article  CAS  Google Scholar 

Literatur zu Abschn. 8.3

  • Belafsky PC, Blumenfeld L, LePage A, Nahrstedt K (2003) The accuracy of the modified Evan’s blue dye test in predicting aspiration. Laryngoscope 113:1969–1972

    Article  Google Scholar 

  • Callegari J, Windisch W, Storre JH (2015) Überleitung in die außerklinische invasive Beatmung. Intensivmedizin up2date 11:321–331

    Article  Google Scholar 

  • Deutsche Gesellschaft für Hals-, Nasen- Ohrenheilkunde, Kopf- und Halschirurgie (2013) Leitlinie der Deutschen Gesellschaft für Hals-, Nasen- Ohrenheilkunde, Kopf- und Halschirurgie- Hypersalivation. http://www.awmf.org/uploads/tx_szleitlinien/017-075l_S2k_Hypersalivation_2013-02.pdf. Zugegriffen: 28. Jan. 2018

  • Deutsche Gesellschaft für Neurologie (DGN) (2015) Leitlinien für Diagnostik und Therapie in der Neurologie- Neurogene Dysphagien. https://www.dgn.org/images/red_leitlinien/LL_2014/PDFs_Download/030111_DGN_LL_neurogene_dysphagien_final.pdf. Zugegriffen: 26. Dez. 2016

  • Eberhard B (2015) Sprechen mit Trachealkanüle. Intensiv 23(5):246–249

    Article  Google Scholar 

  • Frank U (2008) Die Behandlung tracheotomierter Patienten mit schwerer Dysphagie- Eine explorative Studie zur Evaluation eines interdisziplinären Interventionsansatzes, 1. Aufl. Universitätsverlag Potsdam, Potsdam

    Google Scholar 

  • Freeman-Sanderson AL, Togher L, Elkins MR, Phioos PR (2016) Quality of life improves with return of voice in tracheostomy patients in intensive care: An observational study. J Crit Care 33:186–191

    Google Scholar 

  • Gilony D, Bilboa D, Blumstein T, Murad H, Talmi YT, Kronenberg J, Wolf M (2005) Effects of tracheostomy on well- being and body- image perceptions. Otolaryngol Head Neck Surg 133:366–371

    Article  Google Scholar 

  • Guttormson JL, Bremer KL, Jones RM (2015) “Not being able to talk was horrid!”: a descriptive correlational study of communication during mechanical ventilation. Intensive Crit Care Nurs 31(3):179–186

    Article  Google Scholar 

  • Heffner JE (2005) REVIEW SERIES: organization of care for people in long- term artificial ventilation- Management of the chronically ventilated patient with a tracheostomy. Chron Respir Dis 2:151–161

    Article  CAS  Google Scholar 

  • Kunduk M, Appel K, Tunc M, Alanoglu Z, Alkis N, Dursun G, Ozgursoy OB (2010) Preliminary report of laryngeal phonation during mechanical ventilation via a new cuffed tracheostomy tube. Respir Care 55(12):1661–1670

    Google Scholar 

  • Leder SB, Pauloski BR, Rademaker AW, Grammer T, Dikeman K, Kazandjian M, Mendes J, Logemann JA (2013) Verbal communication for the ventilator- dependent patient requiring an inflated tracheostomy tube cuff: a prospective, multicenter study on the Blom tracheostomy tube with speech inner cannula. Head Neck 35:505–510

    Article  Google Scholar 

  • Pandian V, Thompson CB, Feller- Kopman D, Mirski MA (2015) Development and validation of a quality of life questionnaire for mechanically ventilated intensive care unit patients. Crit Care Med 43(1):142–148

    Article  Google Scholar 

  • Rosenbek JC, Robbins JA, Roecker EB, Coyle JL, Wood JL (1996) A penetration- aspiration scale. Dysphagia 11(93):98

    Google Scholar 

  • Singh RK, Saran S, Baronia, AK (2017) The practice of tracheostomy decannulation-a systematic review. J Intensive Care 5:38

    Google Scholar 

  • ten Hoorn S, Elbers PW, Girbes AR, Tuinman PR (2016) Communicating with conscious and mechanically ventilated critically ill patients: a systematic review. Bio Med Central Crit Care 20:333. https://ccforum.biomedcentral.com/articles/10.1186/s13054-016-1483-2. Zugegriffen: 12. Juni 2017

  • Verma A, Steele J (2006) Botulinum toxin improves sialorrhea and quality of living in bulbar amyotrophic lateral sclerosis. Muscle Nerve 34(2):235–237

    Article  CAS  Google Scholar 

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Authors and Affiliations

  1. Beatmungszentrum, Asklepios Klinikum Harburg, Hamburg, Deutschland

    Martin Bachmann

  2. Therapiezentrum, Evangelisches Krankenhaus Oldenburg, Oldenburg, Deutschland

    Janna Schulte & Elisabeth Gerlach

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  1. Martin Bachmann
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  2. Janna Schulte
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  3. Elisabeth Gerlach
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Editors and Affiliations

  1. Klinik für Neurologische Intensivmedizin und Frührehabilitation, Evangelisches Krankenhaus Oldenburg, Oldenburg, Germany

    Martin Groß

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Bachmann, M., Schulte, J., Gerlach, E. (2020). Nichtinvasive und invasive Beatmungszugänge. In: Groß, M. (eds) Neurologische Beatmungsmedizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-59014-0_8

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  • DOI: https://doi.org/10.1007/978-3-662-59014-0_8

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  • Print ISBN: 978-3-662-59013-3

  • Online ISBN: 978-3-662-59014-0

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