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Multiorganversagen pp 165–179Cite as

Prävention des Multiorganversagens?

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Part of the book series: Intensivmedizinisches Seminar ((INTENSIVM.SEM.,volume 4))

Zusammenfassung

Bis in die siebziger Jahre verstarb die Mehrzahl der Intensivpatienten an ihrem Grundleiden, im Schock, in der Sepsis oder aufgrund eines gravierenden Organversagens (z. B. akute Niereninsuffizienz, akute respiratorische Insuffizienz). Aufgrund der dramatischen Verbesserungen der Intensivmedizin in den achtziger Jahren verlor das primäre Organversagen seine Schrecken. Heute zählen Hämodialyse und -filtration, Modifikation der Beatmung (z. B. PEEP, inversed ratio Beatmung, high frequency Beatmung, seitendifferente Beatmung, permissive Hyperkapnie), spezifische Gerinnungstherapie, potentere Antibiotika, Immuntherapie, Streßblutungsprophylaxe, adäquate Sedierung bzw. Analgesie und nicht zuletzt die verbesserten Möglichkeiten des invasiven Monitorings mit Optimierung der Volumen- und Katecholamintherapie zu den Bausteinen der modernen Intensivtherapie. Trotzdem versterben auch unter Einsatz dieser und weiterer Maßnahmen noch zu viele Patienten auf der Intensivstation. Geändert haben sich jedoch die Todesursachen. Neben der Grunderkrankung steht heute vor allem das multiple Organversagen an vorderer Stelle der Mortalitätsstatistiken auf Intensivstationen.

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Author information

Authors and Affiliations

  1. Intensiv- und Schmerztherapie Bergmannsheil, Universitätsklinik für Anaesthesiologie, Gilsingstraße 14, D-W-4630, Bochum, Bundesrepublik Deutschland

    Prof. Dr. med. M. Tryba

  2. Chirurgische Universitätsklinik, Berufsgenossenschaftliche Krankenanstalten Bergmannsheil, Bochum, Bundesrepublik Deutschland

    J. Brand

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  1. Prof. Dr. med. M. Tryba
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Editors and Affiliations

  1. Wien, Österreich

    Erwin Deutsch , Kurt Lenz , Bruno Schneeweiß , Georg Simbruner  & Jörg Slany , , ,  & 

  2. Steyr, Österreich

    Gunther Kleinberger

  3. Basel, Schweiz

    Rudolf Ritz

  4. Hildesheim, Deutschland

    Hans-Peter Schuster

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© 1992 Springer-Verlag/Wien

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Tryba, M., Brand, J. (1992). Prävention des Multiorganversagens?. In: Deutsch, E., et al. Multiorganversagen. Intensivmedizinisches Seminar, vol 4. Springer, Vienna. https://doi.org/10.1007/978-3-7091-9201-6_19

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  • DOI: https://doi.org/10.1007/978-3-7091-9201-6_19

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-211-82334-7

  • Online ISBN: 978-3-7091-9201-6

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