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Weitere Kapitel dieses Buchs durch Wischen aufrufen

2017 | OriginalPaper | Buchkapitel

6. Akuttherapie

verfasst von : M. Köhrmann, E. M. Sauer

Erschienen in: Pflegewissen Stroke Unit

Verlag: Springer Berlin Heidelberg

Zusammenfassung

Ziel der Basistherapie auf der Stroke Unit ist vornehmlich eine allgemeine Stabilisierung der Vitalparameter, der Homöostase sowie die Verhinderung von Komplikationen. Sie schafft damit die Voraussetzung für spezifische Therapien und die frühe Erholung der Patienten. Alle beschriebenen spezifischen Therapiemöglichkeiten zielen auf eine möglichst rasche und vollständige Wiedereröffnung des ursächlichen Gefäßverschlusses ab. Die nicht-invasive Beatmung (NIV) entwickelte sich in den letzten 25 Jahren im Bereich der Intensiv- und Notfallmedizin bei akuter respiratorischer Insuffizienz zu einer sicheren und effektiven Methode. Aktuell gilt die NIV als Therapie der ersten Wahl bei exazerbierter COPD, kardialem Lungenödem, Atemversagen bei immunsupprimierten Patienten und beim Weaning extubierter COPD-Patienten. Die in diesem Kapitel aufgeführten generellen Überlegungen orientieren sich an den Empfehlungen der Europäischen Schlaganfall Organisation (ESO) sowie den Leitlinien der Deutschen Gesellschaft für Neurologie (DGN).
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Metadaten
Titel
Akuttherapie
verfasst von
M. Köhrmann
E. M. Sauer
Copyright-Jahr
2017
Verlag
Springer Berlin Heidelberg
DOI
https://doi.org/10.1007/978-3-662-53625-4_6