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Künstliche Beatmung

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Neugeborenenintensivmedizin
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Zusammenfassung

Die künstliche Beatmung von Neugeborenen setzt eingehende Kenntnisse der Atemphysiologie und der Atemmechanik und ihrer Besonderheiten in der Neonatalperiode voraus. In diesem Kapitel werden verschiedene Formen von künstlicher Atemhilfe mit ihren Indikationen, Möglichkeiten und Risiken dargestellt. Außerdem werden praktische Anleitungen zur Intubation, zur Beatmungseinstellung, -anpassung und -überwachung sowie zur Pflege eines beatmeten Neugeborenen gegeben.

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Literatur

  1. Avino D, Zhang WH, De Villé A, Johansson AB (2014) Remifentanil versus morphine-midazolam premedication on the quality of endotracheal intubation in neonates: a noninferiority randomized trial. J Pediatr 164:1032–7

    Google Scholar 

  2. Balaguer A, Escribano J, Roqué i Figuls M, Rivas-Fernandez M (2013) Infant position in neonates receiving mechanical ventilation. Cochrane Database Syst Rev: CD003668

    Google Scholar 

  3. Bamat N, Millar D, Suh S, Kirpalani H (2012) Positive end expiratory pressure for preterm infants requiring conventional mechanical ventilation for respiratory distress syndrome or bronchopulmonary dysplasia. Cochrane Database Syst Rev: CD004500

    Google Scholar 

  4. Barrington KJ, Finer N (2010) Inhaled nitric oxide for respiratory failure in preterm infants. Cochrane Database Syst Rev: CD000509

    Google Scholar 

  5. Bruschettini M, Zappettini S, Moja L, Calevo M (2016) Frequency of endotracheal suctioning for the prevention of respiratory morbidity in ventilated newborns. Cochrane Database SystRev: CD011493

    Google Scholar 

  6. Carbajal R, Eble B, Anand KJ (2007) Premedication for tracheal intubation in neonates: confusion or controversy? Semin Perinatol 31:309–17

    Google Scholar 

  7. Chaudhary R, Chonat S, Gowda H, Clarke P, Curley A (2009) Use of premedication for intubation in tertiary neonatal units in the United Kingdom. Paediatr Anaesth 19:653–8

    Google Scholar 

  8. Choong K, AlFaleh K, Doucette J, Gray S, Rich B, Verhey L, Paes B (2010) Remifentanil for endotracheal intubation in neonates: a randomised controlled trial. Arch Dis Child Fetal Neonatal Ed 95:F80–4

    Google Scholar 

  9. Cignacco E, Hamers JP, van Lingen RA, Zimmermann LJ, Muller R, Gessler P, Nelle M (2008) Pain relief in ventilated preterms during endotracheal suctioning: a randomized controlled trial. Swiss Med Wkly 138:635–45

    Google Scholar 

  10. Collins MP, Lorenz JM, Jetton JR, Paneth N (2001) Hypocapnia and other ventilation-related risk factors for cerebral palsy in low birth weight infants. Pediatr Res 50:712–9

    Google Scholar 

  11. Cools F, Offringa M, Askie LM (2015) Elective high frequency oscillatory ventilation versus conventional ventilation for acute pulmonary dysfunction in preterm infants. Cochrane Database Syst Rev: CD000104

    Google Scholar 

  12. Davis PG, Henderson-Smart DJ (2003) Nasal continuous positive airways pressure immediately after extubation for preventing morbidity in preterm infants. Cochrane Database Syst Rev:CD000143

    Google Scholar 

  13. Davies MW, Davis PG (2002) Nebulized racemic epinephrine for extubation of newborn infants. Cochrane Database Syst Rev:CD000506

    Google Scholar 

  14. Davis PG, Henderson-Smart DJ (2001) Intravenous dexamethasone for extubation of newborn infants. Cochrane Database Syst Rev:CD000308

    Google Scholar 

  15. Davis PG, Henderson-Smart DJ (2001) Extubation from low-rate intermittent positive airways pressure versus extubation after a trial of endotracheal continuous positive airways pressure in intubated preterm infants. Cochrane Database Syst Rev: CD001078

    Google Scholar 

  16. De Paoli AG, Clark RH, Bhuta T, Henderson-Smart DJ (2009) High frequency oscillatory ventilation versus conventional ventilation for infants with severe pulmonary dysfunction born at or near term. Cochrane Database Syst Rev: CD002974

    Google Scholar 

  17. De Paoli AG, Davis PG, Faber B, Morley CJ (2008) Devices and pressure sources for administration of nasal continuous positive airway pressure (NCPAP) in preterm neonates. Cochrane Database Syst Rev:CD002977

    Google Scholar 

  18. Estay A, Claure N, D’Ugard C, Organero R, Bancalari E (2010) Effects of instrumental dead space reduction during weaning from synchronized ventilation in preterm infants. J Perinatol 30:479–83

    Google Scholar 

  19. Ethawi YH, Abou Mehrem A, Minski J, Ruth CA, Davis PG (2016) High frequency jet ventilation versus high frequency oscillatory ventilation for pulmonary dysfunction in preterm infants. Cochrane Database Syst Rev: CD010548

    Google Scholar 

  20. Farley RC, Hough JL, Jardine LA (2015) Strategies for the discontinuation of humidified high flow nasal cannula (HHFNC) in preterm infants. Cochrane Database Syst Rev: CD011079

    Google Scholar 

  21. Finer N, Barrington KJ (2006) Nitric oxide for respiratory failure in infants born at or near term. Cochrane Database Syst Rev: CD000399

    Google Scholar 

  22. Flenady VJ, Gray PH (2002) Chest physiotherapy for preventing morbidity in babies being extubated from mechanical ventilation. Cochrane Database Syst Rev:CD000283

    Google Scholar 

  23. Gemeinsamer Bundesausschuss (2015) Qualitätssicherungs-Richtlinie Früh- und Reifgeborene (QFR-RL). BAnz AT vom 3. Februar 2016 B2

    Google Scholar 

  24. Gillies D, Wells D, Bhandari AP (2012) Positioning for acute respiratory distress in hospitalised infants and children. Cochrane Database Syst Rev: CD003645

    Google Scholar 

  25. Gillies D, Spence K (2011) Deep versus shallow suction of endotracheal tubes in ventilated neonates and young infants. Cochrane Database Syst Rev: CD003309

    Google Scholar 

  26. Greenough A, Dimitriou G, Prendergast M, Milner AD (2008) Synchronized mechanical ventilation for respiratory support in newborn infants. Cochrane Database Syst Rev:CD000456

    Google Scholar 

  27. Grein AJ, Weiner GM (2005) Laryngeal mask airway versus bag-mask ventilation or endotracheal intubation for neonatal resuscitation. Cochrane Database Syst Rev:CD003314

    Google Scholar 

  28. Gupta S, Sinha SK, Donn SM (2009) The effect of two levels of pressure support ventilation on tidal volume delivery and minute ventilation in preterm infants. Arch Dis Child Fetal Neonatal Ed 94: F80–3

    Google Scholar 

  29. Gupta S, Sinha SK, Tin W, Donn SM (2009) A randomized controlled trial of post-extubation bubble continuous positive airway pressure versus Infant Flow Driver continuous positive airway pressure in preterm infants with respiratory distress syndrome. J Pediatr 154:645–50

    Google Scholar 

  30. Henderson-Smart DJ, Davis PG (2010) Prophylactic methylxanthines for endotracheal extubation in preterm infants. Cochrane Database Syst Rev: CD000139

    Google Scholar 

  31. Henderson-Smart DJ, De Paoli AG, Clark RH, Bhuta T (2009) High frequency oscillatory ventilation versus conventional ventilation for infants with severe pulmonary dysfunction born at or near term. Cochrane Database Syst Rev:CD002974

    Google Scholar 

  32. Henderson-Smart DJ, Wilkinson A, Raynes-Greenow CH (2002) Mechanical ventilation for newborn infants with respiratory failure due to pulmonary disease. Cochrane Database Syst Rev: CD002770

    Google Scholar 

  33. Henderson-Smart DJ, Davis PG (2000) Prophylactic doxapram for the prevention of morbidity and mortality in preterm infants undergoing endotracheal extubation. Cochrane Database Syst Rev:CD001966

    Google Scholar 

  34. Ho JJ, Subramaniam P, Davis PG (2015) Continuous distending pressure for respiratory distress in preterm infants. Cochrane Database Syst Rev: CD002271

    Google Scholar 

  35. Hough JL, Flenady V, Johnston L, Woodgate PG (2008) Chest physiotherapy for reducing respiratory morbidity in infants requiring ventilatory support. Cochrane Database Syst Rev:CD006445

    Google Scholar 

  36. Jardine LA, Inglis GDT, Davies MW (2011) Strategies for the withdrawal of nasal continuous positive airway pressure (NCPAP) in preterm infants. Cochrane Database Syst Rev: CD006979

    Google Scholar 

  37. Kamlin CO, Davis PG (2004) Long versus short inspiratory times in neonates receiving mechanical ventilation. Cochrane Database Syst Rev:CD004503

    Google Scholar 

  38. Khemani RG, Randolph A, Markovitz B (2009) Corticosteroids for the prevention and treatment of post-extubation stridor in neonates, children and adults. Cochrane Database Syst Rev: CD001000

    Google Scholar 

  39. Lai M, Inglis GDT, Hose K, Jardine LA, Davies M (2014) Methods for securing endotracheal tubes in newborn infants. Cochrane Database Syst Rev: CD007805

    Google Scholar 

  40. Lemyre B, Davis PG, De Paoli AG, Kirpalani H (2014) Nasal intermittent positive pressure ventilation (NIPPV) versus nasal continuous positive airway pressure (NCPAP) for preterm neonates after extubation. Cochrane Database Syst Rev: CD003212

    Google Scholar 

  41. Lemyre B, Cheng R, Gaboury I (2009) Atropine, fentanyl and succinylcholine for non-urgent intubations in newborns. Arch Dis Child Fetal Neonatal Ed 94:F439–42

    Google Scholar 

  42. Lingappan K, Arnold JL, Shaw TL, Fernandes CJ, Pammi M (2015) Videolaryngoscopy versus direct laryngoscopy for tracheal intubation in neonates. Cochrane Database Syst Rev: CD009975

    Google Scholar 

  43. Patel DS, Rafferty GF, Lee S, Hannam S, Greenough A (2009) Work of breathing during SIMV with and without pressure support. Arch Dis Child 94:434–6

    Google Scholar 

  44. Penido MG, de Oliveira Silva DF, Tavares EC, Silva YP (2011) Propofol versus midazolam for intubating preterm neonates: a randomized controlled trial. J Perinatol 31:356–60

    Google Scholar 

  45. Pritchard M, Flenady V, Woodgate P (2001) Preoxygenation for tracheal suctioning in intubated, ventilated newborn infants. Cochrane Database Syst Rev:CD000427

    Google Scholar 

  46. Rastogi S, Wong W, Gupta A, Bhutada A; Deepa Rastogi, Maimonides Neonatal Group (2013) Gradual versus sudden weaning from nasal CPAP in preterm infants: a pilot randomized controlled trial. Respir Care 58:511–6

    Google Scholar 

  47. Roberts KD, Leone TA, Edwards WH, Rich WD, Finer NN (2006) Premedication for nonemergent neonatal intubations: a randomized, controlled trial comparing atropine and fentanyl to atropine, fentanyl, and mivacurium. Pediatrics 118: 1583–91

    Google Scholar 

  48. Rojas-Reyes M, Orrego-Rojas PA (2015) Rescue high-frequency jet ventilation versus conventional ventilation for severe pulmonary dysfunction in preterm infants. Cochrane Database Syst Rev: CD000437

    Google Scholar 

  49. Say B, Kanmaz Kutman HG, Oguz SS, Oncel MY, Arayici S, Canpolat FE, Uras N, Karahan S (2016) Binasal Prong versus Nasal Mask for Applying CPAP to Preterm Infants: A Randomized Controlled Trial. Neonatology 109:258–64

    Google Scholar 

  50. Schmölzer GM, Roehr CC (2014) Techniques to ascertain correct endotracheal tube placement in neonates. Cochrane Database Syst Rev: CD010221

    Google Scholar 

  51. Schmölzer GM, Kumar M, Pichler G, Aziz K, O’Reilly M, Cheung PY.(2013) Non-invasive versus invasive respiratory support in preterm infants at birth: systematic review and meta-analysis. BMJ 347:f5980

    Google Scholar 

  52. Spence K, Barr P (2000) Nasal versus oral intubation for mechanical ventilation of newborn infants. Cochrane Database Syst Rev:CD000948

    Google Scholar 

  53. Subramaniam P, Ho JJ, Davis PG (2016) Prophylactic nasal continuous positive airway pressure for preventing morbidity and mortality in very preterm infants. Cochrane Database Syst Rev:CD001243

    Google Scholar 

  54. Tang J, Reid S, Lutz T, Malcolm G, Oliver S, Osborn DA (2015) Randomised controlled trial of weaning strategies for preterm infants on nasal continuous positive airway pressure. BMC Pediatr 7;15:147

    Google Scholar 

  55. Taylor JE, Hawley G, Flenady V, Woodgate PG (2011) Tracheal suctioning without disconnection in intubated ventilated neonates. Cochrane Database Syst Rev: CD003065

    Google Scholar 

  56. Thome UH, Genzel-Boroviczeny O, Bohnhorst B, Schmid M, Fuchs H, Rohde O, Avenarius S, Topf HG, Zimmermann A, Faas D, Timme K, Kleinlein B, Buxmann H, Schenk W, Segerer H, Teig N, Gebauer C, Hentschel R, Heckmann M, Schlösser R, Peters J, Rossi R, Rascher W, Böttger R, Seidenberg J, Hansen G, Zernickel M, Alzen G, Dreyhaupt J, Muche R, Hummler HD; PHELBI Study Group (2015) Permissive hypercapnia in extremely low birthweight infants (PHELBI): a randomised controlled multicentre trial. Lancet Respir Med 3:534–43

    Google Scholar 

  57. VanLooy JW, Schumacher RE, Bhatt-Mehta V (2008) Efficacy of a premedication algorithm for nonemergent intubation in a neonatal intensive care unit. Ann Pharmacother 42:947–55

    Google Scholar 

  58. Welzing L, Kribs A, Eifinger F, Huenseler C, Oberthuer A, Roth B (2010) Propofol as an induction agent for endotracheal intubation can cause significant arterial hypotension in preterm neonates. Paediatr Anaesth 20:605–11

    Google Scholar 

  59. Wheeler K, Klingenberg C, McCallion N, Morley CJ, Davis PG (2010) Volume-targeted versus pressure-limited ventilation in the neonate. Cochrane Database Syst Rev: CD003666

    Google Scholar 

  60. Wilkinson D, Andersen C, O’Donnell CPF, De Paoli AG, Manley BJ (2016) High flow nasal cannula for respiratory support in preterm infants. Cochrane Database Syst Rev: CD006405

    Google Scholar 

  61. Wilkinson DJ, Andersen CC, Smith K, Holberton J (2008) Pharyngeal pressure with high-flow nasal cannulae in premature infants. J Perinatol 28:42–7

    Google Scholar 

  62. Woodgate PG, Davies MW (2001) Permissive hypercapnia for the prevention of morbidity and mortality in mechanically ventilated newborn infants. Cochrane Database Syst Rev:CD002061

    Google Scholar 

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Maier, R. (2017). Künstliche Beatmung. In: Neugeborenenintensivmedizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-53576-9_4

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  • DOI: https://doi.org/10.1007/978-3-662-53576-9_4

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-53575-2

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