Download PDF
Intensivmedizin up2date 2015; 11(04): 321-331
DOI: 10.1055/s-0041-103937
Allgemeine Prinzipien der Intensivmedizin
© Georg Thieme Verlag KG Stuttgart · New York

Überleitung in die außerklinische invasive Beatmung

Jens Callegari
,
Wolfram Windisch
,
Jan Hendrik Storre
Further Information

Publication History

Publication Date:
08 September 2015 (online)

Also available at
   Permissions and Reprints All articles of this category
Kernaussagen

  • Die Beurteilung des Weaningpotenzials sowie die Entscheidung zur Durchführung einer außerklinischen Beatmung sollte ein spezialisiertes Beatmungs- bzw. Weaningzentrum vornehmen.

  • Die Planung und Vorbereitung einer außerklinischen invasiven Beatmung sollte spätestens 2 Wochen vor dem geplanten Entlassungszeitpunkt begonnen werden.

  • Die sorgfältige Ermittlung und rechtzeitige Verordnung der notwendigen Hilfsmittel ist die Basis der außerklinischen invasiven Beatmung.

  • Die außerklinische Weiterversorgung ist im häuslichen Umfeld oder in spezialisierten Beatmungsheimen und Beatmungswohngemeinschaften möglich.

  • Das Erhalten der Lebensqualität des Patienten sollte in den Planungen der außerklinischen Beatmung in besonderem Maße berücksichtigt werden.

  • Die erste Kontrolle der außerklinischen Beatmung sollte 4 – 8 Wochen nach der Entlassung stationär im betreuenden Beatmungszentrum stattfinden.

 

  • Literatur

  • 1 Nasiłowski J, Wachulski M, Trznadel W et al. The evolution of home mechanical ventilation in poland between 2000 and 2010. Respir Care 2015; 60: 577-585
    CrossrefPubMedGoogle Scholar
  • 2 Lloyd-Owen SJ, Donaldson GC, Ambrosino N et al. Patterns of home mechanical ventilation use in Europe: results from the Eurovent survey. Eur Respir J 2005; 25: 1025-1031
    CrossrefPubMedGoogle Scholar
  • 3 Garner DJ, Berlowitz DJ, Douglas J et al. Home mechanical ventilation in Australia and New Zealand. Eur Respir J 2013; 41: 39-45
    CrossrefPubMedGoogle Scholar
  • 4 Rose L, McKim DA, Katz SL et al. Home mechanical ventilation in Canada: a national survey. Respir Care 2015; 60: 695-704
    CrossrefPubMedGoogle Scholar
  • 5 Esteban A, Anzueto A, Frutos F et al. Mechanical Ventilation International Study Group. Characteristics and outcomes in adult patients receiving mechanical ventilation: a 28-day international study. JAMA 2002; 287: 345-355
    CrossrefPubMedGoogle Scholar
  • 6 Ely EW, Baker AM, Dunagan DP et al. Effect on the duration of mechanical ventilation of identifying patients capable of breathing spontaneously. N Engl J Med 1996; 335: 1864-1869
    CrossrefPubMedGoogle Scholar
  • 7 Schönhofer B, Geiseler J, Dellweg D et al. Prolonged weaning: S2k-guideline published by the German Respiratory Society. Pneumologie 2014; 68: 19-75
    Article in Thieme ConnectPubMedGoogle Scholar
  • 8 Schönhofer B, Euteneuer S, Nava S et al. Survival of mechanically ventilated patients admitted to a specialised weaning centre. Intensive Care Med 2002; 28: 908-916
    CrossrefPubMedGoogle Scholar
  • 9 Funk GC, Anders S, Breyer MK et al. Incidence and outcome of weaning from mechanical ventilation according to new categories. Eur Respir J 2010; 35: 88-94
    CrossrefPubMedGoogle Scholar
  • 10 Windisch W, Walterspacher S, Siemon K et al. Guidelines for non-invasive and invasive mechanical ventilation for treatment of chronic respiratory failure. Published by the German Society for Pneumology (DGP). Pneumologie 2010; 64: 640-652
    Article in Thieme ConnectPubMedGoogle Scholar
  • 11 Randerath WJ, Kamps N, Brambring J et al. Recommendations for invasive home mechanical ventilation. Pneumologie 2011; 65: 72-88
    Article in Thieme ConnectPubMedGoogle Scholar
  • 12 Callegari J, Storre JH. Medical and technical aid for patients receiving home mechanical ventilation. In: Themenheft außerklinische Beatmung. Bad Lippspringe: Atemwegsliga; 2015
    Google Scholar
  • 13 Oczenski W. Atmen - Atemhilfen: Atemphysiologie und Beatmungstechnik. Stuttgart: Thieme; 2012
    Google Scholar
  • 14 Bach JR, Alba AS. Tracheostomy ventilation. A study of efficacy with deflated cuffs and cuffless tubes. Chest 1990; 97: 679-683
    CrossrefPubMedGoogle Scholar
  • 15 Huttmann SE, Windisch W, Storre JH. Invasive Home Mechanical Ventilation: Living Conditions and Health-related Quality of Life. Respiration 2015; 89: 312-321
    CrossrefPubMedGoogle Scholar
  • 16 Nakagawa NK, Macchione M, Petrolino HM et al. Effects of a heat and moisture exchanger and a heated humidifier on respiratory mucus in patients undergoing mechanical ventilation. Crit Care Med 2000; 28: 312-317
    CrossrefPubMedGoogle Scholar
  • 17 Kallet RH. Adjunct therapies during mechanical ventilation: airway clearance techniques, therapeutic aerosols, and gases. Respir Care 2013; 58: 1053-1073
    CrossrefPubMedGoogle Scholar
  • 18 Magnussen H, Kirsten AM, Köhler D et al. Deutsche Gesellschaft Für Pneumologie und Beatmungsmedizin e.V. Guidelines for long-term oxygen therapy. German Society for Pneumology and Respiratory Medicine. Pneumologie 2008; 62: 748-756
    Article in Thieme ConnectPubMedGoogle Scholar
  • 19 Weitzenblum E, Sautegeau A, Ehrhart M et al. Long-term oxygen therapy can reverse the progression of pulmonary hypertension in patients with chronic obstructive pulmonary disease. Am Rev Respir Dis 1985; 131: 493-508
    PubMedGoogle Scholar
  • 20 Bach JR. Management of patients with neuromuscular disease. Philadelphia: Hanley & Belfus; 1990
    Google Scholar
  • 21 Geiseler J, Karg O. Management of secretion in patients with neuromuscular diseases. Pneumologie 2008; 62 (Suppl. 01) 43-48
    Article in Thieme ConnectPubMedGoogle Scholar
  • 22 Shapiro J. Katie Beckett: Patient Turned Home-Care Advocate. Im Internet: http://www.npr.org/templates/story/story.php?storyId=131145687
    PubMedGoogle Scholar
  • 23 BSG. Urteil vom 17.06.2010 - B 3 KR 7/09 R (lexetius.com/2010, 3629).
    PubMedGoogle Scholar
  • 24 King AC. Long-term home mechanical ventilation in the United States. Respir Care 2012; 57: 921-930
    CrossrefPubMedGoogle Scholar
  • 25 Windisch W, Budweiser S, Heinemann F et al. The Severe Respiratory Insufficiency Questionnaire was valid for COPD patients with severe chronic respiratory failure. J Clin Epidemiol 2008; 61: 848-853
    CrossrefPubMedGoogle Scholar
  • 26 Windisch W. Quality of life in home mechanical ventilation study group. Impact of home mechanical ventilation on health-related quality of life. Eur Respir J 2008; 32: 1328-1336
    CrossrefPubMedGoogle Scholar
  • 27 Pehrsson K, Olofson J, Larsson S et al. Quality of life of patients treated by home mechanical ventilation due to restrictive ventilatory disorders. Respir Med 1994; 88: 21-26
    CrossrefPubMedGoogle Scholar
  • 28 Markström A, Sundell K, Lysdahl M et al. Quality-of-Life Evaluation of Patients With Neuromuscular and Skeletal Diseases Treated With Noninvasive and Invasive Home Mechanical Ventilation. Chest 2002; 122: 1695-1700
    CrossrefPubMedGoogle Scholar
  • 29 Dellweg D, Gerhard F, Hoehn E et al. Survey of nursing services with regard to mechanical ventilation at home. Pneumologie 2011; 65: 685-691
    Google Scholar
  • 30 Rathgeber J. Devices used to humidify respired gases. Respir Care Clin N Am 2006; 12: 165-182
    PubMedGoogle Scholar