Mechanische Beatmung in der Neonatologie

Pathophysiologische Grundlagen

Die mechanische Beatmung eines Neugeborenen und insbesondere eines kleinen Frühgeborenen stellt eine besondere Herausforderung dar. Besonders im kranken Zustand, d. h. im Rahmen des Atemnotsyndroms, verträgt die neonatale Lunge nur kleine Tidalvolumina (Abb. [1]). Große Tidalvolumina sind aufgrund der geringen Compliance schwer erreichbar und außerdem schädlich. Aufgrund der lungenmechanisch extremen Situation müssen bei schweren Erkrankungen oftmals die Grenzen der Physik ausgeschöpft werden.

• Literatur

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