Lungenersatzverfahren

Johannes Bickenbach

doi:10.1055/a-0648-9643

Journal Club AINS, Inhaltsverzeichnis

Journal Club AINS 2018; 07(03): 166-176
DOI: 10.1055/a-0648-9643

CME-Fortbildung

Lungenersatzverfahren

Johannes Bickenbach

Verantwortlicher Herausgeber dieser Rubrik: Wissenschaftlich verantwortlich gemäß Zertifizierungsbestimmungen für diesen Beitrag ist PD Dr. med. Johannes Bickenbach, Aachen.

Abstract

Lungenersatz- bzw. Lungenunterstützungsverfahren dienen der partiellen oder vollständigen Sicherstellung der Gasaustauschfunktion der Lunge, wobei die Lungenersatzverfahren letztlich nur eine überbrückende Therapie darstellen. In diesem Artikel werden strategische Prinzipien der Beatmungstherapie und Anwendungsgebiete von Lungenersatzverfahren sowie Praxistipps zusammengefasst.

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Referenzen

Literatur
1 Vitacca M, Ambrosino N, Clini E. et al. Physiological response to pressure support ventilation delivered before and after extubation in patients not capable of totally spontaneous autonomous breathing. Am J Respir Crit Care Med 2001; 164: 638-641
2 Westhoff M, Schönhofer B, Neumann P. et al. Nicht-invasive Beatmung als Therapie der akuten respiratorischen Insuffizienz. Pneumologie 2015; 69: 719-756
3 Ranieri VM, Rubenfeld GD. et al. ARDS Definition Task Force. Acute respiratory distress syndrome: the Berlin Definition. JAMA 2012; 307: 2526-2533
4 Esteban A, Anzueto A, Frutos F. Mechanical Ventilation International Study Group. et al. Characteristics and outcomes in adult patients receiving mechanical ventilation: a 28-day international study. JAMA 2002; 287: 345-355
5 ARDS Network. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med 2000; 342: 1301-1308
6 Amato MB, Meade MO, Slutsky AS. et al. Driving pressure and survival in the acute respiratory distress syndrome. N Engl J Med 2015; 372: 747-755
7 Moerer O, Hahn G, Quintel M. Lung impedance measurements to monitor alveolar ventilation. Curr Opin Crit Care 2011; 17: 260-267
8 Bein T, Weber-Carstens S, Goldmann A. et al. Lower tidal volume strategy (≈ 3 ml/kg) combined with extracorporeal CO₂ removal versus ‘conventional’ protective ventilation (6 ml/kg) in severe ARDS: the prospective randomized Xtravent-study. Intensive Care Med 2013; 39: 847-856
9 Muller T, Lubnow M, Philipp A. et al. Extracorporeal pumpless interventional lung assist in clinical practice: determinants of efficacy. Eur Respir J 2009; 33: 551-558
10 Munoz-Bendix C, Beseoglu K, Kram R. Extracorporeal decarboxylation in patients with severe traumatic brain injury and ARDS enables effective control of intracranial pressure. Crit Care 2015; 19: 381
11 Zimmermann M, Bein T, Arlt M. et al. Pumpless extracorporeal interventional lung assist in patients with acute respiratory distress syndrome: a prospective pilot study. Crit Care 2009; 13: R10
12 Jeffries RG, Lund L, Frankowski B. et al. An extracorporeal carbon dioxide removal (ECCO₂R) device operating at hemodialysis blood flow rates. Intensive Care Med Exp 2017; 5: 41
13 Karagiannidis C, Kampe KA, Sipmann FS. et al. Veno-venous extracorporeal CO₂ removal for the treatment of severe respiratory acidosis: pathophysiological and technical considerations. Crit Care 2014; 18: R124
14 Sklar MC, Beloncle F, Katsios CM. et al. Extracorporeal carbon dioxide removal in patients with chronic obstructive pulmonary disease: a systematic review. Intensive Care Med 2015; 41: 1752-1762
15 Braune S, Sieweke A, Brettner F. et al. The feasibility and safety of extracorporeal carbon dioxide removal to avoid intubation in patients with COPD unresponsive to noninvasive ventilation for acute hypercapnic respiratory failure (ECLAIR study):multicentre case-control study. Intensive Care Med 2016; 42: 1437-1444
16 AWMF – Arbeitsgemeinschaft der Wissenschaftlich-Medizinischen Fachgesellschaften. S3-Leitlinie Invasive Beatmung und Einsatz extrakorporaler Verfahren bei akuter respiratorischer Insuffizienz. AWMF Leitlinien-Register Nr. 001/021. Im Internet: http://www.awmf.org/uploads/tx_szleitlinien/001-021l_S3_Invasive_Beatmung_2017-12.pdf ; Stand: 28.03.2018
17 Davies A, Jones D, Bailey M. et al. Australia and New Zealand Extracorporeal Membrane Oxygenation (ANZ ECMO) Influenza Investigators. Extracorporeal membrane oxygenation for 2009 influenza A(H1N1) acute respiratory distress syndrome. JAMA 2009; 302: 1888-1895
18 Peek GJ, Mugford M, Tiruvoipati R. et al. Efficacy and economic assessment of conventional ventilatory support versus extracorporeal membrane oxygenation for severe adult respiratory failure (CESAR): a multicentre randomised controlled trial. Lancet 2009; 374: 1351-1363
19 Fitzgerald M, Millar J, Blackwood B. et al. Extracorporeal carbon dioxide removal for patients with acute respiratory failure secondary to the acute respiratory distress syndrome: a systematic review. Crit Care 2014; 18: 222