Task Force Dyspnoe Unit (DU)

Zusammenfassung

Die akut aufgetretene Dyspnoe ist eines der häufigsten internistischen Symptome in der Notaufnahme. Sie entsteht bei einer akuten Erkrankung oder aus der Exazerbation einer chronischen Erkrankung heraus. Für die Leitsymptome des akuten Schlaganfalls sowie bei akutem Brustschmerz existieren mit den Stroke und Chest Pain Units bereits symptombezogene Notfallstrukturen und entsprechende Strukturvorgaben. Diese fehlen in Deutschland für das Leitsymptom Dyspnoe, obwohl in anderen Ländern der Nutzen dieser Strukturen bereits bewiesen wurde. Die Deutsche Gesellschaft für Pneumologie und Beatmungsmedizin hat nun zusammen mit dem Verband Pneumologischer Kliniken eine Task Force ins Leben gerufen, deren Aufgabe es ist, sich mit dem Thema auseinanderzusetzten und entsprechende Strukturvorgaben solcher „Dyspnoe Units“ für Deutschland zu erarbeiten. Am Ende des Prozesses steht fakultativ die Zertifizierung derartiger Einheiten an deutschen Krankenhäusern.

Abstract

Acute dyspnoea is one of the most common internal medicine symptoms in the emergency department. It arises from an acute illness or from the exacerbation of a chronic illness. Symptom-related emergency structures and corresponding structural guidelines already exist in the stroke and chest pain units for dealing with the leading symptoms of acute stroke and acute chest pain. These are lacking in Germany for the key symptom of dyspnoea, although the benefits of these structures have already been proven in other countries. The German Society for Pneumology and Respiratory Medicine (DGP) has now set up a task force together with the Association of Pneumology Clinics (VPK), in order to deal with the topic and develop appropriate structural guidelines for such “dyspnoea units” in Germany. At the end of the process, the certification of such units at German hospitals is optional.

Schlüsselwörter

Luftnot - respiratorisches Versagen - Hypoxämie - Hyperkapnie - Dyspnoe Unit

Keywords

dyspnea - respiratory failure - hypoxemia - hypercapnea - dyspnoe unit

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