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„Patient self-inflicted lung injury“ (P-SILI): Von der Pathophysiologie zur klinischen Evaluation mit differenziertem Management

The establishment of assisted spontaneous breathing is a phase of ventilation therapy that is generally considered to be beneficial and not dangerous. However, recent findings regarding potential damage from vigorous spontaneous breathing effort should be noticed in patients with acute injured lungs...

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Detalles Bibliográficos
Autores principales: Neetz, Benjamin, Flohr, Thomas, Herth, Felix J. F., Müller, Michael M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Medizin 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8103432/
https://www.ncbi.nlm.nih.gov/pubmed/33961061
http://dx.doi.org/10.1007/s00063-021-00823-2
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author Neetz, Benjamin
Flohr, Thomas
Herth, Felix J. F.
Müller, Michael M.
author_facet Neetz, Benjamin
Flohr, Thomas
Herth, Felix J. F.
Müller, Michael M.
author_sort Neetz, Benjamin
collection PubMed
description The establishment of assisted spontaneous breathing is a phase of ventilation therapy that is generally considered to be beneficial and not dangerous. However, recent findings regarding potential damage from vigorous spontaneous breathing effort should be noticed in patients with acute injured lungs. This syndrome is called patient self-inflicted lung injury. Physicians, nurses and respiratory therapists should be aware of this issue. Parameters that can be determined using esophageal pressure measurement or simple maneuvers on the respirator are helpful when deciding to implement and to monitor assisted spontaneous breathing, even in the acute phases of lung damage. In addition to monitoring, there are therapeutic options for dealing with high respiratory drive or increased breathing effort.
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spelling pubmed-81034322021-05-07 „Patient self-inflicted lung injury“ (P-SILI): Von der Pathophysiologie zur klinischen Evaluation mit differenziertem Management Neetz, Benjamin Flohr, Thomas Herth, Felix J. F. Müller, Michael M. Med Klin Intensivmed Notfmed Pflege The establishment of assisted spontaneous breathing is a phase of ventilation therapy that is generally considered to be beneficial and not dangerous. However, recent findings regarding potential damage from vigorous spontaneous breathing effort should be noticed in patients with acute injured lungs. This syndrome is called patient self-inflicted lung injury. Physicians, nurses and respiratory therapists should be aware of this issue. Parameters that can be determined using esophageal pressure measurement or simple maneuvers on the respirator are helpful when deciding to implement and to monitor assisted spontaneous breathing, even in the acute phases of lung damage. In addition to monitoring, there are therapeutic options for dealing with high respiratory drive or increased breathing effort. Springer Medizin 2021-05-07 2021 /pmc/articles/PMC8103432/ /pubmed/33961061 http://dx.doi.org/10.1007/s00063-021-00823-2 Text en © Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2021 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Pflege
Neetz, Benjamin
Flohr, Thomas
Herth, Felix J. F.
Müller, Michael M.
„Patient self-inflicted lung injury“ (P-SILI): Von der Pathophysiologie zur klinischen Evaluation mit differenziertem Management
title „Patient self-inflicted lung injury“ (P-SILI): Von der Pathophysiologie zur klinischen Evaluation mit differenziertem Management
title_full „Patient self-inflicted lung injury“ (P-SILI): Von der Pathophysiologie zur klinischen Evaluation mit differenziertem Management
title_fullStr „Patient self-inflicted lung injury“ (P-SILI): Von der Pathophysiologie zur klinischen Evaluation mit differenziertem Management
title_full_unstemmed „Patient self-inflicted lung injury“ (P-SILI): Von der Pathophysiologie zur klinischen Evaluation mit differenziertem Management
title_short „Patient self-inflicted lung injury“ (P-SILI): Von der Pathophysiologie zur klinischen Evaluation mit differenziertem Management
title_sort „patient self-inflicted lung injury“ (p-sili): von der pathophysiologie zur klinischen evaluation mit differenziertem management
topic Pflege
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8103432/
https://www.ncbi.nlm.nih.gov/pubmed/33961061
http://dx.doi.org/10.1007/s00063-021-00823-2
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