Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Anasthesiol Intensivmed Notfallmed Schmerzther · Oct 2013
[Weaning from mechanical ventilation: the pneumologist's perspective].
Weaning from mechanical ventilation plays a key-role in modern intensive care medicine: about 40% of all ventilated patients suffer from difficult/prolonged weaning causing about 50% of the total stay on the intensive care unit (ICU). Severe chronic airway, lung and thoracic disorders, neuromuscular diseases and morbid obesity cause respiratory muscle insufficiency and result in respiratory failure with prolonged weaning. In Germany, pneumologists have a wide ranging expertise with this patient cohort and established weaning centers over the past 25 years. This article illustrates the classification, the most important therapeutical strategies and organizational aspects when caring for patients under (long-term) mechanical ventilation from the pneumologist's perspective.
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As a general rule drinking water in hospitals does not represent a risk for the normal patient. However, for high-risk patients with compromised immune defense systems drinking water in hospitals may become a source of nosocomial infections. ⋯ Of particular significance in such circumstances are the Gram-negative rods such as Pseudomonas aeruginosa, Acinetobacter spp. and Legionella bacteria. Accordingly, specific behavior patterns and measures in the handling of drinking water in hospitals are meaningful in order to reduce the risks of water-associated nosocomial infections.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Oct 2013
Editorial Historical Article[In Process Citation].