{"id":12389,"date":"2020-10-28T04:14:02","date_gmt":"2020-10-28T03:14:02","guid":{"rendered":"http:\/\/news-papers.eu\/?p=12389"},"modified":"2020-10-24T20:41:02","modified_gmt":"2020-10-24T18:41:02","slug":"neue-empfehlungen-zum-physiological-difficult-airway-teil-3","status":"publish","type":"post","link":"https:\/\/news-papers.eu\/?p=12389","title":{"rendered":"Neue Empfehlungen zum &#8222;Physiological Difficult Airway&#8220; &#8211; Teil 3"},"content":{"rendered":"<p style=\"text-align: justify;\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"4947\" data-permalink=\"https:\/\/news-papers.eu\/?attachment_id=4947\" data-orig-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/06\/Monitoring.jpg?fit=1280%2C720&amp;ssl=1\" data-orig-size=\"1280,720\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Monitoring\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/06\/Monitoring.jpg?fit=1024%2C576&amp;ssl=1\" class=\"size-medium wp-image-4947 alignright\" src=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/06\/Monitoring.jpg?resize=300%2C169\" alt=\"\" width=\"300\" height=\"169\" srcset=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/06\/Monitoring.jpg?resize=300%2C169&amp;ssl=1 300w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/06\/Monitoring.jpg?resize=768%2C432&amp;ssl=1 768w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/06\/Monitoring.jpg?resize=1024%2C576&amp;ssl=1 1024w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/06\/Monitoring.jpg?resize=750%2C422&amp;ssl=1 750w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/06\/Monitoring.jpg?w=1280&amp;ssl=1 1280w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/>Schauen wir heute doch noch mal etwas genauer in die neuen Empfehlungen zum Vorgehen f\u00fcr den &#8222;physiologisch schwierigen Atemweg&#8220;:<\/p>\n<blockquote>\n<p style=\"text-align: justify;\"><strong>Kornas RL et al. Evaluation and Management of the Physiologically\u00a0Difficult Airway: Consensus Recommendations From Society for Airway Management. Anesthesia Analgesia 2020, online<\/strong><\/p>\n<\/blockquote>\n<p><strong>Zum Thema &#8222;Hypotension&#8220; finden sich folgende detaillierten Empfehlungen:\u00a0<\/strong><\/p>\n<ol>\n<li>Patienten sollten einen intraven\u00f6sen Zugang haben, der f\u00fcr eine schnelle Fl\u00fcssigkeitsverabreichung vor der Intubation ausreicht.<\/li>\n<li>Patienten sollten auf ein hohes Risiko eines h\u00e4modynamischen Kollapses im Rahmen der Intubation untersucht werden. Patienten mit einem Shock Index &gt;0,7 haben ein erh\u00f6htes Risiko.<\/li>\n<li>Hypotonische Patienten aufgrund eines obstruktiven Schocks infolge eines akuten oder akut-auf-chronischen rechtsventrikul\u00e4ren Versagens sollten gem\u00e4\u00df den RV-Versagensrichtlinien behandelt werden.<\/li>\n<li>Fl\u00fcssigkeitsempfindliche und -tolerante Patienten sollten vor der Intubation oder zumindest w\u00e4hrend des Intubationsversuchs mit Volumensubstitution behandelt werden.<\/li>\n<li>Wenn m\u00f6glich, sollte bei Patienten, die nicht auf das Volumen ansprechen oder nicht fl\u00fcssigkeitstolerant sind, noch vor der Intubation eine Vasopressorinfusionen begonnen werden.<\/li>\n<li>Wenn Vasopressorinfusionen nicht m\u00f6glich sind, sollten bolusdosierte Vasopressoren zur Verf\u00fcgung stehen und verwendet werden, um den systemischen Druck w\u00e4hrend und nach der Intubation aufrechtzuerhalten, bis eine Infusion begonnen werden kann.<\/li>\n<li>Wenn bolusdosierte Vasopressoren verwendet werden, sollte verd\u00fcnntes Adreanalin als Vasopressor der Wahl bei Patienten mit eingeschr\u00e4nkter Herzfunktion in Betracht gezogen werden.<\/li>\n<li>Es sollten h\u00e4modynamisch neutrale Induktionsmittel verwendet werden.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Schauen wir heute doch noch mal etwas genauer in die neuen Empfehlungen zum Vorgehen f\u00fcr den &#8222;physiologisch schwierigen Atemweg&#8220;: Kornas RL et al. Evaluation and Management of the Physiologically\u00a0Difficult Airway: [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":4947,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"__cvm_playback_settings":[],"__cvm_video_id":"","jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"_wpas_customize_per_network":false},"categories":[3],"tags":[1363,1128,443],"class_list":["post-12389","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-atemwegsmanagement","tag-hypotension","tag-intubation","tag-monitoring"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/06\/Monitoring.jpg?fit=1280%2C720&ssl=1","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p7fR2g-3dP","jetpack-related-posts":[{"id":12381,"url":"https:\/\/news-papers.eu\/?p=12381","url_meta":{"origin":12389,"position":0},"title":"Neue Empfehlungen zum &#8222;Physiological Difficult Airway&#8220; &#8211; Teil 1","author":"Michael Bernhard","date":"Oktober 24, 2020","format":false,"excerpt":"Mehrere internationale Atemwegsgesellschaften haben Richtlinien f\u00fcr das Management des schwierigen Atemweges erstellt. Bei kritisch kranken Patienten gibt es physiologische St\u00f6rungen, die \u00fcber einen unzureichenden Schutz der Atemwege oder eine Hypox\u00e4mie hinausgehen. Diese Risikofaktoren tragen zu den \"physiologisch schwierigen Atemwegen\" bei und sind mit Komplikationen wie Herzstillstand und Tod verbunden. Wichtig\u2026","rel":"","context":"In &quot;Atemwegsmanagement&quot;","block_context":{"text":"Atemwegsmanagement","link":"https:\/\/news-papers.eu\/?cat=3"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/03\/Ikone_Atemwegsregister.jpg?fit=480%2C479&ssl=1&resize=350%2C200","width":350,"height":200},"classes":[]},{"id":12394,"url":"https:\/\/news-papers.eu\/?p=12394","url_meta":{"origin":12389,"position":1},"title":"Neue Empfehlungen zum &#8222;Physiological Difficult Airway&#8220; &#8211; Teil 4","author":"Michael Bernhard","date":"Oktober 30, 2020","format":false,"excerpt":"Schauen wir heute doch noch mal etwas genauer in die neuen Empfehlungen zum Vorgehen f\u00fcr den \"physiologisch schwierigen Atemweg\": Kornas RL et al. Evaluation and Management of the Physiologically\u00a0Difficult Airway: Consensus Recommendations From Society for Airway Management. 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Anesthesia Analgesia 2020, online Zum Thema \"Metabolische Azidose\" finden sich folgende detaillierten Empfehlungen:\u00a0\u2026","rel":"","context":"In &quot;Atemwegsmanagement&quot;","block_context":{"text":"Atemwegsmanagement","link":"https:\/\/news-papers.eu\/?cat=3"},"img":{"alt_text":"Azidose","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2020\/11\/citron-154449_1280-e1602840867642.png?fit=600%2C631&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2020\/11\/citron-154449_1280-e1602840867642.png?fit=600%2C631&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2020\/11\/citron-154449_1280-e1602840867642.png?fit=600%2C631&ssl=1&resize=525%2C300 1.5x"},"classes":[]},{"id":12385,"url":"https:\/\/news-papers.eu\/?p=12385","url_meta":{"origin":12389,"position":3},"title":"Neue Empfehlungen zum &#8222;Physiological Difficult Airway&#8220; &#8211; Teil 2","author":"Michael Bernhard","date":"Oktober 26, 2020","format":false,"excerpt":"Schauen wir heute doch noch mal etwas genauer in die neuen Empfehlungen zum Vorgehen f\u00fcr den \"physiologisch schwierigen Atemweg\": Kornas RL et al. 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Das RTH-Team bringt den Schlittenlenker - einen geriatrischen, offensichtlich \u00fcbergewichtigen, ateminsuffizienten, m\u00e4nnlichen\u2026","rel":"","context":"In &quot;Atemwegsmanagement&quot;","block_context":{"text":"Atemwegsmanagement","link":"https:\/\/news-papers.eu\/?cat=3"},"img":{"alt_text":"Difficult Airway Bauch und Bart","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/12\/Bildschirmfoto-2017-12-22-um-23.23.46.png?fit=1200%2C489&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/12\/Bildschirmfoto-2017-12-22-um-23.23.46.png?fit=1200%2C489&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/12\/Bildschirmfoto-2017-12-22-um-23.23.46.png?fit=1200%2C489&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/12\/Bildschirmfoto-2017-12-22-um-23.23.46.png?fit=1200%2C489&ssl=1&resize=700%2C400 2x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/12\/Bildschirmfoto-2017-12-22-um-23.23.46.png?fit=1200%2C489&ssl=1&resize=1050%2C600 3x"},"classes":[]},{"id":1717,"url":"https:\/\/news-papers.eu\/?p=1717","url_meta":{"origin":12389,"position":5},"title":"Neue skandinavische Empfehlung zum pr\u00e4hospitalem Atemwegsmanagement","author":"Michael Bernhard","date":"Juli 9, 2016","format":false,"excerpt":"Marius Rehn (London\u00b4s Air Ambulance, Royal London Hospital) und Kollegen publizierten eine aktuelle Empfehlung zum pr\u00e4hospitalen Atemwegsmanagement der Skandinavischen Gesellschaft f\u00fcr An\u00e4sthesiologie und Intensivmedizin (SSAI, Scandinavian Society of Anaesthesiology and intensive care medicine): Rehn M, et al. 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