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Sedationspause bei volatilen Narkotika anhand des AnaConDa Systems

Sedationspause bei volatilen Narkotika anhand des AnaConDa Systems

          
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About the Book

Diplomarbeit aus dem Jahr 2015 im Fachbereich Pflegewissenschaften, Note: 2.0, Sprache: Deutsch, Abstract: Der Sedationsstopp wurde in den letzten Monaten wieder vermehrt in Fachzeitschriften und auf Kongressen diskutiert. Die Wichtigkeit und Durchführung dieser Massnahme ist mittlerweile unumstritten. Vielmehr stehen die Substanzen (Wirkung und Kombination) und deren Handhabung im Fokus. Zur gängigsten Applikation der Analgosedation (intravenös) gibt es mittlerweile eine gute Datenlage und genaue Empfehlungen, wie diese zu pausieren sind. Inhalative Sedationsmöglichkeiten sind bisher nur aus der Anästhesie bekannt. In den letzten 10 Jahren haben diese Verfahren aber zunehmend Einzug in die Behandlung von Patienten auf Intensivstationen in ganz Europa gefunden. Nach anfänglicher Skepsis und mangels intensivmedizinischer Zulassung (Off-Label-Use), scheint sich diese Behandlungsoption aber mittlerweile als echte Alternative für bestimmte Indikationen zu etablieren. Die AnaConDa(R) ist das erste und bisher einzige System, welches eine inhalative Sedierung ausserhalb des OP's ermöglicht (Bösel & Steiner, 2010). Seitdem hat sich die Anwendung des AnaConDa(R)-Systems zur inhalativen Sedation mit Isofluran und Sevofluran (...) deutlich weiterentwickelt. Richtungsweisend ist auch die Aufnahme dieser alternativen Inhalationssedierung in die S3-Leitlinie zur Sedierung der DIVI und DGAI von 2010 (Bösel & Steiner, 2010). Ein weiteres gutes Argument liefert Prof. Weber (2012) " Während der inhalativen Sedierung können wir Patienten permanent aufwecken, das ist etwas anderes als die schwer zu unterbrechende intravenöse Sedierung. Mit dem Gas wird praktisch ein permanenter Wake up-Call mit Spontanatmungsversuchen induziert". Auch an meinem Arbeitsplatz wird vermehrt auf die inhalative Sedation zurückgegriffen. Der Sedationsstopp bei Verwendung der inhalativen Sedationstechnik steht bei uns konzeptionell noch in Ausarbeitung. Diese Diplomarbeit soll diese Bemühungen komplettieren und


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Product Details
  • ISBN-13: 9783668004016
  • Publisher: Grin Verlag
  • Publisher Imprint: Grin Verlag
  • Height: 210 mm
  • No of Pages: 32
  • Series Title: German
  • Weight: 54 gr
  • ISBN-10: 3668004013
  • Publisher Date: 17 Aug 2015
  • Binding: Paperback
  • Language: German
  • Returnable: N
  • Spine Width: 2 mm
  • Width: 148 mm


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