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CC BY-NC-ND 4.0 · Klin Padiatr 2024; 236(02): 57-63
DOI: 10.1055/a-2235-7805
Diagnostic and Treatment Recommendation

Notfallpläne zum Management von Notfällen bei Kindern mit außerklinischer Beatmung

Emergency Care Plans for the Management of Emergencies in Children on Home Mechanical Ventilation
Florian Stehling
1   Pediatric Pulmonology and Sleep Medicine, Cystic Fibrosis Center, University Hospital Essen, Essen, Germany
,
Anke Wendt
2   Department of Pediatric Respiratory Medicine, Immunology and Critical Care Medicine, Charite University Hospital Berlin, Berlin, Germany
,
Michael Berger
3   Division of Pediatric Surgery, Department of General, Abdominal and Transplant Surgery, University Hospital Essen, Essen, Germany
,
Sebastian Kerzel
4   Department of Pediatric Pneumology and Allergy, University Hospital Regensburg, Regensburg, Germany
,
Dejan Vlajnic
5   Department of Pediatrics, Vest Children's Hospital Datteln, Datteln, Germany
,
Hans Fuchs
6   Center for Pediatrics, Department of Neonatology, Medical Center, University of Freiburg, Freiburg im Breisgau, Germany
,
Lennart Gunst
6   Center for Pediatrics, Department of Neonatology, Medical Center, University of Freiburg, Freiburg im Breisgau, Germany
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Zusammenfassung

Die chronisch respiratorische Insuffizienz wird auch in der Pädiatrie zunehmend ambulant mit außerklinischer Beatmung behandelt. Die oft komplex, erkrankten Kinder werden in der Häuslichkeit durch pflegerische und ärztliche Teams unterschiedlichster Zusammensetzung betreut. Strukturierte Behandlungsprozesse, speziell Notfallpläne zum Management des respiratorischen Notfalls von außerklinisch beatmeten Kindern fehlen. Dieser Beitrag ist ein Vorschlag zum Notfallmanagement bei Atemwegsinfekten, Notfällen bei außerklinisch nicht-invasiv-beatmeten und invasiv-beatmeten, tracheotomierten Kindern. Neben den Reanimationsmaßnahmen nach ERC/AHA liegt der Schwerpunkt vor allem auf dem Sekretmanagement, aber auch dem Umgang mit Beatmungsgeräten und Devices.

Abstract

In pediatrics chronic respiratory insufficiency is increasingly treated on an outpatient basis with home mechanical ventilation. Nursing and medical teams with different structures take care of the often complex ill children in the outpatient setting. Structured treatment processes, especially emergency plans for the management of respiratory emergencies of home mechanical ventilated children are lacking. This article is a proposal for emergency management of respiratory infections, emergencies of non-invasively ventilated and invasively ventilated, tracheotomized children. In addition to resuscitation measures according to ERC/AHA, the focus is primarily on secretion management, as well as on the handling of ventilators and devices.

Schlüsselwörter

Notfall - Kinder - Heimbeatmung - außerklinische Beatmung - Tracheostoma - Trachealkanüle

Key words

Emergency - children - home mechanical ventilation - tracheostomy - tracheal cannula


Publication History

Article published online:
29 January 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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