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DOI: 10.1055/s-2007-962988
© Georg Thieme Verlag KG Stuttgart · New York
Ventilatorassoziierte Pneumonien und aktive Atemgaskonditionierung: Gibt es einen gesicherten Zusammenhang?
Publication History
Publication Date:
26 April 2007 (online)
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Zusammenfassung
Die aktive Atemgaskonditionierung steht bei vielen Anwendern in Verdacht, das Auftreten ventilatorassoziierter Pneumonien (VAP) zu begünstigen. Die Untersuchungen zu diesem Thema haben allerdings keinen eindeutigen Vorteil für die passiven Befeuchter gezeigt. Der Vergleich der sehr unterschiedlichen Studien wird durch den differenten Aufbau, die verschiedenen Gerätschaften und deren Einstellung erschwert. Trotzdem hoffen zahlreiche Intensivstationen durch den Einsatz von ausschließlich passiven Befeuchtern einen deutlichen Rückgang der VAP zu erreichen. Oftmals übersehen werden dabei jedoch negative Eigenschaften bzw. Kontraindikationen der auf den ersten Blick einfachen und kostengünstigeren passiven Befeuchtern.
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Norbert Schwabbauer
Intensivstation 3 IS, Medizinische Klinik und Poliklinik der Universität Tübingen
Otfried-Müller-Straße 10
72076 Tübingen
Email: Norbert.Schwabbauer@Med.Uni-Tuebingen.de