TumorDiagnostik & Therapie 2021; 42(02): 130-135
DOI: 10.1055/a-1354-9382
Thieme Onkologie aktuell

Invasive Beatmungstherapie im Sterbeprozess beenden – Schritt für Schritt

Invasive Mechanical Ventilation Therapy in the Dying Process – Step by Step
Jacqueline Schwartz
1   Interdisziplinäres Zentrum für Palliativmedizin, Universitätsklinikum Düsseldorf
,
Stefan Meier
2   Klinik für Anästhesiologie am Universitätsklinikum Düsseldorf
,
Steffen T. Simon
3   Zentrum für Palliativmedizin und Leiter des Palliativmedizinischen Dienstes der Uniklinik Köln
,
Guido Michels
4   Klinik für Akut- und Notfallmedizin, St.-Antonius-Hospital gGmbH, Akademisches Lehrkrankenhaus der RWTH Aachen
› Institutsangaben

Zusammenfassung

Eine invasive mechanische Beatmung kann beendet werden durch sofortige (palliative) Extubation oder durch schrittweise Reduktion der Beatmung mit Belassen des Beatmungszugangs (terminales Weaning). Beide Verfahren sind ethisch gleichwertig und im Alltag durchführbar, sodass individuelle Patientenfaktoren und die Erfahrung des Behandlungsteams ausschlaggebend sind. Im Vordergrund steht immer das Ziel: Patient und Angehörige sollen nicht leiden.

Abstract

Invasive mechanical ventilation can be terminated by immediate (palliative) extubation or by gradual reduction of ventilation with the ventilation access left open (terminal weaning). Both procedures are ethically equivalent and can be performed in everyday life, so that individual patient factors and the experience of the treatment team are decisive. However, the primary goal is to ensure that the patient and relatives do not suffer. This article presents step by step which aspects are relevant: communication, adjust or stop monitoring, selection and implementation of the appropriate procedure, preparatory measures, recognition and treatment of distressing symptoms by means of drug or non-drug therapy options and last but not least accurate documentation.



Publikationsverlauf

Artikel online veröffentlicht:
26. Februar 2021

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