Die ersten 24 Stunden: Die akute Dyspnoe

Zusammenfassung

Notfallpatienten mit akuter Dyspnoe sind häufig und erfordern effiziente Sofortdiagnostik und prompte Therapie. Die ersten 24 h sind bestimmt von Stabilisierung der Vitalfunktionen, zielgerichteter Anamnese mit körperlicher Untersuchung, sowie aparativer Diagnostik, einschl. Labor. Kardio-vaskuläre, pulmonale oder andere Ätiologien müssen adäquat erkannt und behandelt werden. Hierzu werden die wesentlichen diagnostischen Schritte dargestellt. Das aktuelle therapeutische Management wird für drei häufige Erkrankungen zusammengefasst.

Abstract

Acute dyspnea is a common presentation in the emergency department. Immediate diagnostic strategy and efficient management is crucial. Therefore, a diagnostic work up consisting of a brief medical history, physical examination and technical investigations, including laboratory tests, is presented. Identification of the cardio-vascular, pulmonary or other etiology enables the initiation of adequate therapy. This is outlined in detail for three common entities.

Schlüsselwörter

Dyspnoe - akute respiratorische Insuffizienz - Lungenembolie - ambulant erworbene Pneumonie - COPD - Notfall - Management

Keywords

Dyspnea - acute respiratory failure - pulmonary embolism - community-acquired pneumonia - COPD - emergency department - management

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