Download PDF
Dtsch Med Wochenschr 2017; 142(02): 130-134
DOI: 10.1055/s-0042-120485
Standpunkt
© Georg Thieme Verlag KG Stuttgart · New York

Die Atemfrequenz – ein vernachlässigter Vitalparameter

Respiratory Rate – a Neglected Vital Sign
Ulrich Koehler
,
Olaf Hildebrandt
,
Friederike Sophie Magnet
,
Jan Hendrik Storre
,
Wolfram Grimm
Further Information

Publication History

Publication Date:
23 January 2017 (online)

Also available at
    Permissions and Reprints

Das Monitoring von Hämodynamik und Respiration ist bei instabilen und postoperativen Patienten von grundlegender Bedeutung. Während sich die hämodynamische Situation durch die Parameter Herzfrequenz und Blutdruck vergleichsweise gut beurteilen lässt, werden Messparameter wie die Atemfrequenz zur Risikostratifizierung der Atmung nicht hinreichend genutzt.

 

  • Literatur

  • 1 Cretikos MA. Bellomo R. Hillman K. et al. Respiratory rate: the neglected vital sign. Med J Aust 2008; 188: 657-659
    CrossrefPubMedGoogle Scholar
  • 2 Aujesky D. Roy PM. Le Manach CP. et al. Validation of a model to predict adverse outcomes in patients with pulmonary embolism. Eur Heart J 2006; 27: 476-481
    CrossrefPubMedGoogle Scholar
  • 3 Cretikos M. Chen J. Hilman K. et al. The objective medical emergency team activation criteria: A case-control study. Resuscitation 2007; 73: 62-72
    CrossrefPubMedGoogle Scholar
  • 4 Hortmann M. Heppner HH. Popp S. et al. Reduction of mortality in community-acquired pneumonia after implementing standardized care bundles in the emergency department. Eur J Emerg Med 2014; 21: 429-435
    PubMedGoogle Scholar
  • 5 Schein RM. Hazday N. Pena M. et al. Clinical antecedents to in-hospital cardiopulmonary arrest. Chest 1990; 98: 1338-1392
    PubMedGoogle Scholar
  • 6 Strauß R. Ewig S. Richter K. et al. The prognostic significance of respiratory rate in patients with pneumonia – a retrospective analysis of data from 705928 hospitalized patients in Germany from 2010–2012. Dtsch Ärztebl Int 2014; 111: 503-508
    PubMedGoogle Scholar
  • 7 Kenzaka T. Okayama M. Kuroki S. et al. Importance of vital signs to the early diagnosis and severity of sepsis: association between vital signs and sequential organ failure assessment score in patients with sepsis. Intern Med 2012; 51: 871-876
    CrossrefPubMedGoogle Scholar
  • 8 Abisheganaden J. Ding YY. Chong WF. et al. Predicting mortality among older adults hospitalized for community-acquired pneumonia: an enhanced confusion, urea, respiratory rate and blood pressure score compared with pneumonia severity index. Respirology 2012; 17: 969-975
    CrossrefPubMedGoogle Scholar
  • 9 Ljunggren M. Castrén M. Nordberg M. et al. The association between vital signs and mortality in a retrospective cohort study of an unselected emergency department population. Scand J Trauma Resusc Emerg Med 2016; 24: 21
    CrossrefPubMedGoogle Scholar
  • 10 Cardoso FS. Karvellas CJ. Kneteman NM. et al. Respiratory rate at intensive care unit discharge after liver transplant is an independent risk factor for intensive care unit readmission within the same hospital stay: a nested case-control study. J Crit Care 2014; 29: 791-796
    CrossrefPubMedGoogle Scholar
  • 11 Barfod C. Lauritzen MM. Danker JK. et al. Abnormal vital signs are strong predictors for intensive care unit admission and in-hospital mortality in adults triaged in the emergency department – a prospective cohort study. Scand J Trauma Resusc Emerg Med 2012; 20: 28
    CrossrefPubMedGoogle Scholar
  • 12 National Patient Safety Agency. Recognising and responding appropriately to early signs of deteriorations in hospitalized patients. 2007 Im Internet: http://www.nrls.npsa.nhs.uk/EasySiteWeb/getresource.axd?AssetID=60151 Letzter Zugriff: 8.11.2016
    PubMedGoogle Scholar
  • 13 Aust HJ. Kranke P. Eberhart LH. et al. Impact of medical training and clinical experience on the assessment of oxygenation and hypoxaemia after general anaesthesia: an observational study. J Clin Monit Comput 2015; 29: 415-426
    CrossrefPubMedGoogle Scholar
  • 14 Kelley SD. Ramsay MA. Respiratory rate monitoring: Characterizing performance for emerging technologies. Anesth Analg 2014; 119: 1246-1248
    CrossrefPubMedGoogle Scholar
  • 15 Ouchi K. Fujiwara S. Sugiyama K. Acoustic method respiratory rate monitoring is useful in patients under intraveneous anesthesia. J Clin Monit Comput 2016; DOI: 10.1007/s10877-015-9822-4.
    CrossrefPubMedGoogle Scholar
  • 16 Schudt F. Gross V. Weissflog A. et al. Estimation of Respiratory Flow by Means of Normal Lung Sound. eHealth 2014; 198: 232-237
    PubMedGoogle Scholar
  • 17 Lee PJ. Clinical evaluation of a novel respiratory rate monitor. J Clin Monit Comput 2016; 30: 175-183
    PubMedGoogle Scholar
  • 18 Mimoz O. Benard T. Gaucher A. et al. Accuracy of respiratory rate monitoring using a non-invasive acoustic method after general anaesthesia. Br J Anaesth 2012; 108: 872-875
    CrossrefPubMedGoogle Scholar
  • 19 Kabitz HJ. Windisch W. Diagnostik der Atemmuskelfunktion: State oft the Art. Pneumologie 2007; 61: 582-587
    Article in Thieme ConnectPubMedGoogle Scholar
  • 20 Becker HF. Piper AJ. Flynn WE. et al. Breathing during sleep in patients with nocturnal desaturation. Am J Respir Crit Care Med 1999; 159: 112-118
    CrossrefPubMedGoogle Scholar