Indikationen und Outcome beatmeter Patienten einer neurologischen Intensivstation

Steffling, Dagmar; Ritzka, Markus; Jakob, Wolfgang; Steinbrecher, Andreas; Schwab-Malek, Susanne; Kaiser, Bernhard; Hau, Peter; Boy, Sandra; Fuchs, Kornelius; Bogdahn, Ulrich; Schlachetzki, Felix

doi:10.1007/s00115-011-3411-7

Cited by 9 publications

(6 citation statements)

References 25 publications

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“…Steffling et al described in the same cohort that the most relevant indication for intubation was respiratory insufficiency in 32%. Mortality during stay on nICU was 15.4% (31/512) overall, and further 18.8% (32/170) of all survivors died during two months after discharging [ 16 ]. In terms of increasing diagnostic and therapeutic opportunities these results also suggest a need for standardized trials in nICU treatment for further reduction of complication rate, during ventilation and length of stay [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

Inventory of a Neurological Intensive Care Unit: Who Is Treated and How Long?

Backhaus

Aigner

Schlachetzki

et al. 2015

Neurology Research International

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Purpose. To characterize indications, treatment, and length of stay in a stand-alone neurological intensive care unit with focus on comparison between ventilated and nonventilated patient. Methods. We performed a single-center retrospective cohort study of all treated patients in our neurological intensive care unit between October 2006 and December 2008. Results. Overall, 512 patients were treated in the surveyed period, of which 493 could be included in the analysis. Of these, 40.8% had invasive mechanical ventilation and 59.2% had not. Indications in both groups were predominantly cerebrovascular diseases. Length of stay was 16.5 days in mean for ventilated and 3.6 days for nonventilated patient. Conclusion. Most patients, ventilated or not, suffer from vascular diseases with further impairment of other organ systems or systemic complications. Data reflects close relationship and overlap of treatment on nICU with a standardized stroke unit treatment and suggests, regarding increasing therapeutic options, the high impact of acute high-level treatment to reduce consequential complications.

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Section: Discussionmentioning

confidence: 99%

Inventory of a Neurological Intensive Care Unit: Who Is Treated and How Long?

Backhaus

Aigner

Schlachetzki

et al. 2015

Neurology Research International

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“…В группе пациентов с тяжестью инсульта 20 и более баллов при старте РП (рис. 7) гипервентиляция ассоци (11,43) 16 (14,16) 0 (0,00) 5 (41,67) 60 (5,24) 3 85 (11,33) 69 (28,16) 11 (9,73) 0 (0,00) 0 (0,00) 165 (14,42) 4 108 (14,40) 15 (6,12) 1 (0,88) 4 (16,67) 2 (16,67) 130 (11,36) 5 31 (4,13) 18 (7,35) 3 (2,65) 0 (0,00) 1 (8,33) 53 (4,63) Таблица 9. Структура исходов по шкале GOS в зависимости от методов оценки ВЧД, n (%) Объяснение полученного результата заложено, в частности, в доктрине Монро-Келли, согласно кото рой кривая зависимости объема содержимого полости черепа и ВЧД имеет вид экспоненциальной кривой.…”

Section: материалы и методыunclassified

“…Дискуссия идет о наиболее безопасном примене нии вентиляции легких в структуре лечения больных с острой церебральной недостаточностью (ОЦН). Науч ные изыскания по данной проблеме представлены лишь единичными когортными исследованиями [11][12][13][14][15][16].…”

Section: Introductionunclassified

Russian multicenter observational clinical study “Register of respiratory therapy for patients with stroke (RETAS)”: a comparative analysis of the outcomes of stroke during mechanical ventilation

Ершов

Belkin

Zabolotskikh

et al. 2020

Annals of Critical Care

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Introduction. Stroke has a high prevalence and mortality rate. Examining the impact of patient treatment on disease outcomes is particularly important for decision making in clinical practice. Obj'ectives. To analyze the treatment of patients with severe stroke requiring respiratory support, and identify predictors of death. Materials and methods. A multicenter observational clinical study “REspiratory Therapy for Acute Stroke” (RETAS) was conducted under the aegis of the “Federation of Anaesthesiologists and Reanimatologists” (FAR). The study involved 14 clinical centers and included 1289 stroke patients with respiratory support. Results. We found that initial hypoxemia in the 28-day period was associated with high mortality (in patients with 20 or more NIH scores) (p = 0.004). Risk factors for lethal outcome: hyperventilation used to relieve intracranial hypertension (in patients with 20 or more NIH scores) (p = 0.0336); volume-controlled ventilation (VC) versus pressure-controlled ventilation (PC) (in patients with 20 or more NIH scores) (p < 0.001); use of clinical methods for monitoring ICP in comparison with instrumental ones (p < 0.001). We found that the use of standard respiratory status monitoring scales (CPIS, LIS, etc.) was associated with a decrease in mortality (p < 0.001). Conclusions. We identified risk factors that increase mortality in patients with acute stroke with respiratory support: initial hypoxemia, lack of instrumental monitoring of ICP and monitoring of respiratory status according to standard scales, the use of hyperventilation, as well as volume-controlled ventilation.

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“…Возраст пациентов старше 65 лет в сочетании с ИВЛ сроком более 3 сут считается независимым предиктором летального исхода в течение 2 мес от начала заболевания. Несмотря на то что 40% пациентов с ОНМК старше 65 лет после проведения ИВЛ выживают в течение полугода и более, только каждый 4-й из них восстанавливается до хорошего функционального исхода с сохранным уровнем интеллекта [4,5].…”

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An analysis of outcomes in respiratory therapy in patients with acute stroke

Likholetova

Горбачев

2018

Z. nevrol. psikhiatr. im. S.S. Korsakova

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In 44,6% of cases, the reason for transferring patients to mechanical ventilation was a worsening of neurological status; 69,1% of patients underwent prolonged respiratory support for a period of 3 days to 2 weeks. 54.2% of patients died. Half of the surviving patients had a severe disability. In patients of the older age group, the risk of an unfavorable outcome increased. Mortality increased and the rehabilitation potential decreased with the increase of age and duration of respiratory care. The results point to the need to create a unified concept for carrying out artificial ventilation of the lungs in patients of older age groups taking into account clinical and economic feasibility.

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Indikationen und Outcome beatmeter Patienten einer neurologischen Intensivstation

Cited by 9 publications

References 25 publications

Inventory of a Neurological Intensive Care Unit: Who Is Treated and How Long?

Inventory of a Neurological Intensive Care Unit: Who Is Treated and How Long?

Russian multicenter observational clinical study “Register of respiratory therapy for patients with stroke (RETAS)”: a comparative analysis of the outcomes of stroke during mechanical ventilation

An analysis of outcomes in respiratory therapy in patients with acute stroke

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