Inhaltsverzeichnis
Allgemeiner TeilZugänge
Venöse Zugänge....................................................................................................................................24Arterielle Zugänge .................................................................................................................................34
Atemwegsmanagement ...........................................................................................................38Beatmung (Grundlagen, Formen) ...........................................................................................65Nicht-Invasive Beatmung (NIV) ...............................................................................................90Weaning ..................................................................................................................................99Tracheotomie .........................................................................................................................108Analgosedierung ...................................................................................................................115Hämodynamisches Monitoring ..............................................................................................129Kreislauftherapie
Volumentherapie ..................................................................................................................................153Katecholamintherapie ..........................................................................................................................157
Schock ...................................................................................................................................159Ernährung kritisch kranker Patienten ....................................................................................166Reanimation
Reanimation Neugeborener.................................................................................................................179Reanimation Erwachsener...................................................................................................................185
Spezieller Teil
KardIologIeAkutes Koronarsyndrom ........................................................................................................210Kardiogener Schock ..............................................................................................................241Herzrhythmusstörungen ........................................................................................................253Endokarditis ...........................................................................................................................294Myokarditis ............................................................................................................................308Hypertensive Krise ................................................................................................................311
angIologIeAkute Lungenembolie ............................................................................................................316Akutes Aortensyndrom ..........................................................................................................339
PulmologIeARDS ....................................................................................................................................348Pulmonale Hypertonie ...........................................................................................................377Akutes Rechtsherzversagen .................................................................................................385Obstruktive Lungenerkrankungen
Status asthmaticus ..............................................................................................................................393Exazerbierte COPD .............................................................................................................................397
Bronchiale Blutung ................................................................................................................490
gastroenterologIeGastrointestinale Blutungen
Obere GI-Blutungen.............................................................................................................................408Untere GI-Blutungen ............................................................................................................................434
Akute Pankreatitis .................................................................................................................443Magen-Darm-Atonie ..............................................................................................................467Komplikationen der Leberzirrhose
Portale Hypertension ...........................................................................................................................474Aszites .................................................................................................................................................478Spontan-bakterielle Peritonitis .............................................................................................................482Hepatorenales Syndrom ......................................................................................................................484Hepatische Enzephalopathie ...............................................................................................................486Hepatopulmonales Syndrom ...............................................................................................................489Hepatischer Hydrothorax .....................................................................................................................489Spontan-bakterielles Empyem .............................................................................................................490
Akutes Leberversagen ..........................................................................................................491Akute mesenteriale Ischämie.................................................................................................509
endoKrInologIeEndokrinologische Notfälle
Diabetisches Koma ..............................................................................................................................516Laktazidose..........................................................................................................................................519Thyreotoxische Krise ...........................................................................................................................521Myxödem-Koma...................................................................................................................................524Addison-Krise ......................................................................................................................................525Hypophysenvorderlappeninsuffizienz (u.a. hypophysäres Koma) .......................................................527Akute intermittierende Porphyrie (AIP) ................................................................................................525
Störungen der ElektrolyteStörungen des Natriums ......................................................................................................................531Störungen des Kaliums........................................................................................................................536Störungen des Kalziums ......................................................................................................................539Störungen des Phosphats ...................................................................................................................541Störungen des Magnesiums ................................................................................................................542
Störungen des Säure-Basen-HaushaltsAzidosen ..............................................................................................................................................544Alkalosen ..............................................................................................................................................................545
nePhrologIeAkutes Nierenversagen .........................................................................................................550 Nierenersatzverfahren ...........................................................................................................555
InfeKtIologIeSepsis ....................................................................................................................................566Pneumonie
Ambulant erworbene Pneumonie ........................................................................................................599Nosokomiale Pneumonie .....................................................................................................................617
Multiresistente Keime ............................................................................................................629Haut- und Weichgewebsinfektionen (HWGI) .........................................................................639Pilzinfektionen (Mykosen) .....................................................................................................645Malaria ...................................................................................................................................652
hämatologIeDisseminierte intravasale Gerinnung (DIC) ...........................................................................662Blutprodukte ..........................................................................................................................668Hyperfibrinolyse .....................................................................................................................672Heparininduzierte Thrombozytopenie (HIT) ..........................................................................675Mikroangiopathische hämolytische Anämien
TTP (thrombotisch-thrombozytopenische Purpura) .............................................................................725HUS (hämolytisch-urämisches Syndrom) ............................................................................................726HELPP-Syndrom .................................................................................................................................726
onKologIeObere Einflußstauung ...........................................................................................................688Spinales Kompessionssyndrom ............................................................................................690Hirnmetastasen .....................................................................................................................691Tumorlyse-Syndrom ..............................................................................................................692Hyperleukozytose-Syndrom ..................................................................................................693Neutropenisches Fieber ........................................................................................................695Pneumozystis jirovecii-Pneumonie ........................................................................................699
neurologIeHirninfarkt ..............................................................................................................................700Intrakranielle Blutungen
Epiruralblutung.....................................................................................................................................725Subduralblutung...................................................................................................................................726Subarachnoidalblutung ........................................................................................................................728Intrazerebrale Blutung .........................................................................................................................734
Status epilepticus ..................................................................................................................739Bakterielle Meningitis ............................................................................................................744Hypoxischer Hirnschaden .....................................................................................................747Hirntod, Organspende ...........................................................................................................749Neuromuskuläre Erkrankungen
Critical-Illness Polyneuropathie (CIP) ..................................................................................................756Critical-Illness-Myopathie (CIM)...........................................................................................................758Guillain-Barré-Syndrom .......................................................................................................................759Maligne Hyperthermie..........................................................................................................................762
Krisen bei BewegungsstörungenAkinetische Krise .................................................................................................................................764Myasthene Krise ..................................................................................................................................765Dystone Krise ......................................................................................................................................767
toxIKologIeAllgemeine Toxikologie ..........................................................................................................770Spezielle Toxikologie
Intoxikationen mit Medikamenten ........................................................................................................781 Intoxikationen mit Drogen ....................................................................................................................793Intoxikationen mit Alkoholen ................................................................................................................799Intoxikationen mit Chemikalien ............................................................................................................807Intoxikationen mit Metallen ..................................................................................................................813Intoxikationen mit Rauchgasen............................................................................................................823Intoxikationen mit Pilzen .....................................................................................................................830Intoxikationen mit Pflanzen .................................................................................................................837
traumatologIeStromunfall ............................................................................................................................550Ertrinkungsunfall ....................................................................................................................550Tauchunfall ............................................................................................................................555Hypothermie (Unterkühlung) .................................................................................................550Hyperthermie (Hitzschlag) .....................................................................................................550
ethIK & recht 844
anhang 852