Universität zu Köln

Westhoff, M., Geiseler, J., Schoenhofer, B., Pfeifer, M., Dellweg, D., Bachmann, M. and Randerath, W. . Weaning in a Pandemic Situation - A Position Paper. Pneumologie. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1438-8790

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Abstract

The logistical and infectious peculiarities and requirements challenge the intensive care treatment teams aiming at a successful liberation of patients from long-term mechanical ventilation. Especially in the pandemic, it is therefore important to use all potentials for weaning and decannulation, respectively, in patients with prolonged weaning. Weaning centers represent units of intensive medical care with a particular specialization in prolonged weaning. They are an integral part of a continuous care concept for these patients. A systematic weaning concept in the pandemic includes structural, personnel, equipment, infectiological and hygienic issues. In addition to the S2k guideline Prolonged weaning this position paper hightlights a new classification in prolonged weaning and organizational structures required in the future for the challenging pandemic situation. Category A patients with high weaning potential require a structured respiratory weaning in specialized weaning units, so as to get the greatest possible chance to realize successful weaning. Patients in category B with low or currently nonexistent weaning potential should receive a weaning attempt after an intermediate phase of further stabilization in an out-of-hospital ventilator unit. Category C patients with no weaning potential require a permanent out-of-hospital care, alternatively finishing mechanical ventilation with palliative support. Finally, under perspective in the position paper the following conceivable networks and registers in the future are presented: 1. locally organized regional networks of certified weaning centers, 2. a central, nationwide register of weaning capacities accordingly the already existing DIVI register and 3. registration of patients in difficult or prolonged weaning.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Westhoff, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Geiseler, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schoenhofer, B. UNSPECIFIED UNSPECIFIED UNSPECIFIED Pfeifer, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Dellweg, D. UNSPECIFIED UNSPECIFIED UNSPECIFIED Bachmann, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Randerath, W. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-307595
DOI:	10.1055/a-1337-9848
Journal or Publication Title:	Pneumologie
Publisher:	GEORG THIEME VERLAG KG
Place of Publication:	STUTTGART
ISSN:	1438-8790
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language INTENSIVE-CARE MEDICINE; MECHANICAL VENTILATION; INVASIVE VENTILATION; OUTCOMES; WEANNET; FAILURE; NETWORK; UPDATE; TRIAL; UNIT Multiple languages Respiratory System Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/30759