{"id":8092,"date":"2023-12-05T03:31:33","date_gmt":"2023-12-05T03:31:33","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/respiratory-physiotherapy-for-icu-patients-de\/"},"modified":"2026-05-25T07:19:43","modified_gmt":"2026-05-25T07:19:43","slug":"respiratory-physiotherapy-for-icu-patients-de","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/de\/respiratory-physiotherapy-for-icu-patients-de\/","title":{"rendered":"Atemphysiotherapie bei Patienten auf der Intensivstation"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\">\n<p><b>Originale Autorin <\/b>&#8211; <a title=\"User:Merinda Rodseth\" href=\"\/User:Merinda_Rodseth\">Merinda Rodseth<\/a><\/p>\n<p><b>Top-Beitragende<\/b> &#8211; <a class=\"mw-userlink\" title=\"User:Merinda Rodseth\" href=\"\/User:Merinda_Rodseth\"><bdi>Merinda Rodseth<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Kim Jackson\" href=\"\/User:Kim_Jackson\"><bdi>Kim Jackson<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Stacy Schiurring\" href=\"\/User:Stacy_Schiurring\"><bdi>Stacy Schiurring<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Jess Bell\" href=\"\/User:Jess_Bell\"><bdi>Jess Bell<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Ewa Jaraczewska\" href=\"\/User:Ewa_Jaraczewska\"><bdi>Ewa Jaraczewska<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Tarina van der Stockt\" href=\"\/User:Tarina_van_der_Stockt\"><bdi>Tarina van der Stockt<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Uchechukwu Chukwuemeka\" href=\"\/User:Uchechukwu_Chukwuemeka\"><bdi>Uchechukwu Chukwuemeka<\/bdi><\/a> und <a class=\"mw-userlink\" title=\"User:Lucinda hampton\" href=\"\/User:Lucinda_hampton\"><bdi>Lucinda hampton<\/bdi><\/a><\/p>\n<\/div>\n<div id=\"toc\" class=\"toc\" role=\"navigation\" aria-labelledby=\"mw-toc-heading\"><input id=\"toctogglecheckbox\" class=\"toctogglecheckbox\" style=\"display: none;\" role=\"button\" type=\"checkbox\"><\/p>\n<div class=\"toctitle\" dir=\"ltr\" lang=\"en\">\n<h2 id=\"mw-toc-heading\">Inhalt<\/h2>\n<\/div>\n<ul>\n<li class=\"toclevel-1 tocsection-1\"><a href=\"#The_Respiratory_System\"><span class=\"tocnumber\">1<\/span> <span class=\"toctext\">Das Atmungssystem<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-2\"><a href=\"#Aims_of_Physiotherapy\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\">Ziele der Physiotherapie<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-3\"><a href=\"#Physiotherapy_Modalities_for_Respiratory_Care\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">Physiotherapeutische Ma\u00dfnahmen f\u00fcr die Atemtherapie<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-4\"><a href=\"#Modalities_for_Airway_Secretion_Clearance\"><span class=\"tocnumber\">3.1<\/span> <span class=\"toctext\">Ma\u00dfnahmen f\u00fcr die Reinigung der Atemwege (Sekretabtransport) <\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-5\"><a href=\"#Modalities_for_Enhancing_Lung_Volume\/Improvement_of_Atelectasis\"><span class=\"tocnumber\">3.2<\/span> <span class=\"toctext\">Ma\u00dfnahmen zur Vergr\u00f6\u00dferung des Lungenvolumens und Verbesserung der Atelektasen<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-6\"><a href=\"#Modalities_for_Improvement_of_Oxygenation_(Gas_exchange)\"><span class=\"tocnumber\">3.3<\/span> <span class=\"toctext\">Ma\u00dfnahmen zur Aufrechterhaltung oder Verbesserung der Sauerstoffversorgung der Lunge<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-7\"><a href=\"#Modalities_to_Maintain_or_Improve_Inspiratory_Muscle_Strength\"><span class=\"tocnumber\">3.4<\/span> <span class=\"toctext\">Ma\u00dfnahmen zur Aufrechterhaltung oder Verbesserung der inspiratorischen Muskelkraft<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-8\"><a href=\"#Conclusion\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">Fazit<\/span> <br \/><\/a><\/li>\n<li class=\"toclevel-1 tocsection-9\"><a href=\"#Resources\"><span class=\"tocnumber\">5<\/span> <span class=\"toctext\">Ressourcen<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-10\"><a href=\"#Optional_Additional_Reading:\"><span class=\"tocnumber\">5.1<\/span> <span class=\"toctext\">Optionale zus\u00e4tzliche Lekt\u00fcre<\/span> <br \/><\/a><\/li>\n<li class=\"toclevel-2 tocsection-11\"><a href=\"#Clinical_Resources:\"><span class=\"tocnumber\">5.2<\/span> <span class=\"toctext\">Klinische Ressourcen<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-12\"><a href=\"#Optional_Additional_Videos:\"><span class=\"tocnumber\">5.3<\/span> <span class=\"toctext\">Optionale zus\u00e4tzliche Videos<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-13\"><a href=\"#References\"><span class=\"tocnumber\">6<\/span> <span class=\"toctext\">Referenzen<\/span><\/a><\/li>\n<\/ul>\n<\/div>\n<h2><span id=\"The_Respiratory_System\" class=\"mw-headline\">Das Atmungssystem <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: The Respiratory System\" href=\"\/index.php?title=Respiratory_Physiotherapy_for_ICU_Patients&#038;veaction=edit&#038;section=1\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: The Respiratory System\" href=\"\/index.php?title=Respiratory_Physiotherapy_for_ICU_Patients&#038;action=edit&#038;section=1\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 302px;\"><a class=\"image\" href=\"\/File:Respiratory_System_basic.png\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/a\/af\/Respiratory_System_basic.png\/300px-Respiratory_System_basic.png\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/a\/af\/Respiratory_System_basic.png\/450px-Respiratory_System_basic.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/a\/af\/Respiratory_System_basic.png\/600px-Respiratory_System_basic.png 2x\" alt=\"\" width=\"300\" height=\"225\" data-file-width=\"1024\" data-file-height=\"768\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>Abbildung 1. Atmungssystem (Respiratorisches System)<\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>Das <a title=\"Atmungssystem (Respiratorisches System)\" href=\"\/Respiratory_System\">Atmungssystem<\/a> (oder respiratorisches System) besteht aus den Atemwegen, der <a title=\"Lung Anatomy\" href=\"\/Lung_Anatomy\">Lunge<\/a> und den muskuloskelettalen Strukturen des <a title=\"Thoracic Anatomy\" href=\"\/Thoracic_Anatomy\">Brustkorbs<\/a>. Eine einfache M\u00f6glichkeit, das Atmungssystem zu verstehen, besteht darin, es in zwei Teile, die &#8222;muskuloskelettale Pumpe&#8220; und das &#8222;Gasaustauschorgan&#8220;, zu unterteilen.<sup id=\"cite_ref-:0_1-0\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup> Die muskuloskelettale Pumpe besteht aus den umgebenden kn\u00f6chernen Strukturen (<a title=\"Ribs\" href=\"\/Ribs\">Brustkorb<\/a>, Hals- und Brustwirbels\u00e4ule, oberer Beckenbereich) und den <a title=\"Muscles of Respiration\" href=\"\/Muscles_of_Respiration\">Atemmuskeln<\/a>. Das Gasaustauschorgan bezieht sich zum einen auf die Atemwege. Diese erm\u00f6glichen die Bewegung der Luft von au\u00dferhalb des K\u00f6rpers in die <a title=\"Alveoli\" href=\"\/Alveoli\">Alveolen<\/a>. Dar\u00fcber hinaus umfasst es die <a title=\"Alveoli\" href=\"\/Alveoli\">alveolokapill\u00e4re<\/a> Membran, die die spezielle Schnittstelle zwischen der eingeatmeten Luft und dem Kreislauf darstellt.<sup id=\"cite_ref-:0_1-1\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup> Der Begriff der Atmung umfasst den Gasaustausch zwischen der Atmosph\u00e4re und der Lunge, der Lunge und dem <a title=\"Physiologie des Blutes\" href=\"\/Blood_Physiology\">Blut<\/a> sowie dem Blut und dem K\u00f6rpergewebe. Die Funktion dieses Systems besteht darin, die Versorgung mit Sauerstoff und den Abtransport von Kohlendioxid aus dem K\u00f6rper aufrechtzuerhalten.<sup id=\"cite_ref-:0_1-2\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup> Ein Versagen einer der Komponenten des Atmungssystems kann dazu f\u00fchren, dass eine mechanische <a title=\"Ventilation and Weaning\" href=\"\/Ventilation_and_Weaning\">Beatmung<\/a> erforderlich wird.<sup id=\"cite_ref-:1_2-0\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup><\/p>\n<p><a title=\"Respiratory Failure\" href=\"\/Respiratory_Failure\">Atemst\u00f6rungen<\/a> sind ein h\u00e4ufiges Problem bei kritisch kranken Patienten auf der <a title=\"Die Intensivstation\" href=\"\/The_Intensive_Care_Unit\">Intensivstation<\/a>.<sup id=\"cite_ref-:1_2-1\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup><sup id=\"cite_ref-:2_3-0\" class=\"reference\"><a href=\"#cite_note-:2-3\">(3)<\/a><\/sup> Kritisch kranke Patienten auf der Intensivstation sind oft bettl\u00e4gerig. Dies f\u00fchrt zu einer allgemeinen Dekonditionierung, die sich auf viele Systeme des K\u00f6rpers, einschlie\u00dflich des Atmungssystems, auswirkt.<sup id=\"cite_ref-:0_1-3\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup> Pulmonale Komplikationen sind die Hauptursache f\u00fcr Krankenhausmorbidit\u00e4t und geben daher bei Intensivpatienten Anlass zu gro\u00dfer Sorge.<sup id=\"cite_ref-:0_1-4\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup> Zu den h\u00e4ufigen Komplikationen nach der Bettruhe geh\u00f6ren ein verringertes <a title=\"Lung Volumes\" href=\"\/Lung_Volumes\">Lungenvolumen<\/a> und eine verringerte Ausatmungsrate, eine verminderte Atemmuskelkraft, eine verringerte <a title=\"Lung Compliance\" href=\"\/Lung_Compliance\">Compliance<\/a> von Lunge und Thoraxwand sowie ein beeintr\u00e4chtigter Gasaustausch.<sup id=\"cite_ref-:0_1-5\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup> All diese Faktoren f\u00fchren zu einem Anstieg der Atemarbeit des Patienten und erh\u00f6hen das Risiko der Entwicklung einer Lungenentz\u00fcndung (Pneumonie) und einer <a title=\"Atelektasen\" href=\"\/Atelectasis\">Atelektase<\/a>. Eine Schw\u00e4che der Atemmuskulatur kann zusammen mit der Verringerung des <a title=\"Lung Volumes\" href=\"\/Lung_Volumes\">Atemzugvolumens<\/a> den Hustenmechanismus beeintr\u00e4chtigen, was das Risiko f\u00fcr <a class=\"mw-redirect\" title=\"Infectious Disease\" href=\"\/Infectious_Disease\">Lungeninfektionen<\/a> weiter erh\u00f6ht.<sup id=\"cite_ref-:0_1-6\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup> Bei Intensivpatienten besteht immer die Gefahr, dass sie Komplikationen wie Sekretretention, <a title=\"Atelektasen\" href=\"\/Atelectasis\">Atelektasen<\/a>, beatmungsassoziierte <a title=\"Lungenentz\u00fcndung (Pneumonie)\" href=\"\/Pneumonia\">Pneumonie<\/a>, verminderte Lungenexpansion, erh\u00f6hte Atemarbeit, ein Missverh\u00e4ltnis zwischen Ventilation und Perfusion, inspiratorische Muskelschw\u00e4che und Entw\u00f6hnungsversagen entwickeln.<sup id=\"cite_ref-:0_1-7\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><sup id=\"cite_ref-:2_3-1\" class=\"reference\"><a href=\"#cite_note-:2-3\">(3)<\/a><\/sup><sup id=\"cite_ref-:3_4-0\" class=\"reference\"><a href=\"#cite_note-:3-4\">(4)<\/a><\/sup><sup id=\"cite_ref-:4_5-0\" class=\"reference\"><a href=\"#cite_note-:4-5\">(5)<\/a><\/sup><sup id=\"cite_ref-:5_6-0\" class=\"reference\"><a href=\"#cite_note-:5-6\">(6)<\/a><\/sup><\/p>\n<h2><span id=\"Aims_of_Physiotherapy\" class=\"mw-headline\">Ziele der Physiotherapie <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Aims of Physiotherapy\" href=\"\/index.php?title=Respiratory_Physiotherapy_for_ICU_Patients&#038;veaction=edit&#038;section=2\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Aims of Physiotherapy\" href=\"\/index.php?title=Respiratory_Physiotherapy_for_ICU_Patients&#038;action=edit&#038;section=2\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Die <a title=\"Respiratory Physiotherapy\" href=\"\/Respiratory_Physiotherapy\">Atemphysiotherapie<\/a> ist f\u00fcr Patienten auf der Intensivstation von entscheidender Bedeutung und spielt eine zentrale Rolle bei der Vorbeugung und Linderung funktioneller Komplikationen. Eine rechtzeitige Atemphysiotherapie unterst\u00fctzt die mukozili\u00e4re Clearance, erh\u00e4lt das Lungenvolumen aufrecht, verbessert die Sauerstoffzufuhr und Ventilation, entfernt Sekrete aus den Atemwegen, verringert die Atemarbeit, f\u00f6rdert die Aktivierung der inspiratorischen Muskulatur und beugt gleichzeitig beatmungsinduzierten Lungensch\u00e4digungen (VILI), auf der Intensivstation erworbener Muskelschw\u00e4che (Intensive Care Unit-Acquired Weakness \u2013 ICU-AW), sowie dem Post-Intensive-Care-Syndrom (PICS) vor, das durch anhaltende Immobilit\u00e4t entsteht. Durch Techniken wie Lagerung\/Positionierung und Atemtherapie wird eine sichere Versorgung gew\u00e4hrleistet, die potenziellen Sch\u00e4den f\u00fcr den Patienten aktiv vorbeugt.<sup id=\"cite_ref-7\" class=\"reference\"><a href=\"#cite_note-7\">(7)<\/a><\/sup> <sup id=\"cite_ref-8\" class=\"reference\"><a href=\"#cite_note-8\">(8)<\/a><\/sup> <sup id=\"cite_ref-:5_6-1\" class=\"reference\"><a href=\"#cite_note-:5-6\">(6)<\/a><\/sup><sup id=\"cite_ref-:6_9-0\" class=\"reference\"><a href=\"#cite_note-:6-9\">(9)<\/a><\/sup><sup id=\"cite_ref-:7_10-0\" class=\"reference\"><a href=\"#cite_note-:7-10\">(10)<\/a><\/sup> Weitere Ziele sind die Maximierung der muskuloskelettalen Funktion, die Verk\u00fcrzung der Dauer der mechanischen Beatmung, die Erleichterung der R\u00fcckkehr zu einer unabh\u00e4ngigen Funktion nach der Entlassung aus der Intensivstation, die Verbesserung der langfristigen <a title=\"Quality of Life\" href=\"\/Quality_of_Life\">Lebensqualit\u00e4t<\/a> und die Verk\u00fcrzung der Verweildauer auf der Intensivstation und im Krankenhaus, um die Kosten der Pflege zu senken.<sup id=\"cite_ref-:3_4-1\" class=\"reference\"><a href=\"#cite_note-:3-4\">(4)<\/a><\/sup><sup id=\"cite_ref-:4_5-1\" class=\"reference\"><a href=\"#cite_note-:4-5\">(5)<\/a><\/sup><sup id=\"cite_ref-11\" class=\"reference\"><a href=\"#cite_note-11\">(11)<\/a><\/sup> Das Ziel der Physiotherapie ist auf vier Schl\u00fcsselkategorien ausgerichtet:<sup id=\"cite_ref-:0_1-8\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><sup id=\"cite_ref-:3_4-2\" class=\"reference\"><a href=\"#cite_note-:3-4\">(4)<\/a><\/sup><sup id=\"cite_ref-:7_10-1\" class=\"reference\"><a href=\"#cite_note-:7-10\">(10)<\/a><\/sup><sup id=\"cite_ref-:8_12-0\" class=\"reference\"><a href=\"#cite_note-:8-12\">(12)<\/a><\/sup><sup id=\"cite_ref-:9_13-0\" class=\"reference\"><a href=\"#cite_note-:9-13\">(13)<\/a><\/sup><\/p>\n<ol>\n<li>Reinigung der Atemwege (Sekretabtransport)<\/li>\n<li>Vergr\u00f6\u00dferung des Lungenvolumens und Verbesserung der Atelektasen<\/li>\n<li>Aufrechterhaltung oder Verbesserung der Sauerstoffversorgung der Lunge<\/li>\n<li>Aufrechterhaltung oder Verbesserung der <a title=\"Respiratory Muscle Training\" href=\"\/Respiratory_Muscle_Training\">inspiratorischen Muskelkraft<\/a><\/li>\n<\/ol>\n<h2><span id=\"Physiotherapy_Modalities_for_Respiratory_Care\" class=\"mw-headline\">Physiotherapeutische Ma\u00dfnahmen f\u00fcr die Atemtherapie <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Physiotherapy Modalities for Respiratory Care\" href=\"\/index.php?title=Respiratory_Physiotherapy_for_ICU_Patients&#038;veaction=edit&#038;section=3\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Physiotherapy Modalities for Respiratory Care\" href=\"\/index.php?title=Respiratory_Physiotherapy_for_ICU_Patients&#038;action=edit&#038;section=3\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Physiotherapeuten versuchen, die Beeintr\u00e4chtigung der Atmung bei Intensivpatienten zu vermindern, indem sie verschiedene Ma\u00dfnahmen anwenden, die im Folgenden kurz erl\u00e4utert werden. Diese Ma\u00dfnahmen werden nach ihrer Verwendung klassifiziert.<\/p>\n<h3><span id=\"Modalities_for_Airway_Secretion_Clearance\" class=\"mw-headline\">Ma\u00dfnahmen f\u00fcr die Reinigung der Atemwege (Sekretabtransport) <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Modalities for Airway Secretion Clearance\" href=\"\/index.php?title=Respiratory_Physiotherapy_for_ICU_Patients&#038;veaction=edit&#038;section=4\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Modalities for Airway Secretion Clearance\" href=\"\/index.php?title=Respiratory_Physiotherapy_for_ICU_Patients&#038;action=edit&#038;section=4\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Techniken zur Befreiung und Reinigung der Atemwege sind die manuellen oder mechanischen Verfahren, die eingesetzt werden, um die Mobilisierung und den Abtransport von Sekret aus den Atemwegen zu erleichtern (Unterst\u00fctzung der mukozili\u00e4ren Clearance).<sup id=\"cite_ref-:3_4-3\" class=\"reference\"><a href=\"#cite_note-:3-4\">(4)<\/a><\/sup><sup id=\"cite_ref-:10_14-0\" class=\"reference\"><a href=\"#cite_note-:10-14\">(14)<\/a><\/sup> Das System der mukozili\u00e4ren Clearance ist normalerweise sehr effizient und wirksam, aber nach vielen Atemwegserkrankungen, pulmonalen Komplikationen, An\u00e4sthesie und chirurgischen Eingriffen wird h\u00e4ufig \u00fcbersch\u00fcssiges Sputum produziert, und die eigenen Mechanismen zum Sekretabstransport k\u00f6nnen beeintr\u00e4chtigt werden.<sup id=\"cite_ref-:3_4-4\" class=\"reference\"><a href=\"#cite_note-:3-4\">(4)<\/a><\/sup> Techniken zur Bel\u00fcftung und Reinigung der Atemwege umfassen:<sup id=\"cite_ref-:0_1-9\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><sup id=\"cite_ref-:2_3-2\" class=\"reference\"><a href=\"#cite_note-:2-3\">(3)<\/a><\/sup><sup id=\"cite_ref-:3_4-5\" class=\"reference\"><a href=\"#cite_note-:3-4\">(4)<\/a><\/sup><sup id=\"cite_ref-:4_5-2\" class=\"reference\"><a href=\"#cite_note-:4-5\">(5)<\/a><\/sup><sup id=\"cite_ref-:6_9-1\" class=\"reference\"><a href=\"#cite_note-:6-9\">(9)<\/a><\/sup><sup id=\"cite_ref-:8_12-1\" class=\"reference\"><a href=\"#cite_note-:8-12\">(12)<\/a><\/sup><sup id=\"cite_ref-:9_13-1\" class=\"reference\"><a href=\"#cite_note-:9-13\">(13)<\/a><\/sup><\/p>\n<ul>\n<li><a title=\"Manual Hyperinflation\" href=\"\/Manual_Hyperinflation\">Manuelle und maschinelle Hyperinflation<\/a><\/li>\n<li>Positionierung (posturale bzw. <a title=\"Postural Drainage\" href=\"\/Postural_Drainage\">Lagerungsdrainage<\/a>)<sup id=\"cite_ref-:11_15-0\" class=\"reference\"><a href=\"#cite_note-:11-15\">(15)<\/a><\/sup><\/li>\n<li>Manuelle atemtherapeutischen Techniken (<a title=\"Klopfungen (Perkussion)\" href=\"\/Percussion\">Klopfungen<\/a>\/Perkussion, Vibrationen und Sch\u00fcttelungen)<\/li>\n<li><a title=\"Suctioning\" href=\"\/Suctioning\">Absaugen<\/a> der Atemwege (offen\/geschlossen)<\/li>\n<li>Insufflation und Exsufflation (\u00dcberdruck zu Unterdruck; maschinell)<\/li>\n<li>Inhalationen<\/li>\n<li><a title=\"Active Cycle of Breathing Technique\" href=\"\/Active_Cycle_of_Breathing_Technique\">Aktiver Zyklus Atemtechnik<\/a> (Active Cycle of Breathing Technique \u2013 ACBT)<sup id=\"cite_ref-16\" class=\"reference\"><a href=\"#cite_note-16\">(16)<\/a><\/sup><\/li>\n<li>Unterst\u00fctzte Hustentechniken<\/li>\n<li>Forciertes Ausatmungsman\u00f6ver (Husten\/Huffing)<\/li>\n<li><a title=\"Positive Expiratory Pressure (PEP) Devices\" href=\"\/Positive_Expiratory_Pressure_(PEP)_Devices\">PEP-Ger\u00e4te (Positiver Exspiratorischer Druck) <\/a> wie Flutter, acapella<\/li>\n<\/ul>\n<p>Bitte sehen Sie sich das folgende optionale Video an (4:25 Minuten), um einen \u00dcberblick \u00fcber verschiedene Techniken f\u00fcr die Reinigung der Atemwege zu erhalten: Huffing, Aktiver Zyklus, autogene Drainage, manuelle atemtherapeutische Techniken, hochfrequente Vibrationsweste (HFCWO), PEP-Ger\u00e4te (positiver exspiratorischer Druck), OPEP-Ger\u00e4te.<\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 648px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 640px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/1Ufj3oU_M2w?\" width=\"640\" height=\"360\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-17\" class=\"reference\"><a href=\"#cite_note-17\">(17)<\/a><\/sup><\/p>\n<h3><span id=\"Modalities_for_Enhancing_Lung_Volume.2FImprovement_of_Atelectasis\"><\/span><span id=\"Modalities_for_Enhancing_Lung_Volume\/Improvement_of_Atelectasis\" class=\"mw-headline\">Ma\u00dfnahmen zur Vergr\u00f6\u00dferung des Lungenvolumens und Verbesserung der <a title=\"Atelektasen\" href=\"\/Atelectasis\">Atelektasen <\/a><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Modalities for Enhancing Lung Volume\/Improvement of Atelectasis\" href=\"\/index.php?title=Respiratory_Physiotherapy_for_ICU_Patients&#038;veaction=edit&#038;section=5\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Modalities for Enhancing Lung Volume\/Improvement of Atelectasis\" href=\"\/index.php?title=Respiratory_Physiotherapy_for_ICU_Patients&#038;action=edit&#038;section=5\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 302px;\"><a class=\"image\" href=\"\/File:Atelectasis_and_blockage.png\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/9\/96\/Atelectasis_and_blockage.png\/300px-Atelectasis_and_blockage.png\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/9\/96\/Atelectasis_and_blockage.png\/450px-Atelectasis_and_blockage.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/9\/96\/Atelectasis_and_blockage.png\/600px-Atelectasis_and_blockage.png 2x\" alt=\"\" width=\"300\" height=\"220\" data-file-width=\"1200\" data-file-height=\"880\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>Abbildung 2. Atelektasen<\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>Zur Vergr\u00f6\u00dferung des Lungenvolumens oder zur Verbesserung von Atelektasen k\u00f6nnen die folgenden Ma\u00dfnahmen eingesetzt werden:<sup id=\"cite_ref-:0_1-10\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><sup id=\"cite_ref-:3_4-6\" class=\"reference\"><a href=\"#cite_note-:3-4\">(4)<\/a><\/sup><sup id=\"cite_ref-:6_9-2\" class=\"reference\"><a href=\"#cite_note-:6-9\">(9)<\/a><\/sup><sup id=\"cite_ref-:8_12-2\" class=\"reference\"><a href=\"#cite_note-:8-12\">(12)<\/a><\/sup><\/p>\n<ul>\n<li>Positionierung (Lagerung in Seitenlage mit der betroffenen Seite nach oben)<sup id=\"cite_ref-:11_15-1\" class=\"reference\"><a href=\"#cite_note-:11-15\">(15)<\/a><\/sup><\/li>\n<li>Manuelle und maschinelle Hyperinflation<\/li>\n<li><a title=\"Atem\u00fcbungen\" href=\"\/Breathing_Exercises\">\u00dcbungen zur Tiefatmung<\/a> (segmentale Atmung und Atmen gegen Widerstand)<\/li>\n<li><a title=\"Incentive Spirometry\" href=\"\/Incentive_Spirometry\">Incentive-Spirometrie<\/a> (IS)<\/li>\n<li>Positiver endexpiratorischer Druck (PEEP)<\/li>\n<li>Active Cycle of Breathing Technique<\/li>\n<li><a title=\"Breath Stacking\" href=\"\/Breath_Stacking\">Breath Stacking<\/a><\/li>\n<li>\u00dcbungen zur Thoraxausdehnung (Thoracic Expansion Exercises &#8211; TEE)<\/li>\n<li>&#8222;Springing&#8220; der Rippen<\/li>\n<li>Manuelle Sch\u00fcttelungen und Vibrationen der Thoraxwand<\/li>\n<li><a title=\"Intermittent positive pressure breathing\" href=\"\/Intermittent_positive_pressure_breathing\">Intermittierende \u00dcberdruckinhalation <\/a> (IPPB)<\/li>\n<li><a title=\"Non Invasive Ventilation\" href=\"\/Non_Invasive_Ventilation\">Nicht-invasive Beatmung<\/a> (NIV) und CPAP<\/li>\n<\/ul>\n<p>Bitte sehen Sie sich das folgende optionale Video an (4:34 Minuten), um einen \u00dcberblick \u00fcber nicht-invasive Beatmung und CPAP-Ger\u00e4te zu erhalten.<\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 648px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 640px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/OHQK5PUTQ_0?\" width=\"640\" height=\"360\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-18\" class=\"reference\"><a href=\"#cite_note-18\">(18)<\/a><\/sup><\/p>\n<h3><span id=\"Modalities_for_Improvement_of_Oxygenation_.28Gas_exchange.29\"><\/span><span id=\"Modalities_for_Improvement_of_Oxygenation_(Gas_exchange)\" class=\"mw-headline\">Ma\u00dfnahmen zur Aufrechterhaltung oder Verbesserung der Sauerstoffversorgung der Lunge <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Modalities for Improvement of Oxygenation (Gas exchange)\" href=\"\/index.php?title=Respiratory_Physiotherapy_for_ICU_Patients&#038;veaction=edit&#038;section=6\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Modalities for Improvement of Oxygenation (Gas exchange)\" href=\"\/index.php?title=Respiratory_Physiotherapy_for_ICU_Patients&#038;action=edit&#038;section=6\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<ul>\n<li>Positionierung (Lagerung)<\/li>\n<li>Nicht-invasive Beatmung (kontinuierlicher positiver Atemwegsdruck &#8211; CPAP, intermittierende \u00dcberdruckinhalation &#8211; IPPB, BiPAP, VPAP)<\/li>\n<li>Manuelle oder maschinelle Hyperinflation<\/li>\n<li>Breath Stacking<\/li>\n<li>\u00dcbungen zur Tiefatmung<\/li>\n<li>Thoracic Expansion Exercises (TEE) <sup id=\"cite_ref-:0_1-11\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><sup id=\"cite_ref-:3_4-7\" class=\"reference\"><a href=\"#cite_note-:3-4\">(4)<\/a><\/sup><sup id=\"cite_ref-:6_9-3\" class=\"reference\"><a href=\"#cite_note-:6-9\">(9)<\/a><\/sup><sup id=\"cite_ref-:8_12-3\" class=\"reference\"><a href=\"#cite_note-:8-12\">(12)<\/a><\/sup><\/li>\n<\/ul>\n<h3><span id=\"Modalities_to_Maintain_or_Improve_Inspiratory_Muscle_Strength\" class=\"mw-headline\">Ma\u00dfnahmen zur Aufrechterhaltung oder Verbesserung der inspiratorischen Muskelkraft <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Modalities to Maintain or Improve Inspiratory Muscle Strength\" href=\"\/index.php?title=Respiratory_Physiotherapy_for_ICU_Patients&#038;veaction=edit&#038;section=7\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Modalities to Maintain or Improve Inspiratory Muscle Strength\" href=\"\/index.php?title=Respiratory_Physiotherapy_for_ICU_Patients&#038;action=edit&#038;section=7\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<ul>\n<li>Inspiratorisches und exspiratorisches Atemmuskeltraining<sup id=\"cite_ref-19\" class=\"reference\"><a href=\"#cite_note-19\">(19)<\/a><\/sup><\/li>\n<li><a title=\"Respiratory Muscle Training\" href=\"\/Respiratory_Muscle_Training\">Inspiratorisches Atemmuskeltraining<\/a> (Atemtrainer mit Federventil: Threshold\u00ae IMT oder POWERbreathe\u00ae)<\/li>\n<li>Incentive Spirometry<\/li>\n<li>Manueller Widerstand an der Thoraxwand<sup id=\"cite_ref-:0_1-12\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><sup id=\"cite_ref-:3_4-8\" class=\"reference\"><a href=\"#cite_note-:3-4\">(4)<\/a><\/sup><sup id=\"cite_ref-:10_14-1\" class=\"reference\"><a href=\"#cite_note-:10-14\">(14)<\/a><\/sup><\/li>\n<\/ul>\n<h2><span id=\"Conclusion\" class=\"mw-headline\">Fazit<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Conclusion\" href=\"\/index.php?title=Respiratory_Physiotherapy_for_ICU_Patients&#038;veaction=edit&#038;section=8\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Conclusion\" href=\"\/index.php?title=Respiratory_Physiotherapy_for_ICU_Patients&#038;action=edit&#038;section=8\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Bei der Behandlung von kritisch kranken Patienten auf der Intensivstation ist eine kontinuierliche Beurteilung unerl\u00e4sslich. Die Ergebnisse der Befunderhebung sowie der Wiederbefunde dienen dem Physiotherapeuten auch als Leitfaden f\u00fcr die am besten geeignete Behandlung. Die st\u00e4ndigen Ver\u00e4nderungen des physiologischen, motivationalen und emotionalen Zustands des Patienten auf der Intensivstation machen es erforderlich, dass der Versorgungsplan flexibel bleibt.<sup id=\"cite_ref-:0_1-13\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup> Die Atemphysiotherapie ist auf der Intensivstation unverzichtbar, aber es sollte bedacht werden, dass die Rolle des Physiotherapeuten auf der Intensivstation nicht nur auf die Behandlung der Atmung beschr\u00e4nkt ist, sondern sich auch auf die <a title=\"Early Mobilization in the ICU\" href=\"\/Early_Mobilization_in_the_ICU\">Mobilisation <\/a> und <a title=\"Rehabilitation Contexts\" href=\"\/Rehabilitation_Contexts\">Rehabilitation <\/a> erstreckt, die ihrerseits einen direkten Einfluss auf das Atmungssystem haben werden.<\/p>\n<h2><span id=\"Resources\" class=\"mw-headline\">Ressourcen<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Resources\" href=\"\/index.php?title=Respiratory_Physiotherapy_for_ICU_Patients&#038;veaction=edit&#038;section=9\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Resources\" href=\"\/index.php?title=Respiratory_Physiotherapy_for_ICU_Patients&#038;action=edit&#038;section=9\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<h5><span id=\"Optional_Additional_Reading:\" class=\"mw-headline\">Optionale zus\u00e4tzliche Lekt\u00fcre <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Optional Additional Reading:\" href=\"\/index.php?title=Respiratory_Physiotherapy_for_ICU_Patients&#038;veaction=edit&#038;section=10\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Optional Additional Reading:\" href=\"\/index.php?title=Respiratory_Physiotherapy_for_ICU_Patients&#038;action=edit&#038;section=10\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h5>\n<ul>\n<li>Ols\u00e9n MF, Lannefors L, Westerdahl E. <a class=\"external text\" href=\"https:\/\/pdf.sciencedirectassets.com\/272432\/1-s2.0-S0954611115X00035\/1-s2.0-S0954611114003916\/main.pdf?X-Amz-Security-Token=IQoJb3JpZ2luX2VjEK7%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaCXVzLWVhc3QtMSJHMEUCIGh7J%2F%2B4vX9drTSNXcCnlNFmK5Cmqq1KGomnpOIFvHY%2BAiEA9lHvZDx%2Fe37WqDAbYrQr1GqQAXdnTjzoqij5LCh0zQ4qswUIVxAFGgwwNTkwMDM1NDY4NjUiDDwNJvjBiXfbV9WkuCqQBfWqF8iAuSw7j%2Fs9oOJrnLxd9KJmcIW%2FRH%2BmPl1hXWn8vFZr96v%2FU6DM2Zdckcou81cJDqwC5COY0ZJO4QKseRHYlLaYVKRDT6NtuxLZkEWoOA9twb2c19CuqzYFPTxATaO9X%2BU2%2BZeOFaE61tI1LmokttaT48AF1%2FeTB3M5HGkck7uii6fyEpcdARdTKQ%2Bj2hLz7SzVGWQrGZnD%2Fi9H5PShjtG%2Fzv8ItUdnIt6CPTTzb27sNAi9p7IwwUUVg79Y4ha7xQ%2BypnRWNvCs279IuGA64Pz9Y2jX%2FHg%2Bu1MIQze5VeguChMkNQiOxkcpFsoSRdGv35bPkFEXB71KMq40EsgM78lT0WCRyHP8veDoaO2IWusRCkKRtZOHMFfMMK502T7ecIgzSFQy3cn4lpQcEfRioSQNziTf2U1E9GApSc2FPELxeszVVBoBcOY07rr5XACp%2BHntqR5pW3LJk7J8GFrgTVWMP4c%2F9V6SxMDjH6waxlNe80krumOuRccd5T%2BLDBZKZ7edDqnWcXc2Iu1%2FDqYMpOJ2F7xkL3rInloi5zS2h7B%2BfEOrb4mi1wwpeWBSt9sk2aCMP9LqVqwqCkhBXNvnvJTSL86Wb%2F3jyNr%2F74goiZIfgOcd%2BXqfDn%2B8peP5kFEAlD9gfRML9oyQRHfVYVQjX2%2F5s%2FGTSbFOhPI2m4WCrDyocxh%2BrGWhYog2f2IRKsDLJdZyOknikqsppls51M4gaL1PNPtzxKMkAVvZu5%2Fgs26RgF5H%2FyEfYAIXCW4GjKgdjUlzcAr1O6QDTDsU2PzFYC2w3g3Xmm80DVNpUs%2F7W7rgTUmJFm5%2B3Es0O3iKTjxjhP6Vra3s026FJ%2FN2HFG6Aqmnl4Leq%2BKisgrGTOuzMMai1LMGOrEBUEWjSnCyK59rzsf1KnTAbQvP3gXYx73U%2Fm%2FBAMgfGhizb0QhQ9TLjfSTvMJsUV5HYcVNg08MZyXzM43aXzjVDGIBsKBNHAlPTbq6Q3gObT67AWJwh5b1cSd%2FI56Sh8C18qtMBx4OIGdvDt8kUfQct36Gyz2TNK7E5aLxiRhF0lW26Ry2Jn1q67JsKN9ab2bSKe0SkmFtGhBLo8vPjr%2FGkEzNPujvVlZQbMohNkz4QkVM&#038;X-Amz-Algorithm=AWS4-HMAC-SHA256&#038;X-Amz-Date=20240621T054634Z&#038;X-Amz-SignedHeaders=host&#038;X-Amz-Expires=300&#038;X-Amz-Credential=ASIAQ3PHCVTYX3FRN7FF%2F20240621%2Fus-east-1%2Fs3%2Faws4_request&#038;X-Amz-Signature=df362e6488b9093284a79b49d671bd02811cadb58a632b02763825ebac9cf169&#038;hash=21ed1a4a01e75ab5fb47b2c496274c9c9c309fa46c7f8f503a7fe65798e7c47c&#038;host=68042c943591013ac2b2430a89b270f6af2c76d8dfd086a07176afe7c76c2c61&#038;pii=S0954611114003916&#038;tid=spdf-b7ac45af-dca2-4c8c-bd7f-d27d6c76e11f&#038;sid=b00fb8f41b86a9447899bf361e6d96bd08cagxrqa&#038;type=client&#038;tsoh=d3d3LnNjaWVuY2VkaXJlY3QuY29t&#038;ua=13135f5e575e04530502&#038;rr=8971b2ee2b3aa982&#038;cc=us\" rel=\"nofollow\">Positive expiratory pressure\u2013common clinical applications and physiological effects<\/a>. Respiratory medicine. 2015 Mar 1;109(3):297-307.<\/li>\n<\/ul>\n<h5><span id=\"Clinical_Resources:\" class=\"mw-headline\">Klinische Ressourcen<\/span> <span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Clinical Resources:\" href=\"\/index.php?title=Respiratory_Physiotherapy_for_ICU_Patients&#038;veaction=edit&#038;section=11\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Clinical Resources:\" href=\"\/index.php?title=Respiratory_Physiotherapy_for_ICU_Patients&#038;action=edit&#038;section=11\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h5>\n<ul>\n<li><a class=\"external text\" href=\"https:\/\/www.merckmanuals.com\/professional\/pulmonary-disorders\/pulmonary-rehabilitation\/chest-physiotherapy\" rel=\"nofollow\">Contraindications to respiratory (chest) physiotherapy<\/a><\/li>\n<li>Example of a <a class=\"external text\" href=\"https:\/\/www.merckmanuals.com\/home\/lung-and-airway-disorders\/rehabilitation-for-lung-and-airway-disorders\/chest-physical-therapy\" rel=\"nofollow\">patient education sheet<\/a><\/li>\n<li>Hier finden Sie eine Sammlung verschiedener <a class=\"external text\" href=\"https:\/\/www.aarc.org\/resource\/clinical-practice-guidelines\/\" rel=\"nofollow\">Behandlungsleitlinien f\u00fcr die Atemphysiotherapie<\/a> (von der American Association of Respiratory Care) (In englischer Originalsprache)<\/li>\n<\/ul>\n<h5><span id=\"Optional_Additional_Videos:\" class=\"mw-headline\">Optionale zus\u00e4tzliche Videos: <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Optional Additional Videos:\" href=\"\/index.php?title=Respiratory_Physiotherapy_for_ICU_Patients&#038;veaction=edit&#038;section=12\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Optional Additional Videos:\" href=\"\/index.php?title=Respiratory_Physiotherapy_for_ICU_Patients&#038;action=edit&#038;section=12\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h5>\n<p>Nachfolgend finden Sie eine Sammlung von kurzen Videos mit Techniken der Atemphysiotherapie, um Ihre Kenntnisse der m\u00f6glichen therapeutischen Modalit\u00e4ten und Interventionen zu vertiefen, die f\u00fcr Patienten auf der Intensivstation n\u00fctzlich sind. Wie bei jeder Behandlungstechnik wird eine zus\u00e4tzliche praktische Ausbildung und m\u00f6glicherweise eine Zertifizierung empfohlen, bevor Sie diese Interventionen an Patienten vornehmen.<\/p>\n<ul>\n<li>Dieses Video demonstriert die Positionierungen f\u00fcr die Drainage der verschiedenen Lungenareale.<\/li>\n<\/ul>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 308px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 300px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/LJU_zVMnF3o?\" width=\"300\" height=\"169\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-20\" class=\"reference\"><a href=\"#cite_note-20\">(20)<\/a><\/sup><\/p>\n<ul>\n<li>Dieses Video demonstriert Klopfungen und perkussive manuelle Techniken.<\/li>\n<\/ul>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 308px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 300px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/1ZRk55sHJ1I?\" width=\"300\" height=\"169\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-21\" class=\"reference\"><a href=\"#cite_note-21\">(21)<\/a><\/sup><\/p>\n<ul>\n<li>Dieses Video demonstriert unterst\u00fctzte Hustentechniken.<\/li>\n<\/ul>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 308px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 300px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/SN6CrBdM_IU?\" width=\"300\" height=\"169\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-22\" class=\"reference\"><a href=\"#cite_note-22\">(22)<\/a><\/sup><\/p>\n<ul>\n<li>Dieses Video demonstriert die Technik der Lippenbremse.<\/li>\n<\/ul>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 308px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 300px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/7kpJ0QlRss4?\" width=\"300\" height=\"169\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-23\" class=\"reference\"><a href=\"#cite_note-23\">(23)<\/a><\/sup><\/p>\n<ul>\n<li>Dieses Video demonstriert die Verwendung von Huffing und PEP.<\/li>\n<\/ul>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 308px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 300px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/cMM9IZ0wlMw?\" width=\"300\" height=\"169\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-24\" class=\"reference\"><a href=\"#cite_note-24\">(24)<\/a><\/sup><\/p>\n<ul>\n<li>Die folgenden zwei Videos demonstrieren die Aktiver Zyklus Atemtechnik (Active Cycle of Breathing Technique \u2013 ACBT).<\/li>\n<\/ul>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 308px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 300px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/XvorhwGZGm8?\" width=\"300\" height=\"169\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-25\" class=\"reference\"><a href=\"#cite_note-25\">(25)<\/a><\/sup><\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 308px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 300px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/4mXBcA6AI_4?\" width=\"300\" height=\"169\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-26\" class=\"reference\"><a href=\"#cite_note-26\">(26)<\/a><\/sup><\/p>\n<ul>\n<li>Das folgende Video (13:33 Minuten) bietet eine ausf\u00fchrlichere Erkl\u00e4rung von Lungenvolumina und -kapazit\u00e4t.<\/li>\n<\/ul>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 648px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 640px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/KnNkqH3-1SU?\" width=\"640\" height=\"360\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-27\" class=\"reference\"><a href=\"#cite_note-27\">(27)<\/a><\/sup><\/p>\n<h2><span id=\"References\" class=\"mw-headline\">Referenzen<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: References\" href=\"\/index.php?title=Respiratory_Physiotherapy_for_ICU_Patients&#038;veaction=edit&#038;section=13\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: References\" href=\"\/index.php?title=Respiratory_Physiotherapy_for_ICU_Patients&#038;action=edit&#038;section=13\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"mw-references-wrap mw-references-columns\">\n<ol class=\"references\">\n<li id=\"cite_note-:0-1\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:0_1-0\">1.00<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-1\">1.01<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-2\">1.02<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-3\">1.03<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-4\">1.04<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-5\">1.05<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-6\">1.06<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-7\">1.07<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-8\">1.08<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-9\">1.09<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-10\">1.10<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-11\">1.11<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-12\">1.12<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-13\">1.13<\/a><\/sup><\/span> <span class=\"reference-text\">Malone DJ, Bishop KL. <a class=\"external text\" href=\"https:\/\/search.ebscohost.com\/login.aspx?direct=true&#038;db=nlebk&#038;AN=2513712&#038;site=ehost-live\" rel=\"nofollow\">Acute Care Physical Therapy : A Clinician\u2019s Guide<\/a>, Second Edition (Internet). Vol. Second edition. Thorofare, NJ: SLACK Incorporated; 2020 (cited 2021 Mar 5). <\/span><\/li>\n<li id=\"cite_note-:1-2\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:1_2-0\">2.0<\/a><\/sup> <sup><a href=\"#cite_ref-:1_2-1\">2.1<\/a><\/sup><\/span> <span class=\"reference-text\">Gosselink R, Roeseler J. <a class=\"external text\" href=\"https:\/\/www.researchgate.net\/profile\/Rik-Gosselink\/publication\/300609219_Chapter_32_Physiotherapy_in_critically_ill_patients\/links\/5b2aa631aca27209f379600f\/Chapter-32-Physiotherapy-in-critically-ill-patients.pdf\" rel=\"nofollow\">Physiotherapy in critically ill patients<\/a>. The ESC Textbook of Intensive and Acute Cardiovascular Care. 2015 Feb 26:284. <\/span><\/li>\n<li id=\"cite_note-:2-3\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:2_3-0\">3.0<\/a><\/sup> <sup><a href=\"#cite_ref-:2_3-1\">3.1<\/a><\/sup> <sup><a href=\"#cite_ref-:2_3-2\">3.2<\/a><\/sup><\/span> <span class=\"reference-text\">Connolly B, Barclay M, Blackwood B, Bradley J, Anand R, Borthwick M, et al. Airway clearance techniques and use of mucoactive agents for adult critically ill patients with acute respiratory failure: a qualitative study exploring UK physiotherapy practice. 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Elsevier Health Sciences; 2016 Jun 7.<\/span><\/li>\n<li id=\"cite_note-:4-5\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:4_5-0\">5.0<\/a><\/sup> <sup><a href=\"#cite_ref-:4_5-1\">5.1<\/a><\/sup> <sup><a href=\"#cite_ref-:4_5-2\">5.2<\/a><\/sup><\/span> <span class=\"reference-text\">\u00c7akmak A, \u0130nce D\u0130, Sa\u011flam M, Savc\u0131 S, Ya\u011fl\u0131 NV, K\u00fct\u00fckc\u00fc E\u00c7, et al. <a class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6453635\/pdf\/ttj-20-2-114.pdf\" rel=\"nofollow\">Physiotherapy and Rehabilitation Implementation in Intensive Care Units: A Survey Study<\/a>. 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