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Die PED ist sowohl im Kollektiv neurologischer als auch nichtneurologischen Intensivstationspatienten unabh\u00e4ngiger Risikofaktor f\u00fcr eine erh\u00f6hte 28- und 90-Tage-Mortalit\u00e4t (28-Tage-Mortalit\u00e4t: plus\u00a09\u202f%). Das erh\u00f6hte Mortalit\u00e4tsrisiko ist bis zu etwa einem Jahr nach Intensivstationsaufenthalt nachzuweisen. Aufgrund der Konsequenzen von PED sollte bei allen Intensivstationspatienten nach Extubation\/Dekan\u00fclierung ein systematisches Dysphagiescreening erfolgen (z.\u202fB. Wasserschlucktest) und zur Diagnosesicherung eine fiberoptische endoskopische Evaluation des Schluckakts (FEES). Die Behandlung erfolgt interdisziplin\u00e4r mit Ern\u00e4hrungsanpassung\/Nahrungsaufbau bzw. Nahrungskarenz, Physiotherapie\/Logop\u00e4die und zuk\u00fcnftig ggf. mit interventionellen Verfahren.<\/jats:p>","DOI":"10.1007\/s00063-025-01266-9","type":"journal-article","created":{"date-parts":[[2025,4,15]],"date-time":"2025-04-15T08:31:07Z","timestamp":1744705867000},"page":"355-365","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Dysphagie nach Extubation auf der Intensivstation","Postextubation dysphagia in intensive care unit"],"prefix":"10.1007","volume":"120","author":[{"given":"Daniela","family":"Bertschi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan","family":"Waskowski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philipp","family":"Venetz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carmen A.","family":"Pfortmueller","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9162-5724","authenticated-orcid":false,"given":"Joerg C.","family":"Schefold","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,4,15]]},"reference":[{"issue":"1","key":"1266_CR1","doi-asserted-by":"publisher","first-page":"103","DOI":"10.1186\/s13054-019-2400-2","volume":"23","author":"P Zuercher","year":"2019","unstructured":"Zuercher\u00a0P et\u00a0al (2019) Dysphagia in the intensive care unit: epidemiology, mechanisms, and clinical management. 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J.\u00a0Waskowski: A.\u00a0Finanzielle Interessen: J.\u00a0Waskowski gibt an, dass kein finanzieller Interessenkonflikt besteht.\u00a0\u2013 B.\u00a0Nichtfinanzielle Interessen: angestellter Intensivmediziner und An\u00e4sthesist, Universit\u00e4tsklinik f\u00fcr Intensivmedizin, Inselspital, Universit\u00e4tsspital Bern, Schweiz | Mitgliedschaften: Schweizerische Gesellschaft f\u00fcr An\u00e4sthesiologie und Perioperative Medizin, Schweizerische Gesellschaft f\u00fcr Intensivmedizin, European Association of Cardiothoracic Anesthesia and Intensive Care, European Society of Intensive Care Medicine. P.\u00a0Venetz: A.\u00a0Finanzielle Interessen: P.\u00a0Venetz gibt an, dass kein finanzieller Interessenkonflikt besteht.\u00a0\u2013 B.\u00a0Nichtfinanzielle Interessen: leitender Arzt Intensivmedizin, 2020\u20132022 Luzerner Kantonsspital, seit 2023 Inselspital Bern. C.A.\u00a0Pfortmueller: A.\u00a0Finanzielle Interessen: bezahlte Beratungsleistungen, interne Schulungsvortr\u00e4ge, Gehaltsbezug o.\u202f\u00e4.: projektbezogen Boehringer-Ingelheim.\u00a0\u2013 B.\u00a0Nichtfinanzielle Interessen: leitende \u00c4rztin, Klinik f\u00fcr Intensivmedizin, Inselspital Bern. J.C.\u00a0Schefold: A.\u00a0Finanzielle Interessen: institutionelle finanzielle Beziehungen mit den folgenden Firmen (\u201einstitutional full disclosure\u201c): Orion Pharma, Abbott Nutrition International, B\u00a0Braun Medical, CSEM, Edwards Lifesciences Services, Kenta Biotech, Maquet Critical Care, Cytosorbents, Omnicare Clinical Research, Nestle, Pierre Fabre Pharma, Pfizer, Bard Medica, Abbott, Anandic Medical Systems, Pan Gas Healthcare, Bracco, Hamilton Medical, Fresenius Kabi, Getinge Group Maquet, Dr\u00e4ger, Teleflex Medical, GSK, MSD, Eli Lilly and Company, Baxter, Astellas, AstraZeneca, CSL Behring, Novartis, Covidien, Hemotune, Philips Medical, Prolong Pharmaceuticals and Nycomed, Phagenesis, und Cytel au\u00dferhalb der Arbeit, die hier pr\u00e4sentiert wird. | JCS ist Principle Investigator und Coordinating Investigator der multizentrischen randomisierten klinischen Studie \u201ePhINEST\u201c, die finanziell von Phagenesis Ltd unterst\u00fctzt wird (Sponsor Phagenesis Ltd).\u00a0\u2013 B.\u00a0Nichtfinanzielle Interessen: Klinikdirektor und Chefarzt der Universit\u00e4tsklinik f\u00fcr Intensivmedizin, Inselspital, Universit\u00e4tsspital Bern. Ordinarius f\u00fcr Intensivmedizin der Universit\u00e4t Bern. | Mitgliedschaften: Schweizerische Gesellschaft f\u00fcr Intensivmedizin (SGI); European Society for Intensive Care Medicine (ESICM); Deutsche Gesellschaft f\u00fcr Internistische Intensivmedizin und Notfallmedizin (DGIIN); Deutsche Interdisziplin\u00e4re Vereinigung f\u00fcr Intensiv- und Notfallmedizin (DIVI); European Group on Immunology in Sepsis (EGIS) Founding Member.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Autoren"}},{"value":"Die vollst\u00e4ndige Erkl\u00e4rung zum Interessenkonflikt der Wissenschaftlichen Leitung finden Sie am Kurs der zertifizierten Fortbildung auf .","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Wissenschaftliche Leitung"}},{"value":"erkl\u00e4rt, dass f\u00fcr die Publikation dieser CME-Fortbildung keine Sponsorengelder an den Verlag flie\u00dfen.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Der Verlag"}},{"value":"F\u00fcr diesen Beitrag wurden von den Autor\/-innen keine Studien an Menschen oder Tieren durchgef\u00fchrt. F\u00fcr die aufgef\u00fchrten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.","order":6,"name":"Ethics","group":{"name":"EthicsHeading","label":"Der Verlag"}}]}}