{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T15:31:26Z","timestamp":1784043086391,"version":"3.55.0"},"reference-count":35,"publisher":"Springer Science and Business Media LLC","issue":"10","license":[{"start":{"date-parts":[[2023,5,4]],"date-time":"2023-05-04T00:00:00Z","timestamp":1683158400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,5,4]],"date-time":"2023-05-04T00:00:00Z","timestamp":1683158400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Universit\u00e4tsklinikum Carl Gustav Carus Dresden an der Technischen Universit\u00e4t Dresden"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Nervenarzt"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Hintergrund<\/jats:title>\n                <jats:p>Der maligne Mediainfarkt ist ein potenziell lebensbedrohliches Krankheitsbild. Die dekompressive Hemikraniektomie geh\u00f6rt zur leitliniengerechten Behandlungspraxis insbesondere bei Patienten\/-innen bis zu 60\u00a0Jahren. F\u00fcr das postoperative Management gibt es keine standardisierte Handlungsempfehlung.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ziel der Arbeit (Fragestellung)<\/jats:title>\n                <jats:p>Die Untersuchung zielt darauf ab, die gegenw\u00e4rtige Versorgungslage hinsichtlich der Anwendung standardisierter Behandlungskonzepte zu analysieren und Impulse f\u00fcr eine optimierte Versorgung von Patienten\/-innen mit einem malignen Mediainfarkt im neurointensivmedizinischen Bereich zu generieren.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Material und Methoden<\/jats:title>\n                <jats:p>Vom 20.09.2021 bis zum 31.10.2021 wurden 43\u00a0Mitglieder des Netzwerks Initiative of German NeuroIntensive Trial Engagement (IGNITE) eingeladen, an einer standardisierten anonymen Onlineumfrage teilzunehmen. Es erfolgte eine deskriptive Datenanalyse.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Neunundzwanzig von 43\u00a0Zentren (67,4\u202f%) nahmen an der Umfrage teil, davon 24\u00a0Universit\u00e4tskliniken. \u00dcber eine eigenst\u00e4ndige neurologische Intensivstation verf\u00fcgen 21\u00a0Krankenh\u00e4user. W\u00e4hrend 23,1\u202f% ein standardisiertes Vorgehen bei der postoperativen Analgesie und Sedierung favorisieren, werden in der Mehrzahl individuell gew\u00e4hlte Kriterien hinzugezogen (Einsch\u00e4tzung der Zunahme des intrakraniellen Druckes, Weaningparameter, Komplikationen). Der Zeitpunkt der angestrebten Extubation variiert zwischen den Kliniken (\u2264\u202f24\u202fh bei 19,2\u202f%, \u2264\u202f3\u00a0Tage bei 30,8\u202f%, \u2264\u202f5\u00a0Tage bei 19,2\u202f%, &gt;\u202f5\u00a0Tage bei 15,4\u202f%). Eine Fr\u00fchtracheotomie (\u2264\u202f7\u00a0Tage) wird bei 19,2\u202f% der Kliniken durchgef\u00fchrt. Intraven\u00f6se Osmotherapeutika werden bei 53,9\u202f% standardisiert angewandt. Zweiundzwanzig Zentren (84,6\u202f%) erkl\u00e4rten sich bereit, an einer klinischen Studie zur Dauer der postoperativen Sedierung und Beatmung teilzunehmen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Diskussion<\/jats:title>\n                <jats:p>Die Ergebnisse zeigen eine bemerkenswerte Heterogenit\u00e4t in der Behandlungspraxis von Patienten\/-innen mit malignem Mediainfarkt und insbesondere der Dauer der postoperativen Analgesie und Sedierung sowie Beatmung nach erfolgter Hemikraniektomie in Deutschland. Die Durchf\u00fchrung einer randomisierten Studie zur Sedierungsdauer nach Hemikraniektomie scheint gerechtfertigt.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00115-023-01486-4","type":"journal-article","created":{"date-parts":[[2023,5,4]],"date-time":"2023-05-04T05:02:58Z","timestamp":1683176578000},"page":"934-943","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Postoperatives Management nach dekompressiver Hemikraniektomie bei malignem Mediainfarkt\u00a0\u2013 eine deutschlandweite Umfragestudie","Postoperative management following decompressive hemicraniectomy for malignant middle cerebral artery infarction\u2014A\u00a0German nationwide survey study"],"prefix":"10.1007","volume":"94","author":[{"given":"D.","family":"Schoene","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Hartmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Winzer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"Moustafa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"G\u00fcnther","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V.","family":"Puetz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Barlinn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"IGNITE study group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,5,4]]},"reference":[{"key":"1486_CR1","doi-asserted-by":"publisher","first-page":"2054","DOI":"10.1097\/CCM.0b013e31817bfd60","volume":"36","author":"S Arias-Rivera","year":"2008","unstructured":"Arias-Rivera\u00a0S, Del Mar S\u00e1nchez-S\u00e1nchez\u00a0M, Santos-D\u00edaz\u00a0R et al (2008) Effect of a\u00a0nursing-implemented sedation protocol on weaning outcome. 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