{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T00:03:51Z","timestamp":1772150631524,"version":"3.50.1"},"reference-count":6,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Klin Padiatr"],"published-print":{"date-parts":[[2026,3]]},"abstract":"Zusammenfassung<\/jats:title>\n Die Pflege und Behandlung langzeitbeatmeter Kinder und Jugendlichen verfolgt\n mehrere \u00fcbergeordnete Ziele und erfolgt bestenfalls in interdisziplin\u00e4rer\n Zusammenarbeit eines erfahrenen, multiprofessionellen Teams. Bei Kindern und\n Jugendlichen sind neuromuskul\u00e4re Erkrankungen mit resultierender\n ventilatorischer Insuffizienz die Hauptursache f\u00fcr eine Langzeitabh\u00e4ngigkeit vom\n Respirator. Neben den Erkrankungen, die eine Langzeitbeatmung notwendig machen,\n sind Obstruktionen der Atemwege, Traumata, Fehlbildungen im Rahmen genetischer\n Syndrome und selten eine unzureichende Sekretclearance oder schwere Dysphagien\n mit Aspirationen bei spontan atmenden Patient:innen Indikationen zur\n Tracheotomie. Bei vielen dieser kongenitalen Erkrankungen ergibt sich aus\n Krankheitsverlauf und Prognose per se kein Weaning- oder\n Dekan\u00fclierungspotenzial. Demzufolge k\u00f6nnen einzelne, in der Richtlinie des\n gemeinsamen Bundesausschusses \u00fcber die au\u00dferklinische Intensivpflege geforderte\n Ma\u00dfnahmen und Untersuchungen bei Kindern und Jugendlichen verzichtbar oder gar\n kontraindiziert sein.<\/jats:p>","DOI":"10.1055\/a-2787-2051","type":"journal-article","created":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T23:48:18Z","timestamp":1772149698000},"page":"79-85","source":"Crossref","is-referenced-by-count":0,"title":["Handlungsoptionen bei der Verordnung au\u00dferklinischer Intensivpflege\n und Potenzialerhebung bei Kindern und Jugendlichen"],"prefix":"10.1055","volume":"238","author":[{"given":"Sebastian","family":"Becker","sequence":"additional","affiliation":[{"name":"Kinderpneumologie, Darmst\u00e4dter Kinderkliniken\n Prinzessin Margaret, Darmstadt, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Florian","family":"Stehling","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital, Universit\u00e4tsklinikum Essen, Essen,\n Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hans","family":"Fuchs","sequence":"additional","affiliation":[{"name":"Dept. of Pediatrics, Universit\u00e4tsklinikum Freiburg\n Medizinische Universit\u00e4tsklinik, Freiburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lennart","family":"Gunst","sequence":"additional","affiliation":[{"name":"Pediatric Pulmonology, Medical Center \u2013 University of\n Freiburg, Freiburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2026,2,4]]},"reference":[{"key":"ref2","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1007\/s00112-023-01910-8","article-title":"Heimbeatmung von Kindern und Jugendlichen","volume":"172","author":"M Steindor","year":"2024","journal-title":"Monatsschrift Kinderheilkunde"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"2101404","DOI":"10.1183\/13993003.01404-2021","article-title":"ERS statement on paediatric long term non-invasive rsespiratory support","volume":"59","author":"B Fauroux","year":"2022","journal-title":"Eur Respir J"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"e16","DOI":"10.1164\/rccm.201602-0276ST","article-title":"Pediatric chronic home invasive ventilation","volume":"193","author":"L M Sterni","year":"2016","journal-title":"Am J Respir Crit Care Med"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1007\/s00112-023-01903-7","article-title":"Trachealkan\u00fclenmanagement im Kindesalter \u2013 \u201eOne fits all?\u201c","volume":"172","author":"A Wirth","year":"2024","journal-title":"Monatsschrift Kinderheilkunde"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"2999","DOI":"10.1007\/s00431-023-04966-6","article-title":"Tracheostomy decannulation in children: a proposal for a structured approach on\n behalf of the working group chronic respiratory insufficiency within the\n German-speaking society of pediatric pulmonology","volume":"182","author":"E B\u00f6schen","year":"2023","journal-title":"Eur Jpediatr"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"388","DOI":"10.1055\/a-0874-2406","article-title":"Hypersalivation \u2013 Aktualisierung der S2k-Leitlinie (AWMF) in gek\u00fcrzter\n Darstellung","volume":"98","author":"A Steffen","year":"2019","journal-title":"Laryngorhinootologie"}],"container-title":["Klinische P\u00e4diatrie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2787-2051.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T23:48:29Z","timestamp":1772149709000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2787-2051"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,4]]},"references-count":6,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2026,2,26]]},"published-print":{"date-parts":[[2026,2]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2787-2051","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0300-8630","1439-3824"],"issn-type":[{"value":"0300-8630","type":"print"},{"value":"1439-3824","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,4]]}}}