{"id":37501,"date":"2023-08-03T12:08:33","date_gmt":"2023-08-03T12:08:33","guid":{"rendered":"https:\/\/ifevet.com\/?p=37501"},"modified":"2025-11-13T17:11:52","modified_gmt":"2025-11-13T16:11:52","slug":"notfallmanagement-bei-einem-patienten-mit-trachealkollaps","status":"publish","type":"post","link":"https:\/\/ifevet.com\/de\/notfallmanagement-bei-einem-patienten-mit-trachealkollaps\/","title":{"rendered":"Notfallmanagement bei einem Patienten mit Trachealkollaps"},"content":{"rendered":"

Einf\u00fchrung<\/strong><\/p>\n

Der Trachealkollaps<\/strong> tritt h\u00e4ufig bei kleinen Hunderassen auf. Sowohl der intra- als auch der extrathorakale Anteil<\/strong> k\u00f6nnen betroffen sein, wobei sich die Ver\u00e4nderung auch auf den Hauptbronchus ausdehnen kann.<\/p>\n

Die \u00c4tiologie<\/strong> liegt in einer Defizienz der Knorpelmatrix<\/strong>, die zu einem Kollaps des Tracheallumens f\u00fchrt.<\/p>\n

\n

Diagnose<\/strong><\/p>\n

I) Klinische Zeichen:<\/strong> Husten, intensiver Husten nach Bewegung oder Aufregung, Synkope nach Hustenepisoden, Hyperthermie, moderater bis schwerer Atemnot<\/strong><\/p>\n

II) R\u00f6ntgenaufnahme Hals – Thorax, lateral und dorsoventral:<\/strong><\/p>\n

    \n
  • \n

    Inspiration:<\/strong> Auf der lateralen Aufnahme ist eine Verengung des extrathorakalen Tracheanteils<\/strong> und eine Erweiterung des intrathorakalen Anteils<\/strong> sichtbar.<\/p>\n<\/li>\n

  • \n

    Exspiration:<\/strong> Auf der lateralen Aufnahme zeigt sich eine Erweiterung des zervikal-extrathorakalen Anteils<\/strong> und eine Verengung des intrathorakalen Anteils<\/strong>.<\/p>\n<\/li>\n<\/ul>\n

    III) Fluoroskopie<\/strong><\/p>\n

    IV) Bronchoskopie<\/strong><\/p>\n

    \n

    Notfallmanagement und Behandlung<\/strong><\/p>\n

    I) Sauerstofftherapie und Sedierung<\/strong> (Butorphanol und\/oder Acepromazin)<\/p>\n

    II) Entz\u00fcndungshemmende Kortikosteroiddosis:<\/strong> 0,5 mg\/kg Methylprednisolon IV<\/p>\n

    III) Terbutalin 0,01 mg\/kg IV oder SC<\/strong><\/p>\n

    IV) Aktive Abk\u00fchlung des Patienten<\/strong> bei Temperatur > 39,5\u202f\u00b0C<\/p>\n

    **V) Patienten, die intubiert werden m\u00fcssen und aufgrund eines erneuten Kollapses bei jedem Extubationsversuch nicht extubiert werden k\u00f6nnen, sind Kandidaten f\u00fcr eine Notfalloperation<\/strong> oder die Einlage eines Trachealstents<\/strong>.<\/p>\n

     <\/p>\n","protected":false},"excerpt":{"rendered":"

    Einf\u00fchrung Der Trachealkollaps tritt h\u00e4ufig bei kleinen Hunderassen auf. Sowohl der intra- als auch der extrathorakale Anteil k\u00f6nnen betroffen sein, wobei sich die Ver\u00e4nderung auch auf den Hauptbronchus ausdehnen kann. Die \u00c4tiologie liegt in einer Defizienz der Knorpelmatrix, die zu einem Kollaps des Tracheallumens f\u00fchrt. Diagnose I) Klinische Zeichen: Husten, intensiver Husten nach Bewegung oder […]<\/p>\n","protected":false},"author":1,"featured_media":37691,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[35],"tags":[],"class_list":["post-37501","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-klinische-inhalte"],"yoast_head":"\nNotfallmanagement bei einem Patienten mit Trachealkollaps - Ifevet International - Alemania<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ifevet.com\/de\/notfallmanagement-bei-einem-patienten-mit-trachealkollaps\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Notfallmanagement bei einem Patienten mit Trachealkollaps - Ifevet International - Alemania\" \/>\n<meta property=\"og:description\" content=\"Einf\u00fchrung Der Trachealkollaps tritt h\u00e4ufig bei kleinen Hunderassen auf. Sowohl der intra- als auch der extrathorakale Anteil k\u00f6nnen betroffen sein, wobei sich die Ver\u00e4nderung auch auf den Hauptbronchus ausdehnen kann. Die \u00c4tiologie liegt in einer Defizienz der Knorpelmatrix, die zu einem Kollaps des Tracheallumens f\u00fchrt. 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