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Haidl P, Jany B, Geiseler J, Andreas S, Arzt M, Dreher M, Frey M, Hauck RW, Herth F, Hämäläinen N, Jehser T, Kenn K, Lamprecht B, Magnet F, Oldenburg O, Schenk P, Schucher B, Studnicka M, Voshaar T, Windisch W, Woehrle H, Worth H. [Guideline for Long-Term Oxygen Therapy - S2k-Guideline Published by the German Respiratory Society]. Pneumologie 2020; 74:813-841. [PMID: 33291162 DOI: 10.1055/a-1252-1492] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
Long-term oxygen therapy is of great importance both for reducing mortality and for improving performance in patients with chronic lung diseases. The prerequisites for Long-term oxygen therapy are adequate diagnostics and clearly defined indication. A causal distinction into chronic hypoxaemic and hypercapnic respiratory failure is reasonable, from which the differential indication for non-invasive ventilation results.The revised guideline covers the diagnostics and indication of chronic lung and heart diseases, the role of oxygen in terminal illness and gives a detailed description of available oxygen devices. The guideline is intended to help avoid undersupply, oversupply and false prescriptions. Furthermore, the chapter "Postacute Oxygen Therapy" discusses the procedure, relevant in everyday life, but not yet clearly defined, for prescribing oxygen therapy for the home at the end of an inpatient stay. Another important point, the correct prescription of mobile oxygen systems, is also presented in the guideline. This document is a revised version of the guideline for longterm oxygen therapy and replaces the version of 2008.
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Affiliation(s)
- P Haidl
- Fachkrankenhaus Kloster Grafschaft GmbH, Abteilung Pneumologie II, Schmallenberg
| | - B Jany
- Klinikum Würzburg Mitte (KWM), Klinik für Innere Medizin, Pneumologie und Beatmungsmedizin, Standort MissioKlinik, Würzburg
| | - J Geiseler
- Klinikum Vest, Medizinische Klinik IV: Pneumologie, Beatmungs- und Schlafmedizin, Marl
| | - S Andreas
- Lungenfachklinik Immenhausen, Universitätsmedizin Göttingen, Immenhausen
| | - M Arzt
- Universitätsklinikum Regensburg, Klinik und Poliklinik für Innere Medizin II, Regensburg
| | - M Dreher
- Universitätsklinikum Aachen, Klinik für Pneumologie und Internistische Intensivmedizin, Aachen
| | - M Frey
- Klinik Barmelweid, Rombach, Schweiz
| | - R W Hauck
- Klinikum Altötting, Klinik für Pneumologie, Beatmungs- und Schlafmedizin, Altötting
| | - F Herth
- Thoraxklinik, Abteilung für Pneumologie und Beatmungsmedizin, Universität Heidelberg, Heidelberg
| | | | - T Jehser
- Gemeinschaftskrankenhaus Havelhöhe, Palliativstation, Berlin
| | - K Kenn
- Philips Universität Marburg, Lehrstuhl für pneumologische Rehabilitation, Marburg
| | - B Lamprecht
- Kepler Universitätsklinikum, Med Campus III, Linz, Österreich
| | - F Magnet
- Lungenklinik, Kliniken der Stadt Köln gGmbH, Universität Witten-Herdecke, Fakultät für Gesundheit - Department für Humanmedizin, Köln
| | - O Oldenburg
- Clemenshospital, Klinik für Kardiologie, Münster
| | - P Schenk
- Landesklinikum Hochegg, Abteilung für Pulmologie, Grimmenstein, Österreich
| | - B Schucher
- LungenClinic Grosshansdorf, Großhansdorf
| | - M Studnicka
- Landeskrankenhaus Salzburg, Universitätsklinikum der PMU, Universitätsklinik für Pneumologie, Salzburg, Österreich
| | - T Voshaar
- Krankenhaus Bethanien Lungenzentrum, Medizinische Klinik III, Moers
| | - W Windisch
- Lungenklinik, Kliniken der Stadt Köln gGmbH, Universität Witten-Herdecke, Fakultät für Gesundheit - Department für Humanmedizin, Köln
| | | | - H Worth
- Facharztzentrum Fürth, Fürth
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Schwarz S, Pläcking M, Magnet F, Storre JH, Windisch W. Zirkadiane Verteilung von obstruktiven Atemgeräuschen bei akut exazerbierten und stabilen COPD Patienten. Pneumologie 2018. [DOI: 10.1055/s-0037-1619166] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- S Schwarz
- Department of Pneumology, Cologne Merheim Hospital; University of Witten/Herdecke
| | - M Pläcking
- Department of Pneumology, Cologne Merheim Hospital; University of Witten/Herdecke
| | - F Magnet
- Lung Center of Cologne, Merheim Hospital, Klinken der Stadt Köln gGmbH; University of Witten/Herdecke
| | - JH Storre
- Abteilung für Intensiv-, Schlaf- und Beatmungsmedizin, Asklepios Klinik Gauting GmbH, Betriebsstätte Gauting
| | - W Windisch
- Department of Pneumology, Cologne Merheim Hospital; University of Witten/Herdecke
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Schwarz S, Callegari J, Hamm C, Windisch W, Magnet F. Sind ambulante Kontrollen einer außerklinischen nichtinvasiven Beatmung möglich? – Ergebnisse eines Pilotprojektes. Pneumologie 2018. [DOI: 10.1055/s-0037-1619302] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- S Schwarz
- Department of Pneumology, Cologne Merheim Hospital, University of Witten/Herdecke
| | - J Callegari
- Department of Pneumology, Cologne Merheim Hospital, University of Witten/Herdecke
| | - C Hamm
- Department of Pneumology, Cologne Merheim Hospital, University of Witten/Herdecke
| | - W Windisch
- Department of Pneumology, Cologne Merheim Hospital, University of Witten/Herdecke
| | - F Magnet
- Department of Pneumology, Cologne Merheim Hospital, University of Witten/Herdecke
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Magnet F, Majorski DS, Callegari J, Schwarz S, Schmoor C, Windisch W, Storre JH. Kapillärer PO2 reflektiert nicht adäquat den arteriellen PO2 bei hypoxämischen COPD-Patienten. Pneumologie 2018. [DOI: 10.1055/s-0037-1619168] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- F Magnet
- Lung Center of Cologne, Klinken der Stadt Köln gGmbH, Merheim Hospital; University of Witten/Herdecke
| | - DS Majorski
- Abteilung Pneumologie, Lungenklinik Köln Merheim, Kliniken der Stadt Köln gGmbH; Universität Witten/Herdecke
| | - J Callegari
- Abteilung Pneumologie, Lungenklinik Köln Merheim, Kliniken der Stadt Köln gGmbH; Universität Witten/Herdecke
| | - S Schwarz
- Abteilung Pneumologie, Lungenklinik Köln Merheim, Kliniken der Stadt Köln gGmbH; Universität Witten/Herdecke
| | - C Schmoor
- Clinical Trials Center, Universitätsklinik Freiburg
| | - W Windisch
- Abteilung Pneumologie, Lungenklinik Köln Merheim, Kliniken der Stadt Köln gGmbH; Universität Witten/Herdecke
| | - JH Storre
- Abteilung für Intensiv-, Schlaf- und Beatmungsmedizin, Asklepios Klinik Gauting GmbH, Betriebsstätte Gauting
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Stevens T, Schwarz S, Magnet F, Windisch W. Hämoptysen bei einem jungen Asylbewerber mit positivem Tuberkulose-Screening: Nicht immer Tuberkulose! Pneumologie 2017; 71:293-296. [DOI: 10.1055/s-0042-122540] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- T. Stevens
- Lungenklinik Merheim, Kliniken der Stadt Köln gGmbH
| | - S. Schwarz
- Lungenklinik Merheim, Kliniken der Stadt Köln gGmbH
| | - F. Magnet
- Lungenklinik Merheim, Kliniken der Stadt Köln gGmbH
| | - W. Windisch
- Lungenklinik Merheim, Kliniken der Stadt Köln gGmbH
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Callegari J, Magnet F, Berger M, Taubner S, Schwarz S, Windisch W, Storre JH. Charakterisierung von Patienten mit außerklinischer nicht invasiver Beatmung bei chronisch hyperkapnischer COPD. Pneumologie 2017. [DOI: 10.1055/s-0037-1598359] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- J Callegari
- Klinken der Stadt Köln gGmbH, Lung Center of Cologne, Merheim Hospital, University of Witten/Herdecke
| | - F Magnet
- Klinken der Stadt Köln gGmbH, Lung Center of Cologne, Merheim Hospital, University of Witten/Herdecke
| | - M Berger
- Klinken der Stadt Köln gGmbH, Lung Center of Cologne, Merheim Hospital, University of Witten/Herdecke
| | - S Taubner
- Klinken der Stadt Köln gGmbH, Lung Center of Cologne, Merheim Hospital, University of Witten/Herdecke
| | - S Schwarz
- Klinken der Stadt Köln gGmbH, Lung Center of Cologne, Merheim Hospital, University of Witten/Herdecke
| | - W Windisch
- Klinken der Stadt Köln gGmbH, Lung Center of Cologne, Merheim Hospital, University of Witten/Herdecke
| | - JH Storre
- Klinken der Stadt Köln gGmbH, Lung Center of Cologne, Merheim Hospital, University of Witten/Herdecke
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Spielmanns M, Müller K, Schott N, Winkler A, Polanski H, Nell C, Böselt T, Koczulla AR, Storre JH, Windisch W, Magnet F, Baum K. Effektivität eines senso-motorischen Krafttrainings im Rahmen einer ambulanten pneumologischen Rehabilitation bei COPD-Patienten: eine randomisierte, kontrollierte Studie. Pneumologie 2017. [DOI: 10.1055/s-0037-1598474] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- M Spielmanns
- Medizinische Klinik, St. Remigius Krankenhaus, Lehrstuhl Pneumologie, Universität Witten/Herdecke
| | | | | | | | | | | | | | | | | | | | | | - K Baum
- Trainingsinstitut Prof. Baum, Köln
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Magnet F, Callegari J, Dieninghoff D, Spielmanns M, Storre JH, Schmoor C, Windisch W. Der Einfluss der Pseudomonas-aeruginosa-Infektion auf die atemmuskuläre Funktion bei erwachsenen Patienten mit Mukoviszidose. Pneumologie 2017. [DOI: 10.1055/s-0037-1598482] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- F Magnet
- Lungenklinik – Abt. Pneumologie, Klinken der Stadt Köln gGmbH, Merheim Hospital, University of Witten/Herdecke
| | - J Callegari
- Lungenklinik – Abt. Pneumologie, Klinken der Stadt Köln gGmbH, Merheim Hospital, University of Witten/Herdecke
| | - D Dieninghoff
- Lungenklinik – Abt. Pneumologie, Klinken der Stadt Köln gGmbH, Merheim Hospital, University of Witten/Herdecke
| | - M Spielmanns
- Medizinische Klinik und Ambulante Pneumologische Rehabilitation in Leverkusen (April)
| | - JH Storre
- Lungenklinik – Abt. Pneumologie, Klinken der Stadt Köln gGmbH, Merheim Hospital, University of Witten/Herdecke
| | - C Schmoor
- Clinical Trials Center, Universitätsklinik Freiburg
| | - W Windisch
- Lungenklinik – Abt. Pneumologie, Klinken der Stadt Köln gGmbH, Merheim Hospital, University of Witten/Herdecke
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Spielmanns M, Böselt T, Nell C, Koczulla AR, Magnet F, Storre JH, Windisch W, Baum K. Die Teilnahme von Patienten mit einer COPD an einer ambulanten pneumologischen Rehabilitation führt zu einer Steigerung der Inspirationskapazität im 6-Minutengehtest: eine kontrollierte Studie. Pneumologie 2017. [DOI: 10.1055/s-0037-1598259] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- M Spielmanns
- St. Remigius Krankenhaus; Medizinische Klinik; Lehrstuhl Pneumologie, Universität Witten/Herdecke
| | | | | | | | | | | | | | - K Baum
- Trainingsistitut Prof. Baum, Köln
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Spielmanns M, Axer F, Nell C, Koczulla AR, Boeselt T, Magnet F, Storre JH, Windisch W. [Outcome predictors for COPD patients hospitalized for acute exacerbation]. Med Klin Intensivmed Notfmed 2017; 112:708-716. [PMID: 28044184 DOI: 10.1007/s00063-016-0245-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2016] [Revised: 11/11/2016] [Accepted: 12/27/2016] [Indexed: 10/20/2022]
Abstract
BACKGROUND Prognostic factors for clinical failure of acute exacerbation in patients with COPD (AECOPD) are of special importance in order to choose an adequate therapy and resources during inpatient treatment. Our database was analyzed to identify predictors for a negative outcome. MATERIALS AND METHODS In a retrospective analysis medical records of 616 patients (299 women; 317 men) hospitalized for AECOPD between January 2011 and January 2016 were analyzed in order to evaluate demographic and clinical parameters leading to adverse events. Only the first admission was considered. Logistic regression analysis was performed to determine the relative risk (odds ratio (OR) leading to severe adverse events such as intensive care unit (ICU) admission, mechanical ventilation (invasive or noninvasive), early readmission to ICU and hospital and death). RESULTS An increased risk of an ICU admission was found for patients with a coronary heart disease (OR = 5.734; p = 0.009) and for patients requiring an antibiotic therapy (OR = 11.721; p = 0.003). An increased risk for rehospitalisation and mortality was found for age (OR = 1.034; p = 0.028) and a longer duration of the hospital stay (OR = 1.063; p = 0.042). A lower C‑reactive protein (CRP) level was associated with a lower risk of readmission to the hospital (OR = 0.991; p = 0.03). An increased risk of ventilator therapy was found for patients with chronic heart failure (OR = 6.166; p = 0.02) and sleep apnea syndrome (OR = 6.698; p = 0.003), diabetes (OR = 3.754; p = 0.041) and a long stay in the ICU (OR = 2.018; p = 0.000). CONCLUSIONS Comorbidities in patients with AECOPD were found to be a major risk factor for ICU admission and mechanical ventilation. Elderly patients and patients with prolonged hospital stay showed a higher risk for readmission and mortality. Patients with a low CRP blood level seemed to have a lower risk for rehospitalisation.
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Affiliation(s)
- M Spielmanns
- Medizinische Klinik und ambulante pneumologische Rehabilitation in Leverkusen (APRiL), St. Remigius Krankenhaus Leverkusen-Opladen, An St. Remigius 29, 51379, Leverkusen, Deutschland. .,Lehrstuhl Pneumologie, Universität Witten/Herdecke, Witten, Deutschland.
| | - F Axer
- Medizinische Klinik und ambulante pneumologische Rehabilitation in Leverkusen (APRiL), St. Remigius Krankenhaus Leverkusen-Opladen, An St. Remigius 29, 51379, Leverkusen, Deutschland
| | - C Nell
- Department of Medicine, Pulmonary and Critical Care Medicine, University Marburg, Marburg, Deutschland
| | - A R Koczulla
- Department of Medicine, Pulmonary and Critical Care Medicine, University Marburg, Marburg, Deutschland
| | - T Boeselt
- Department of Medicine, Pulmonary and Critical Care Medicine, University Marburg, Marburg, Deutschland
| | - F Magnet
- Abteilung Pneumologie, Lungenklinik, Kliniken der Stadt Köln gGmbH, Köln, Deutschland.,Lehrstuhl Pneumologie, Universität Witten/Herdecke, Witten, Deutschland
| | - J H Storre
- Universitätsklinikum Freiburg, Freiburg, Deutschland.,Abteilung Pneumologie, Lungenklinik, Kliniken der Stadt Köln gGmbH, Köln, Deutschland
| | - W Windisch
- Abteilung Pneumologie, Lungenklinik, Kliniken der Stadt Köln gGmbH, Köln, Deutschland.,Lehrstuhl Pneumologie, Universität Witten/Herdecke, Witten, Deutschland
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Koryllos A, Magnet F, Karagiannidis C, Goßmann A, Brockmann M, Windisch W, Stoelben E. [Unilateral agenesis of pulmonal artery in adults: a rare disease frequently undiagnosed]. Pneumologie 2015; 69:93-8. [PMID: 25668609 DOI: 10.1055/s-0034-1391384] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
INTRODUCTION Unilateral absence of a pulmonary artery (UAPA) in adults without any other cardiovascular anomalies is a very rare clinical entity. Usually UAPA in adults remains undetected because of the symptom-free clinical course. The most common symptoms are hemoptysis and recurrent pulmonary infections. PATIENTS AND THERAPY During 2006 - 2014 four adult patients with UAPA were diagnosed and treated in our institution. Recurrent pulmonary infections in combination with existing bronchiectasis and hemoptysis led to hospital treatment for three of the patients. In two cases, because of persevering hemoptysis and pathologically enlarged systemic arteries (intercostal, bronchial, diaphragm), pneumonectomy was indicated. Preoperative embolization of the enlarged arteries reduced the systemic arterial perfusion of the lung and led to minimal intraoperative blood loss. DISCUSSION UAPA in the adulthood can frequently lead to hypertrophic systemic arterial perfusion of the lung. This abnormal systemic perfusion in combination with the co-existing bronchiectasis and persevering hemoptysis can cause a life-threatening clinical scenario. A combined interdisciplinary treatment through pneumology, thoracic surgery and radiology is therefore indicated.
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Affiliation(s)
- A Koryllos
- Abteilung für Thoraxchirurgie, Lungenklinik Merheim, Kliniken der Stadt Köln gGmbH, Lehrstuhl für Thoraxchirurgie, Universität Witten/Herdecke, Fakultät für Gesundheit/Department für Humanmedizin
| | - F Magnet
- Abteilung für Pneumologie, Lungenklinik Merheim, Kliniken der Stadt Köln gGmbH, Lehrstuhl für Pneumologie, Universität Witten/Herdecke, Fakultät für Gesundheit/Department für Humanmedizin
| | - C Karagiannidis
- Abteilung für Pneumologie, Lungenklinik Merheim, Kliniken der Stadt Köln gGmbH, Lehrstuhl für Pneumologie, Universität Witten/Herdecke, Fakultät für Gesundheit/Department für Humanmedizin
| | - A Goßmann
- Abteilung für Radiologie in Merheim, Kliniken der Stadt Köln gGmbH
| | - M Brockmann
- Abteilung für Pathologie, Kliniken der Stadt Köln gGmbH
| | - W Windisch
- Abteilung für Pneumologie, Lungenklinik Merheim, Kliniken der Stadt Köln gGmbH, Lehrstuhl für Pneumologie, Universität Witten/Herdecke, Fakultät für Gesundheit/Department für Humanmedizin
| | - E Stoelben
- Abteilung für Thoraxchirurgie, Lungenklinik Merheim, Kliniken der Stadt Köln gGmbH, Lehrstuhl für Thoraxchirurgie, Universität Witten/Herdecke, Fakultät für Gesundheit/Department für Humanmedizin
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Storre JH, Schwarz S, Magnet F, Huttmann SE, Karagiannidis C, Windisch W. Nichtinvasives Monitoring des Kohlenstoffdioxidpartialdrucks bei tracheotomierten Patienten im Weaning: end-tidal versus transkutan. Pneumologie 2015. [DOI: 10.1055/s-0035-1544887] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Engel-Riedel W, Alten N, Bachinger A, Ludwig C, Magnet F, Stoelben E. Adjuvante Therapie des resezierten Nicht-Kleinzelligen Lungenkarzinoms (NSCLC) im Stadium IB-IIIA: retrospektive Analyse einer platinbasierten Chemotherapie mit Vinorelbin oral. Pneumologie 2014. [DOI: 10.1055/s-0034-1367990] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Koryllos A, Ludwig C, Magnet F, Schnell J, Stoelben E. Das interventionelle mediastinale Staging präoperativ bei nicht kleinzelligem Lungenkarzinom in Abhängigkeit von der Lokalisation des Primärtumors. Pneumologie 2013. [DOI: 10.1055/s-0033-1334572] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Stevens T, Magnet F, Stoelben E, Windisch W, Karagiannidis C. Seltener Fall einer isolierten tracheobronchialen Amyloidose. Pneumologie 2012. [DOI: 10.1055/s-0032-1302657] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Storre JH, Magnet F, Dreher M, Windisch W. Das transkutane CO2-Monitoring bei der nächtlichen nicht-invasiven Beatmung (NIV): SenTec Digital Monitor, TCM4 -TINA und TOSCA500. Pneumologie 2010. [DOI: 10.1055/s-0030-1251197] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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