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Doctors newspaper online, 02.09.2019
Model project "Lebensluft"
A long-term project for resuscitation of ventilation achieves good results with multi-professional therapy. The patients draw new "life air" – and they are required to do a lot.
By Ilse Schlingensiepen
KREFELD. The model project "Lebensluft" for resuscitation is designed to last for eight years, but after only three years it becomes clear that more than half of the patients who need to be artificially ventilated today can benefit from intensive multi-professional therapy be weaned from the ventilators.
The initiators therefore advocate enabling as many patients as possible to make such a leap in quality of life. "Lebensluft" is a joint project of the Helios Klinikum Krefeld and the AOK Rheinland / Hamburg, which started in mid-2016 after two years of preparation. The target group are patients who, at least temporarily, continue to rely on artificial respiration after therapy in a weaning unit, ie a special weaning unit, as well as patients who have been treated in hospitals without a weaning unit.
These people are often provided with care by respiratory care homes in respiratory care homes, nursing homes, or at home. Manuel Streuter. The chief physician of the lung clinic at Helios Klinikum has developed the concept for "Lebensluft".
"There is often a lack of capacity, knowledge and experience to get patients away from the ventilators," he says. This left untapped potential, which was a very unsatisfactory situation for doctors. The Krefeld Hospital has set up a special residential unit for long-term invasive-ventilated patients. The care concept includes nursing care, therapeutically activating care, respiratory therapy, physiotherapy, occupational therapy and speech therapy. Doctors are in the background with uncertainties and problems ready and take over the supervision, explains Streuter.
The program demands a lot from the patient. "It is almost comparable to the condition training in competitive sports." The patients are on average eight to twelve weeks on the ward. By the end of July, 145 patients had been treated there, and 87 were able to be discharged home independently.
"Our expectations were exceeded," says Matthias Mohrmann, CEO of AOK Rheinland / Hamburg. Originally, it was assumed that "living air" enabled one third of the patients to live without ventilation. "It is our wish and will that we get what we have achieved here into the standard care," he emphasizes. His fund will continue the project beyond the eight years. The clinic receives a special compensation for the care provided by the AOK. "It's not more than what we pay for intensive care every day, but there's no chance of weaning."
Insured persons of other funds have already been provided with individual commitments. "The project was always designed to open it to other health insurances and service providers," says clinic managing director Alexander Holubars. In the Helios Klinikum Wuppertal, a comparable station was opened four weeks ago.
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