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Handlungsempfehlung zeitlich begrenzter Therapieversuch in der Neurointensivmedizin: Leitlinien und Empfehlungen

Many acute brain disorders are associated with acute disorders of consciousness. In an emergency situation, life-saving measures are usually taken first and intensive care is initiated. If there is no significant improvement with recovery of consciousness in the first few days, very complex decision...

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Main Authors: Alonso, Angelika (Author) , Rogge, Annette (Author) , Schramm, Patrick (Author) , Münch, Urs (Author) , Jöbges, Susanne (Author)
Format: Article (Journal)
Language:German
Published: April 2025
In: Die Anaesthesiologie
Year: 2025, Volume: 74, Issue: 4, Pages: 221-228
ISSN:2731-6866
DOI:10.1007/s00101-025-01516-7
Online Access:Verlag, kostenfrei, Volltext: https://doi.org/10.1007/s00101-025-01516-7
Verlag, kostenfrei, Volltext: http://link.springer.com/article/10.1007/s00101-025-01516-7
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Author Notes:Angelika Alonso, Annette Rogge, Patrick Schramm, Urs Münch, Susanne Jöbges

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520 |a Many acute brain disorders are associated with acute disorders of consciousness. In an emergency situation, life-saving measures are usually taken first and intensive care is initiated. If there is no significant improvement with recovery of consciousness in the first few days, very complex decision-making situations arise regularly. In neurointensive care, a time-limited therapy trial (TLT) is an important structuring element in treatment planning and communication, as a binding agreement between the treatment team and the patient or legal representative on a treatment concept for a defined period of time. Due to the prolonged neurological rehabilitation phase, the TLT in neurointensive care can also last weeks or months. This often requires interdepartmental communication (acute/rehabilitation/long-term care), re-evaluation and implementation in neurointensive care. The recommendations include the definition, empirical evidence and implementation suggestions for a TLT for critically ill neurointensive care patients. 
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