Notfallthorakotomie – Übersicht, Indikation und Zugänge

Die Notfallthorakotomie stellt eine lebensrettende, jedoch seltene Maßnahme bei Patienten mit traumatischem Kreislaufstillstand oder in extremis dar. Während die Überlebensraten stark von Verletzungsmuster, Lebenszeichen und zeitkritischer Durchführung abhängen, bleibt die Indikationsstellung ein kontrovers diskutiertes Thema. Dieser Artikel gibt eine umfassende Übersicht zu Indikationen, Zugängen und Behandlung möglicher Pathologien.

Abstract

The emergency thoracotomy is a life-saving but rare procedure for patients in extremis or with traumatic cardiac arrest. While survival rates strongly depend on the injury pattern, presence of vital signs, and timely intervention, the indication for this procedure remains a subject of ongoing debate. This article provides a comprehensive overview of indications, surgical approaches, and the management of potential pathologies.

Schlüsselwörter

Notfallthorakotomie - Thoraxtrauma - Trauma-Reanimation

Keywords

emergency thoracotomy - thoracic trauma - trauma resuscitation

Publication History

Article published online:
22 May 2025

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