Download PDF
Notfallmedizin up2date 2006; 1(1): 29-45
DOI: 10.1055/s-2006-924324
Reanimation

© Georg Thieme Verlag KG Stuttgart · New York

Erweiterte Maßnahmen der kardiopulmonalen Reanimation - Richtlinien 2005

H. Herff, C. A. Schmittinger, V. Wenzel
Further Information

Publication History

Publication Date:
26 October 2007 (online)

Also available at
    Permissions and Reprints All articles of this category

Kernaussagen

Grundlage auch der erweiterten CPR‐Maßnahmen sind die korrekt durchgeführten Basis-CPR‐Maßnahmen Thoraxkompressionen und Beatmung.

Professionellen Helfern stehen darüber hinaus noch die Möglichkeit der Atemwegssicherung und die EKG‐Analyse mit der Defibrillation zur Verfügung.

Zusätzlich umfassen die erweiterten Maßnahmen die Medikamentenapplikation, allen voran die intravenöse Injektion von Adrenalin, falls indiziert, die Gabe antiarrhythmischer Substanzen und ggf. die prähospitale Lysetherapie.

Nach einer erfolgreichen CPR muss obligat eine intensivtherapeutische Therapie erfolgen.

Literatur

  • 1 [Anonymous] . European Resuscitation Council: Guidelines for Resuscitation 2005.  Resuscitation. 2005;  67(Suppl. 1) 1-189
    CrossrefGoogle Scholar
  • 2 [Anonymous] . International Guidelines 2000 for CPR and ECC. A consensus on science. European Resuscitation Council.  Resuscitation. 2000;  46 1-447
    CrossrefGoogle Scholar
  • 3 Cohen T J, Tucker K J, Lurie K G. et al . Active compression-decompression. A new method of cardiopulmonary resuscitation. Cardiopulmonary Resuscitation Working Group.  JAMA. 1992;  267 2916-2923
    CrossrefGoogle Scholar
  • 4 Mauer D, Schneider T, Dick W. et al . Active compression-decompression resuscitation: a prospective, randomized study in a two-tiered EMS system with physicians in the field.  Resuscitation. 1996;  33 125-134
    CrossrefGoogle Scholar
  • 5 Lurie K G, Mulligan K A, McKnite S. et al . Optimizing standard cardiopulmonary resuscitation with an inspiratory impedance threshold valve.  Chest. 1998;  113 1084-1090
    Google Scholar
  • 6 Plaisance P, Lurie K G, Vicaut E. et al . Evaluation of an impedance threshold device in patients receiving active compression-decompression cardiopulmonary resuscitation for out of hospital cardiac arrest.  Resuscitation. 2004;  61 265-271
    CrossrefGoogle Scholar
  • 7 Weaver W D, Hill D, Fahrenbruch C E. et al . Use of the automatic external defibrillator in the management of out-of-hospital cardiac arrest.  N Engl J Med. 1988;  319 661-666
    CrossrefGoogle Scholar
  • 8 Cobb L A, Fahrenbruch C E, Walsh T R. et al . Influence of cardiopulmonary resuscitation prior to defibrillation in patients with out-of-hospital ventricular fibrillation.  JAMA. 1999;  28 1182-1188
    Google Scholar
  • 9 Carpenter J, Read T D, Murray J A. et al . Defibrillation waveform and post shock rhythm in out-of-hospital ventricular fibrillation cardiac arrest.  Resuscitation. 2003;  59 189-196
    CrossrefGoogle Scholar
  • 10 Schneider T, Martens P R, Paschen H. et al . Multicenter, randomized, controlled trial of 150-J biphasic shocks compared with 200- to 360-J monophasic shocks in the resuscitation of out-of-hospital cardiac arrest victims. Optimized Response to Cardiac Arrest (ORCA) Investigators.  Circulation. 2000;  102 1780-1787
    Google Scholar
  • 11 Alem van A P, Sanou B T, Koster R W. Interruption of cardiopulmonary resuscitation with the use of an automated external defibrillator in out-of-hospital cardiac arrest.  Ann Emerg Med. 2003;  42 449-457
    CrossrefGoogle Scholar
  • 12 Rea T D, Shah S, Kudenchuk P J, Copass M K, Cobb L A. Automated external defibrillators: To what extent does the algorithm delay CPR?.  Ann Emerg Med. 2005;  46 132-141
    CrossrefGoogle Scholar
  • 13 Hess E P, White R D. Ventricular fibrillation is not provoked by chest compression during post-shock organized rhythms in out-of-hospital cardiac arrest.  Resuscitation. 2005;  66 7-11
    CrossrefGoogle Scholar
  • 14 Paradis N A, Wenzel V, Southall J. Pressor drugs in the treatment of cardiac arrest.  Cardiol Clin. 2002;  20 61-78
    Google Scholar
  • 15 Brown C G, Martin D R, Pepe P E. et al . A comparison of standard-dose and high-dose epinephrine in cardiac arrest outside the hospital. The Multicenter High-Dose Epinephrine Study Group.  N Engl J Med. 1992;  327 1051-1055
    Google Scholar
  • 16 Stiell I G, Hebert P C, Wells G A. et al . Vasopressin versus epinephrine for inhospital cardiac arrest: a randomised controlled trial.  Lancet. 2001;  358 105-109
    CrossrefPubMedGoogle Scholar
  • 17 Wenzel V, Krismer A C, Arntz H R. et al . A comparison of vasopressin and epinephrine for out-of-hospital cardiopulmonary resuscitation.  N Engl J Med. 2004;  350 105-113
    Google Scholar
  • 18 Aung K, Htay T. Vasopressin for cardiac arrest: a systematic review and meta-analysis.  Arch Intern Med. 2005;  165 17-24
    CrossrefPubMedGoogle Scholar
  • 19 Dorian P, Cass D, Schwartz B. et al . Amiodarone as compared with lidocaine for shock-resistant ventricular fibrillation.  N Engl J Med. 2002;  346 884-890
    Google Scholar
  • 20 Kudenchuk P J, Cobb L A, Copass M K. et al . Amiodarone for resuscitation after out-of-hospital cardiac arrest due to ventricular fibrillation.  N Engl J Med. 1999;  341 871-878
    Google Scholar
  • 21 Padosch S A, Motsch J, Böttiger B W. Thrombolysis during cardiopulmonary resuscitation.  Anaesthesist. 2002;  51 516-532
    CrossrefGoogle Scholar
  • 22 Spohr F, Arntz H R, Bluhmki E. et al . International multicentre trial protocol to assess the efficacy and safety of tenecteplase during cardiopulmonary resuscitation in patients with out-of-hospital cardiac arrest: the Thrombolysis in Cardiac Arrest (TROICA) Study.  Eur J Clin Invest. 2005;  35 315-323
    Google Scholar

Dr. Holger Herff

Univ.-Klinik für Anästhesie und Allgemeine Intensivmedizin, Medizinische Universität Innsbruck

Anichstrasse 35

6020 Innsbruck

Österreich

Phone: + 43 512 504-22400

Fax: + 43 512 504-25744

Email: holger.herff@uibk.ac.at

      >