Zusammenfassung
Reanimationsbemühungen erfordern invasive iatrogene Manipulationen am Patienten. Diese
Maßnahmen sind einerseits zur erfolgreichen Wiederbelebung des Patienten unerlässlich,
können andererseits aber den Patienten schädigen und den Erfolg der Wiederbelebung
negativ beeinflussen. Hierbei wird zwischen häufigen und seltenen Komplikationen unterschieden.
Einflussfaktoren sind Dauer und Intensität der Reanimationsmassnahmen, Alter des Patienten
sowie eine gerinnungshemmende Medikation.
Summary
Resuscitation attempts require invasive iatrogenic manipulations on the patient. On
the one hand, these measures are essential for successful survival of the patient,
but on the other hand can damage the patient. We differentiate between frequent and
rare injuries. Factors of influence are duration and intensity of the resuscitation
attempts, age of the patient as well as a coagulate-inhibiting medication.
Schlüsselwörter
Reanimationsverletzungen - Häufigkeiten - medizinische Relevanz - forensische Relevanz
Key words
resuscitation-related injuries - frequencies - medical relevance - forensic relevance
Literatur
- 1
Bauer H, Welsch K.
Punktions-Techniken in der Notfallmedizin.
Münchener Medizinische Wochenschrift.
1976;
118
567-572
- 2
Bode G, Joachim H.
Zur Differentialdiagnose von Unfall- und Reanimationstraumen.
Z Rechtsmed.
1987;
98
19-32
- 3 Darok M.
Injuries resulting from resuscitation procedures. In: Tsokos M (Ed) Forensic Pathology Reviews Vol 1. Totowa, NJ; Humana Press Inc
293-303
- 4
Dirks B, Sefrin P.
Reanimation 2006 - Empfehlungen der Bundesärztekammer nach den Leitlinien des European
Resusciitation Council.
Dtsch Arztebl.
2006;
103
(34 - 35)
A2263-A2267
- 5
Eldor J, Ofek B, Abramowitz H B.
Perforation of oesophagus by tracheal tube during resuscitation.
Anaesthesia.
1990;
45
70-71
- 6
Hartoko T J, Demey H E, Rogers P E, Decoster H L, Nagler J M, Bossaert L L.
Pneumoperitoneum - a rare complication of cardiopulmonary resuscitation.
Acta Anaesth Scand.
1991;
35
235-237
- 7
Hashimoto Y, Moriya F, Furumiya J.
Forensic aspects of complications resulting from cardiopulmonary resuscitation.
Legal Medicine.
2007;
9
94-99
- 8
Jaeger K, Ruschulte H, Osthaus A, Scheinichen S, Heine J.
Tracheal injury as a sequence of multiple attempts of endotracheal intubation in the
course of a preclinical cardiopulmonary resuscitation.
Resuscitation.
2000;
43
147-150
- 9
Kardiopulmonale Reanimation - Aktuelle Leitlinien des European Resuscitation Council.
Notfall- und Rettungsmedizin.
2006;
9
4-170
- 10
Klintschar M, Darok M, Radner H.
Massive injury to the heart after attempted active compression-decompression cardiopulmonary
resuscitation.
Int J Legal Med.
1998;
111
93-96
- 11
Kurkciyan I, Meron G, Sterz F. et al .
Major bleeding complications after cardiopulmonary resuscitation: impact of thrombolytic
treatment.
Journal of Internal Medicine.
2003;
253
128-135
- 12
Krause S, Donen N.
Gastric rupture during cardiopulmonary resuscitation.
Can Anaesth Soc J.
1984;
31
319-322
- 13
Krischer J P, Fine E G, Davis J H, Nagel E L.
Complications of cardiac resuscitation.
Chest.
1987;
92
287-291
- 14 Larsen R.
Kardiopulmonale Reanimation. In: Larsen R (Ed) Anästhesie (2002, 8nd Edition). München, Jena; Urban & Fischer
Verlag 851-900
- 15
Lawes E G, Baskett P J.
Pulmonary aspiration during unsuccessful cardiopulmonary resuscitation.
Intensive Care Med.
1987;
13
379-382
- 16
Lederer W, Mair D, Rabl W, Baubin M.
Frequency of rib and sternum fractures associated with out-of-hospital cardiopulmonary
resuscitation is underestimated by conventional chest X-ray.
Resuscitation.
2004;
60
157-162
- 17
Maxeiner H.
Weichteilverletzungen am Kehlkopf bei notfallmäßiger Intubation.
Anästh Intensivmed.
1988;
29
42-49
- 18
Meron G, Kurkciyan I, Sterz F. et al .
Cardiopulmonary resuscitation-associated major liver injury.
Resuscitation..
, DOI 10.1016/j.resuscitation.2007.05.023
- 19
Mills S A, Paulson D, Scott S M, Sethi G.
Tension pneumoperitoneum and gastric rupture following cardiopulmonary resuscitation.
Ann Emerg Med.
1983;
12
94-95
- 20
Minor R L Jr, Chandran P K, Williams C L.
Rhabdomyolysis and myoglobinuric renal failure following cardioversion and CPR for
acute MI.
Chest.
1990;
97
485-486
- 21
Noffsinger A E, Blisard K S, Balko M G.
Cardiac laceration and pericardial tamponade due to cardiopulmonary resuscitation
after myocardial infarction.
J Forensic Sci.
1991;
36
1760-1764
- 22
Odom A, Christ E, Kerr N. et al .
Prevalence of Retinal Hemorrhages in Pediatric Patients After In-Hospital Cardiopulmonary
Resuscitation: A Prospective Study.
Pediatrics.
1997;
, . DOI 10.1542/peds.99.6.e3
- 23
Price E A, Rush L R, Perper J A, Bell M D.
Cardiopulmonary resuscitation-related injuries and homicidal blunt abdominal trauma
in children.
Am J Forensic Med Pathol.
2000;
21
307-310
- 24
Rabl W, Baubin M, Haid C, Pfeiffer K P, Scheithauer R.
Review of active compression-decompression cardiopulmonary resuscitation (ACD-CPR).
Analysis of iatrogenic complications and their biomechanical explanation.
Forensic Sci Int.
1997;
89
175-183
- 25
Ryan M P, Young S J, Wells D L.
Do resuscitation attempts in children who die, cause injury?.
Emerg Med J.
2003;
20
10-12
- 26
Saternus K S, Fuchs V.
Verletzungen der A. carotis communis durch Reanimationsmaßnahmen.
Z Rechtsmed.
1982;
88
305-311
- 27
Schvadron E, Moses Y, Weissberg D.
Gastric Rupture complicating inadvertent intubation of the esophagus.
Can J Surg.
1996;
39
487-489
- 28
Shulman D, Beilin B, Olshwang D.
Pulmonary barotrauma during cardiopulmonary resuscitation.
Resuscitation.
1987;
15
201-207
- 29
Sperry K.
Anterior thoracic wall trauma in elderly homicide victims. The „CPR” defense.
Am J Forensic Med Pathol.
1990;
11
50-55
- 30
Umach P, Unterdorfer H.
Organverletzungen durch Reanimationsmaßnahmen.
Beiträge zur Gerichtlichen Medizin.
1980;
38
29-32
- 31
Valenzuela T D, Kern K B, Clark L L. et al .
Interruptions of chest compressions during emergency medical systems resuscitation.
Circulation.
2005;
112
1259-1265
- 32
Wik L, Kramer-Johansen J, Myklebust H. et al .
Quality of cardiopulmonary resuscitation during out-of-hospital car diac arrest.
JAMA.
2005;
293
299-304
- 33
Yamaki T, Ando S, Ohta K, Kubota T, Kawasaki K, Hirama M.
CT demonstration of massive cerebral air embolism from pulmonary barotraumas due to
cardiopulmonary resuscitation.
J Comput Assist Tomogr.
1989;
13
313-315
- 34
Ziegenfuss M D, Mullany D V.
Traumatic liver injury complicating cardio-pulmonary resuscitation. The value of a
major intensive care facility: a report of two cases.
Crit Care Resusc.
2004;
2
102-104
Dr. med. Claas T. Buschmann
Charité - Universitätsmedizin Berlin, Institut für Rechtsmedizin
Turmstr. 21, Haus L
10559 Berlin
Phone: 030/90 17 28-147
Fax: 030/90 17 28-154
Email: claas.buschmann@charite.de
URL: http://remed.charite.de
