Kardiopulmonale Reanimation: Was ist neu?

Was ist neu?

Update Europäische Leitlinien Erstmals haben die europäischen Leitlinien zur kardiopulmonalen Reanimation durch die Stellungnahme der ILCOR im Dezember 2017 ein Update erfahren. Diese sollen nun auch außerhalb des bewährten 5-Jahres-Zyklus möglich sein, wenn neue Daten und Erkenntnisse wesentliche Änderungen der Leitlinien notwendig machen.

Vorgehen bei Reanimation So wird nun empfohlen, dass je nach Abhängigkeit vom Ausbildungsstand des Laienhelfers eine alleinige Thoraxkompression oder eine solche in Kombination mit Atemspenden erfolgen soll. Die wichtige Funktion der Leitstellendisponenten im Rahmen der Telefonreanimation wird nochmals durch die Forderung nach einem strukturierten Training zur Telefonreanimation für Leitstellendisponenten hervorgehoben. Der Einsatz von mechanischen Reanimationshilfen bleibt weiterhin nur besonderen Situationen vorbehalten.

Abstract

For the first time, the european guidelines for cardiopulmonary resuscitation (CPR) have been updated by the ILCOR in december 2017. If new data and findings are available, these guidelines can also be updated outside the 5-year cycle. Thus, it is now recommended that, depending on the level of training of the layer, a chest-compression-only CPR or in combination with ventilation should be done. The important function of the dispatchers in the context of telephone or dispatcher-assisted CPR is emphasized by the demand of a structured training. The use of mechanical chest compression devices remains reserved only for special situations.

Schlüsselwörter

Herzkreislaufstillstand - kardiopulmonale Reanimation - Basismaßnahmen - erweiterte Reanimationsmaßnahmen - CPR

Key words

cardiac arrest - cardiopulmonary resuscitation - basic life support - advanced life support

• Literatur

• 1 Perkins GD, Olasveengen TM, Maconochie I. et al. European Resuscitation Council Guidelines for Resuscitation: 2017 update. Resuscitation 2018; 123: 43-50
• 2 Olasveengen TM, de Caen AR, Mancini ME. et al. 2017 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations Summary. Circulation 2017; 136 (23) e424-e440
• 3 Kleinman ME, Goldberger ZD, Rea T. et al. 2017 American Heart Association Focused Update on Adult Basic Life Support and Cardiopulmonary Resuscitation Quality: An Update to the American Heart Association Guidelines for Cardio pulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2017; [Epub ahead of print]
• 4 Ashoor HM, Lillie E, Zarin W. et al. Effectiveness of different compression-to-ventilation methods for cardiopulmonary resuscitation: A systematic review. Resuscitation 2017; 118: 112-125
• 5 Zhan L, Yang LJ, Huang Y. et al. Continuous chest compression versus interrupted chest compression for cardiopulmonary resuscitation of non-asphyxial out-of-hospital cardiac arrest. Cochrane Database Syst Rev 2017; 3: CD010134
• 6 Buis ML, Maissan IM, Hoeks SE. et al. Defining the learning curve for endotracheal intubation using direct laryngoscopy: A systematic review. Resuscitation 2016; 99: 63-71
• 7 Park SO, Kim JW, Na JH. et al. Video laryngoscopy versus direct laryngoscopy for tracheal intubation during in-hospital cardiopulmonary resuscitation. Resuscitation 2015; 89: 188-194
• 8 Nichol G, Leroux B, Wang H. et al. Trial of continuous or interrupted chest compressions during CPR. N Engl J Med 2015; 373 (23) 2203-2214
• 9 Buckler DG, Burke RV, Naim MY. et al. Association of mechanical cardiopulmonary resuscitation device use with cardiac arrest outcomes: a population-based study using the CARES registry (Cardiac Arrest Registry to Enhance Survival). Circulation 2016; 134 (25) 2131-2133
• 10 Yang Z, Liu Q, Zheng G. et al. Comparison of continuous compression with regular ventilations versus 30:2 compressions-ventilations strategy during mechanical cardiopulmonary resuscitation in a porcine model of cardiac arrest. J Thorac Dis 2017; 9 (09) 3232-3238
• 11 Tsou PY, Kurbedin J, Chen YS. et al. Accuracy of point-of-care focused echocardiography in predicting outcome of resuscitation in cardiac arrest patients: A systematic review and meta-analysis. Resuscitation 2017; 114: 92-99
• 12 Clattenburg EJ, Wroe P, Brown S. et al. Point-of-care ultrasound use in patients with cardiac arrest is associated prolonged cardiopulmonary resuscitation pauses: A prospective cohort study. Resuscitation 2018; 122: 65-68
• 13 Michels G, Zinke H, Möckel M. et al. Empfehlungen zur Ultraschallausbildung in der internistischen Intensiv- und Notfallmedizin: Positionspapier der DGIIN, DEGUM und DGK. Med Klin Intensivmed Notfmed 2017; 112 (04) 314-319
• 14 Kudenchuk PJ, Brown SP, Daya M. et al. Amiodarone, Lidocaine, or Placebo in Out-of-Hospital Cardiac Arrest. N Engl J Med 2016; 374 (18) 1711-1722