Sauerstoff in der Notfallmedizin – Fluch oder Segen?

Zusammenfassung

Sauerstoff ist das bekannteste Notfallmedikament und ist allgemein akzeptiert. Als Teil nahezu jeder Notfalltherapie wird Sauerstoff regelmäßig in hohen Dosen eingesetzt und galt lange als praktisch nebenwirkungsfrei. Daten der letzten 2 Jahrzehnte zeigen mögliche negative Effekte einer Hyperoxie besonders in der Postreanimationsphase und beim Myokardinfarkt auf. Eine kritische Betrachtung dieser Daten sollte die Grundlage eines rationalen Einsatzes von Sauerstoff in der Notfallmedizin sein.

Abstract

Oxygen is the best known and well accepted medication in emergency medicine. In most emergencies high doses of oxygen are an essential part of treatment and seemed to be nearly free of adverse effects. Studies of the last two decades show hints to possible adverse effects of hyperoxia during post-resuscitation-care and myocardial infarction. These results should be critically reviewed and may lead to a rational use of oxygen in emergency care.

Schlüsselwörter:

Sauerstoff - Notfallmedizin - Hyperoxie - Reanimation - Myokardinfarkt

Key words:

oxygen - emergency medicine - hyperoxia - resuscitation - myocardial infarction

• Literaturverzeichnis

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