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Erstversorgung von Früh- und Termingeborenen

Support for perinatal transition of term and preterm infants

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Zusammenfassung

Die perinatale Adaptation ist ein komplexer Prozess, in dessen Mittelpunkt das Einsetzen der Atmung mit der damit verbundenen Entfernung von Flüssigkeit aus den Atemwegen und die Umstellung des fetalen Kreislaufs stehen. Unmittelbar nach der Geburt ergibt sich selten der Bedarf einer Wiederbelebung (Reanimation); vielmehr machen Störungen der Adaptation häufiger eine medizinische Unterstützung (Animation) unterschiedlichen Ausmaßes erforderlich. Ziel der vorliegenden Arbeit ist ein Überblick über aktuelle Empfehlungen, wie potenzielle Probleme der postnatalen Adaptation vermieden und klinische Symptome der gestörten Adaptation erkannt bzw. behandelt werden können. Dabei wird auch auf Besonderheiten der aktuellen Empfehlungen des European Resuscitation Council (ERC) eingegangen.

Abstract

Perinatal transition represents a complex process, including onset of breathing which is associated with a clearance of lung fluid and the hemodynamic changes from fetal circulation. Whereas disturbances in postnatal adaptation with a subsequent need for medical support of varying intensity are relatively frequent immediately after parturition, only few infants actually require resuscitation. This article gives an overview of current recommendations on how to prevent problems in adaptation and how to diagnose and treat symptoms of disturbed adaptation. It also covers some special aspects of the current guidelines of the European Resuscitation Council (ERC).

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Authors and Affiliations

  1. Fachbereich Neonatologie und Pädiatrische Intensivmedizin, Klinik für Kinderheilkunde und Jugendmedizin, Fetscherstr. 74, 01307, Dresden, Deutschland

    M. Rüdiger & D. Konstantelos

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  1. M. Rüdiger
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  2. D. Konstantelos
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Correspondence to M. Rüdiger.

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Interessenkonflikt

M. Rüdiger und D. Konstantelos geben an, dass kein Interessenkonflikt besteht. M. Rüdiger ist Mitautor der European Resuscitation Guidelines, die Mitarbeit ist ehrenamtlich.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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E. Herting, Lübeck

F. Zepp, Mainz

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Rüdiger, M., Konstantelos, D. Erstversorgung von Früh- und Termingeborenen. Monatsschr Kinderheilkd 164, 652–659 (2016). https://doi.org/10.1007/s00112-016-0121-z

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  • DOI: https://doi.org/10.1007/s00112-016-0121-z

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