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Empfehlung zum Temperaturmanagement nach Atem-Kreislauf-Stillstand und schwerem Schädel-Hirn-Trauma im Kindesalter jenseits der Neonatalperiode

Stellungnahme der Gesellschaft für Neonatologie und Pädiatrische Intensivmedizin (GNPI) und der AG Kinderintensivmedizin des Wissenschaftlichen Arbeitskreises Kinderanästhesie der Deutschen Gesellschaft für Anästhesiologie und Intensivmedizin (WAKKA)

Recommendation on temperature management after cardiopulmonary arrest and severe traumatic brain injury in childhood beyond the neonatal period

Statement of the German Society for Neonatology and Pediatric Intensive Care Medicine (GNPI) and the scientific Working Group for Paediatric Anaesthesia (WAKKA) of the German Society of Anaesthesiology and Intensive Care (DGAI)

Zusammenfassung

Die Datenlage zur Wirksamkeit der therapeutischen Hypothermie in verschiedenen Patientengruppen ist heterogen. Während der Nutzen in manchen Kollektiven belegt ist, beruhen Empfehlungen zum Einsatz der Hypothermietherapie in anderen Gruppen auf weniger robusten Daten und Analogieschlüssen. Der vorliegende Beitrag gibt eine Übersicht über den aktuellen Kenntnisstand des Temperaturmanagements in allen Altersgruppen und empfiehlt bei Kindern jenseits der Neonatalperiode nach einem Atem-Kreislauf-Stillstand oder schwerem Schädel-Hirn-Trauma ein aktiv kontrolliertes Temperaturmanagement, mit dem primären Ziel der strikten Normothermie (36,0–36,5 °C Körperkerntemperatur) für 72 Stunden.

Abstract

The available data on the effectiveness of therapeutic hypothermia in different patient groups are heterogeneous. Although the benefits have been proven for some collectives, recommendations for the use of hypothermia treatment in other groups are based on less robust data and conclusions by analogy. This article gives a review of the current evidence of temperature management in all age groups and based on this state of knowledge, recommends active temperature management with the primary aim of strict normothermia (36–36.5 °C) for 72 hours after cardiopulmonary arrest or severe traumatic brain injury for children beyond the neonatal period.

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Danksagung

Wir möchten uns bei Herrn Dr. Hemmen Sabir für die kritische Durchsicht der Therapieempfehlung herzlich bedanken.

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Correspondence to S. Brenner.

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S. Brenner, C. Eich, G. Rellensmann, M. U. Schuhmann, T. Nicolai und F. Hoffmann geben an, dass kein Interessenkonflikt besteht.

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

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Brenner, S., Eich, C., Rellensmann, G. et al. Empfehlung zum Temperaturmanagement nach Atem-Kreislauf-Stillstand und schwerem Schädel-Hirn-Trauma im Kindesalter jenseits der Neonatalperiode. Anaesthesist 66, 128–133 (2017). https://doi.org/10.1007/s00101-016-0256-2

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Schlüsselwörter

  • Atem-Kreislauf-Stillstand
  • Schädel-Hirn-Trauma
  • Perinatale Asphyxie
  • Postreanimations-Behandlung
  • Temperaturmanagement

Keywords

  • Cardiac arrest
  • Traumatic brain injury
  • Perinatal asphyxia
  • Postresuscitation care
  • Temperature management