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Standards zur Versorgung von reifen Neugeborenen in Österreich

Mindestanforderungen an die technische Ausstattung und die Ausbildung des versorgenden Personals – Konsensuspapier der ÖGKJ

Treatment standards for full-term infants in Austria

A consensus paper by the Austrian Society for Pediatrics and Adolescent Medicine on minium requirements for equipment and training of medical personnel

  • Konsensuspapiere
  • Published:
Monatsschrift Kinderheilkunde Aims and scope Submit manuscript

Zusammenfassung

Die Mehrzahl aller Neugeborenen benötigt nach der Geburt nur Maßnahmen, die nicht über die Vorbeugung von Wärmeverlust und Sicherstellung offener Atemwege hinausgehen. Etwa 10% werden im Rahmen einer Adaptationsstörung kurzzeitig maskenbeatmet, und weniger als 1% erfahren eine komplette neonatale Reanimation mit Beatmung, Herzdruckmassage und Medikamentengabe. Dennoch muss hierfür jederzeit in der Versorgung von Neugeborenen trainiertes Personal mit geeigneter Ausrüstung verfügbar sein. Für dessen Ausbildung und die notwendige Ausstattung zur Erstversorgung und möglichen Reanimation des Neugeborenen gibt es in Österreich bis jetzt keinen definierten Standard. Der vorliegende Konsens der Arbeitsgruppe für Neonatologie und Pädiatrische Intensivmedizin der Österreichischen Gesellschaft für Kinder- und Jugendheilkunde (ÖGKJ) beschreibt die auf der Basis einer Delphi-Konferenz erarbeiteten Standards für die Erstversorgung und Reanimation von Reifgeborenen.

Abstract

Immediately after birth, the majority of full-term infants merely require heat loss prevention. However, approximately 10% of all newborn infants require respiratory support during fetal to neonatal transition. About 1% of all newborn infants will need neonatal resuscitation including positive pressure ventilation, cardiac massage and drugs. Adequately trained staff and appropriate equipment needs to be available for these situations. Standards have not been defined as yet for the resuscitation of full-term neonates in Austria. Therefore, a consensus paper by the Working Group for Neonatology and Pediatric Intensive Care Medicine of the Austrian Society for Pediatrics and Adolescent Medicine describes the recommended standards for the resuscitation of full-term neonates. The goal is the definition of Austria-wide standards regarding training requirements for staff and recommendations regarding standard requirements for equipment.

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Abbreviations

ILCOR:

International Liaison Committee on Resuscitation

ERC:

European Resuscitation Council

LOE:

„level of evidence“

ÖGKJ:

Österreichische Gesellschaft für Kinder- und Jugendheilkunde

NLS:

„newborn life support“

PEEP:

Positiver endexspiratorischer Druck

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Interessenkonflikt

Der korrespondierende Autor weist auf folgende Beziehungen hin:

Dr. Schmölzer wird teilweise durch ein Royal Women’s Hospital Postgraduate Research Degree Scholarship sowie ein Monash International Postgraduate Research Scholarship unterstützt.

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Authors and Affiliations

  1. Department of Newborn Research, The Royal Women’s Hospital, 20 Flemington Road, 3052, Victoria, Australia

    G.M. Schmölzer MD, PhD, ResearcherID: E-7883-2010

  2. The Ritchie Centre, Monash Institute of Medical Research, Monash University, Melbourne, Australia

    G.M. Schmölzer MD, PhD, ResearcherID: E-7883-2010

  3. Murdoch Children Research Institute, Melbourne, Australia

    G.M. Schmölzer MD, PhD, ResearcherID: E-7883-2010

  4. Klinische Abteilung für Neonatologie, Universitätsklinik für Kinder- und Jugendheilkunde, Medizinische Universität Graz, Graz, Österreich

    G.M. Schmölzer MD, PhD, ResearcherID: E-7883-2010 & B. Resch

  5. Paediatric Working Group, Austrian Resuscitation Council, Melbourne, Australia

    G.M. Schmölzer MD, PhD, ResearcherID: E-7883-2010 & J.-C. Schwindt

  6. Klinische Abteilung für Neonatologie, Pädiatrische Intensivmedizin und Neuropädiatrie, Universitätsklinik für Kinder- und Jugendheilkunde, Medizinische Universität Wien, Wien, Österreich

    J.-C. Schwindt

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  1. G.M. Schmölzer MD, PhD, ResearcherID: E-7883-2010
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  3. J.-C. Schwindt
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Arbeitsgruppe für Neonatologie und Pädiatrische Intensivmedizin der Österreichischen Gesellschaft für Kinder- und Jugendheilkunde (ÖGKJ)

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Correspondence to G.M. Schmölzer MD, PhD, ResearcherID: E-7883-2010.

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Freigegeben vom Präsidium der ÖGKJ am 26.0.2011

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Schmölzer, G., Resch, B., Schwindt, JC. et al. Standards zur Versorgung von reifen Neugeborenen in Österreich . Monatsschr Kinderheilkd 159, 1235–1243 (2011). https://doi.org/10.1007/s00112-011-2472-9

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