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Mehr als 500 Kinder pro Jahr könnten gerettet werden! Zehn Thesen zur Verbesserung der Qualität pädiatrischer Reanimationen im deutschsprachigen Raum

Positionspapier der Austrian, German and Swiss Resuscitation Councils

More than 500 children could be saved each year! Ten theses to improve the quality of pediatric resuscitation in German-speaking regions

Position paper of the Austrian, German and Swiss resuscitation councils

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

Zusammenfassung

Körperliche und geistige Behinderungen, die aus dem überlebten Atem‑/Herz-Kreislauf-Stillstand eines Kindes resultieren, sind von außergewöhnlicher familiärer und gesellschaftlicher Bedeutung. Aktuelle Studien zeigen, dass die Qualität der pädiatrischen Reanimation häufig nicht die empfohlenen Standards erreicht. Die Umsetzung der hier publizierten 10 evidenzbasierten Maßnahmen kann dazu beitragen, die Überlebensraten und die Morbidität reanimierter Kinder zu verbessern.

Mit diesen 10 Thesen soll das weite Feld der Themen rund um die Reanimation von Kindern und Jugendlichen fokussiert werden. Es beginnt mit der verbesserten Prävention und Erkennung von lebensbedrohlichen Ereignissen bei Kindern, um einen Atem‑/Herz-Kreislauf-Stillstand zu vermeiden. Im Falle einer Reanimation kann diese nur dann effektiv sein, wenn ein konsequentes und nachhaltiges Training angeboten wird.

Von jedem Patienten zu lernen, ist das Wichtigste. Die Qualität der Reanimation und der Postreanimationsphase muss gemessen und ausgewertet werden, um Aspekte zur Optimierung zu identifizieren. Eine strukturierte Sammlung von Behandlungs- und Ergebnisdaten in einem zentralisierten, verpflichtenden Register bietet die Möglichkeit, Stärken der inner- und außerklinischen Versorgung zu identifizieren und Konzepte für Qualitätsverbesserungen zu erstellen. Diese Thesen und Grundprinzipien werden auch vom österreichischen, deutschen und schweizerischen Rat für Wiederbelebung unterstützt und wurden bereits in englischer Sprache in Frontiers in Pediatrics publiziert.

Abstract

Physical and mental disabilities resulting from a child’s cardiac arrest are of exceptional family and social concern. Recent studies showed that the quality of pediatric resuscitation often does not meet recommended standards. Implementation of these 10 evidence-based measures published here can help improve survival rates and morbidity in resuscitated children.

These 10 theses are intended to focus on the broad range of issues surrounding resuscitation of children and adolescents. It begins with improved prevention and recognition of life-threatening events in children to prevent respiratory and circulatory arrest. In the case of resuscitation, it can only be effective if consistent and sustained training is provided. Learning from each patient is the most important thing. The quality of resuscitation and the postresuscitation phase must be measured and evaluated to identify aspects for optimization. Structured collection of treatment and outcome data in a centralized, mandatory registry offers the opportunity to identify strengths of in-hospital and out-of-hospital care and to develop concepts for quality improvement. These theses and basic principles are also supported by the Austrian, German, and Swiss Resuscitation Councils and have already been published in Frontiers in Pediatrics.

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Author information

Authors and Affiliations

  1. Universitätskinderklinik, Universität Schleswig-Holstein, Campus Lübeck, Lübeck, Deutschland

    Philipp Jung & Thomas Weisner

  2. Neonatologie und Pädiatrische Intensivmedizin, Universitätsklinik Carl Gustav Carus, TU Dresden, Dresden, Deutschland

    Sebastian Brenner

  3. Universitätskinderspital Zürich, Zürich, Schweiz

    Iris Bachmann & Christian Both

  4. Abteilung für Neonatologie, Pädiatrische Intensivmedizin und Neuropädiatrie, Universitätskinderklinik, Medizinische Universität Wien, Wien, Österreich

    Francesco Cardona & Michael Wagner

  5. Universitätskinderklinik, Universität Essen, Essen, Deutschland

    Christian Dohna-Schwake

  6. Abteilung Kinderanästhesie, Pädiatrische Intensivmedizin und Notfallmedizin, Kinderklinik Auf der Bult, Hannover, Deutschland

    Christoph Eich

  7. Universitätskinderklinik Köln, Köln, Deutschland

    Frank Eifinger

  8. Universitätskinderklinik Mainz, Mainz, Deutschland

    Ralf Huth

  9. Abteilung für Pädiatrische Kardiologie, Pulmonologie und Pädiatrische Intensivmedizin, Universität Tübingen, Tübingen, Deutschland

    Ellen Heimberg

  10. Cnopfsche Kinderklinik, Nürnberg, Deutschland

    Bernd Landsleitner

  11. Kinderklinik und Kinderpoliklinik im Dr. von Haunerschen Kinderspital, LMU Klinikum, München, Deutschland

    Martin Olivieri

  12. Universitätskinderklinik Hannover, Medizinische Hochschule Hannover, Hannover, Deutschland

    Michael Sasse

  13. Universitätskinderklinik Graz, Graz, Österreich

    Gert Warnke

  14. Universitätskinderklinik Salzburg, Salzburg, Österreich

    Bernhard Ziegler

  15. German Resuscitation Council (GRC), Ulm, Deutschland

    Sebastian Brenner, Christoph Eich, Ralf Huth, Martin Olivieri, Michael Sasse & Bernd W. Boettiger

  16. Children’s Hospital of Philadelphia, University of Pennsylvania Perlman School of Medicine, Philadelphia, PA, USA

    Vinay Nadkarni

  17. Pediatric Working Group, Austrian Resuscitation Council (ARC), Graz, Österreich

    Florian Hoffmann

  18. Swiss Resuscitation Council (SRC), Zürich, Schweiz

    Francesco Cardona

  19. Kinderklinik und Kinderpoliklinik im Dr. von Haunerschen Kinderspital, Kinderintensivstation, Ludwig-Maximilians-Universität München, Lindwurmstr. 4, 80337, München, Deutschland

    Florian Hoffmann

  20. Arbeitsgruppe „Paediatric Life Support“, German Resuscitation Council (GRC), Ulm, Deutschland

    Florian Hoffmann

Authors
  1. Philipp Jung
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  2. Sebastian Brenner
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  3. Iris Bachmann
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  20. Florian Hoffmann
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Correspondence to Florian Hoffmann.

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Interessenkonflikt

P. Jung, S. Brenner, I. Bachmann, C. Both, F. Cardona, C. Dohna-Schwake, C. Eich, F. Eifinger, R. Huth, E. Heimberg, B. Landsleitner, M. Olivieri, M. Sasse, T. Weisner, M. Wagner, G. Warnke, B. Ziegler, B.W. Boettiger, V. Nadkarni und F. Hoffmann geben an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autor/-innen keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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Arndt Borkhardt, Düsseldorf

Stefan Wirth, Wuppertal

Dieser Artikel ist eine Übersetzung des Originalbeitrags: Jung P, Brenner S, Bachmann I et al. (2020) More Than 500 Kids Could Be Saved Each Year! Ten Consensus Actions to Improve Quality of Pediatric Resuscitation in DACH-Countries (Austria, Germany, and Switzerland). Frontiers in Pediatrics 8:549710. https://doi.org/10.3389/fped.2020.549710. https://www.frontiersin.org/article/10.3389/fped.2020.549710.

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Jung, P., Brenner, S., Bachmann, I. et al. Mehr als 500 Kinder pro Jahr könnten gerettet werden! Zehn Thesen zur Verbesserung der Qualität pädiatrischer Reanimationen im deutschsprachigen Raum. Monatsschr Kinderheilkd 171 (Suppl 1), 1–6 (2023). https://doi.org/10.1007/s00112-022-01546-0

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