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Hypothermie nach Reanimation

Hypothermia after reanimation

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Zusammenfassung

Die therapeutische Hypothermie ist bislang das einzige erwiesenermaßen effektive Therapieprinzip zur neuronalen Protektion nach Herz-Kreislauf-Stillstand mit Wiederherstellung eines spontanen Kreislaufs. Durch den frühen Einsatz der therapeutischen Hypothermie kann eine Verbesserung von Überleben und neuronaler Funktion dieser Patientengruppe erreicht werden. Zur Durchführung stehen verschiedene Verfahren zur Verfügung. Für den präklinischen Einsatz sind Oberflächenkühlsysteme und die Applikation von  + 4°C kalter Infusionslösung erfolgreich erprobt worden. Die vorliegende Arbeit bietet einen Überblick über den aktuellen Wissensstand der präklinischen therapeutischen Hypothermie nach Herz-Kreislauf-Stillstand sowie praktische Anleitungen für die Durchführung.

Abstract

The use of induced hypothermia is the only therapeutic method currently known to improve neurologic outcome and reduce mortality following cardiac arrest and return of spontaneous circulation. Therapeutic hypothermia can be implemented using various procedures. For the induction of preclinical therapeutic hypothermia in out-of-hospital cardiac arrest patients, surface cooling and infusion of  + 4°C ice-cold intravenous fluid have been successfully tested. The aim of the article is to provide an overview of the current standard of knowledge of preclinical therapeutic hypothermia and to provide practical guidance for the induction of therapeutic hypothermia.

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Interessenkonflikt

Univ.-Prof. Dr. Bernd W. Böttiger ist Präsident des European Resuscitation Council (ERC).

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Authors and Affiliations

  1. Klinik für Anästhesiologie und Operative Intensivmedizin, Uniklinik Köln, Kerpener Straße 62, 50937, Köln, Deutschland

    V. Schick, S.A. Padosch &  B.W. Böttiger D.E.A.A., F.E.S.C., F.E.R.C.

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  1. V. Schick
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  2. S.A. Padosch
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  3. B.W. Böttiger D.E.A.A., F.E.S.C., F.E.R.C.
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Correspondence to B.W. Böttiger D.E.A.A., F.E.S.C., F.E.R.C..

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Schick, V., Padosch, S. & Böttiger, B. Hypothermie nach Reanimation. Notfall Rettungsmed 14, 681–688 (2011). https://doi.org/10.1007/s10049-011-1548-3

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  • DOI: https://doi.org/10.1007/s10049-011-1548-3

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