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Reanimation bei Hypothermie nach Ertrinkungsunfall

Wiedererwärmung mittels intravasalem Temperaturmanagementsystem

Resuscitation in hypothermia after drowning

Rewarming by intravascular temperature management system

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Zusammenfassung

Der vorliegende Fallbericht schildert die erfolgreiche, kontrollierte Wiedererwärmung eines 29-jährigen Mannes unter Verwendung eines intravasalen Temperaturmanagementkatheters. Der Artikel beschreibt die verschiedenen Wiedererwärmungsmethoden sowie deren Stellenwert in den Therapieempfehlungen. Weiterhin werden die pathophysiologischen Besonderheiten des Ertrinkungsunfalls sowie die Besonderheiten der Wiederbelebung bei Patienten mit schwerer Hypothermie beschrieben und diskutiert.

Abstract

This case report describes the successful, controlled rewarming of a 29-year-old man using a intravascular temperature management catheter. In the article, the various rewarming methods and their role in the treatment recommendations are described. Furthermore, the pathophysiological peculiarities of drowning accidents as well as the specific features of resuscitation in patients with severe hypothermia are described and discussed.

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Authors and Affiliations

  1. Klinik für Anästhesie und Intensivmedizin, Gemeinschaftsklinikum Mittelrhein, Koblenz, Deutschland

    J. Schwietring

  2. Klinik für Anästhesie und Intensivmedizin, Bundeswehr Zentralkrankenhaus Koblenz, Rübenacher Straße 170, 56072, Koblenz, Deutschland

    C. Jänig

Authors
  1. J. Schwietring
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  2. C. Jänig
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Correspondence to C. Jänig.

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Interessenkonflikt

J. Schwietring und C. Jänig geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren. Alle Patienten, die über Bildmaterial oder anderweitige Angaben innerhalb des Manuskripts zu identifizieren sind, haben hierzu ihre schriftliche Einwilligung gegeben.

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Schwietring, J., Jänig, C. Reanimation bei Hypothermie nach Ertrinkungsunfall. Notfall Rettungsmed 21, 129–135 (2018). https://doi.org/10.1007/s10049-017-0313-7

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  • DOI: https://doi.org/10.1007/s10049-017-0313-7

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