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Kardiopulmonale Reanimation

  • Chapter
Intensivmedizin

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Zusammenfassung

Grundvoraussetzung einer ausreichenden Organfunktion ist die kontinuierliche Zufuhr des „ Betriebsmittels“ Sauerstoff und die Bereitstellung von Energie für den Metabolismus der Zellen sowie die kontinuierliche Elimination von Stoffwechselendprodukten und Kohlendioxid. Nur hierdurch können die Vitalfunktionen und die mit ihnen untrennbar verbundenen Funktionskreise ihre an den jeweiligen Bedarf angepaßte Leistung erbringen. Eine besonders enge Verbindung besteht zwischen den Vitalfunktionen Atmung, Herz-Kreislauf und Bewußtsein. Bei der Sofortdiagnostik und Therapie muß daher primär festgestellt werden, welche Vitalfunktionen bereits gestört oder akut gefähr-dert sind. Bei der akuten Elementargefährdung [8] sind eine oder mehrere für das Überleben notwendige Funktionen gefährdet. Hierbei muß sofort abgeklärt werden, welche Störung wesentlich an der vitalen Gefährdung beteiligt ist und umgehend beseitigt werden kann. Bei der Therapie muß beachtet werden, daß die Störung der Vitalfunktion auf einer primären Insuffizienz des Organs oder auf unzureichenden Leistungsbedingungen beruhen kann. So führt z.B. die schwere Hypoxie zu entsprechenden Funktionsstörungen von Organen, die bis dahin vollkommen intakt waren.

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Authors
  1. J. Kilian
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  2. K.-H. Lindner
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Editor information

Editors and Affiliations

  1. Univ.-Klinik für Anästhesie und Allgemeine Intensivmedizin, Univ. Innsbruck, Anichstr. 35, A-6020, Innsbruck, Österreich

    Herbert Benzer

  2. Zentrum Anästhesiologie, Rettungs- und Intensivmedizin, Universität Göttingen, Robert-Koch-Str. 40, D-37075, Göttingen, Deutschland

    H. Buchardi

  3. Klinik für Anästhesiologie und Intensivmedizin, Universitätskliniken des Saarlands, D-66424, Homburg/Saar, Deutschland

    Reinhard Larsen

  4. Div. des Soins Intensifs Chirurgicaux, Département d’Anesthésiologie, Hôpital Cantonal Universitaire, CH-1211, Genève 14, Schweiz

    Peter M. Suter

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© 1995 Springer-Verlag Berlin Heidelberg

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Kilian, J., Lindner, KH. (1995). Kardiopulmonale Reanimation. In: Benzer, H., Buchardi, H., Larsen, R., Suter, P.M. (eds) Intensivmedizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-97929-3_33

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  • DOI: https://doi.org/10.1007/978-3-642-97929-3_33

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-97930-9

  • Online ISBN: 978-3-642-97929-3

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