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Neugeborenenerstversorgung und Reanimation

Aktuelle Richtlinien des International Liaison Committee on Resuscitation (ILCOR), Pediatric Working Group

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Book cover Weiterbildung für Anästhesisten 2002

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Zusammenfassung

1–10% der im Krankenhaus entbundenen Neugeborenen bedürfen einer aktiven Form der Atemstimulation bis hin zur kardiopulmonalen Wiederbelebung; in Abhängigkeit vom Geburtsgewicht kann der Anteil noch deutlich höher liegen. Es ist wünschenswert, dass alle im Kreißsaal Tätigen die physiologischen Grundlagen der Adaptation des Neugeborenen an das extrauterine Leben verstehen, Prädiktoren für eine mögliche Beeinträchtigung des Neugeborenen erkennen und Wiederbelebungsmaßnahmen einleiten können. Da im deutschsprachigen Raum Anästhesisten an der Primärversorgung Neugeborener beteiligt oder für diese verantwortlich sind, vermittelt dieser Beitrag Grundlagen zur Erkennung von Risikofaktoren, zur schnellen Beurteilung des Neugeborenen, erster Basismaßnahmen und die Richtlinien zur Wiederbelebung Neugeborener. Dabei dienen die aktuellen Empfehlungen und Algorithmen der im International Liaison Committee on Resuscitation (ILCOR) zusammengeschlossenen maßgeblichen internationalen Fachgesellschaften als Evidenz-basierte Grundlage. Desweiteren werden die Besonderheiten der Reanimation Schwangerer kurz dargestellt.

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Literatur

  1. American Heart Association and International Liaison Committee on Resuscitation (2000) Guidelines 2000 for Cardiopulmonary Resuscitation and Emergency Cardiovasculare Care. Part 11: Neonatal Resuscitation. Circulation 102:1–343

    Google Scholar 

  2. Apgar V (1953) A proposal for a new method of evaluation of the newborn infant. Curr Res Anesth 32:260–267

    CAS  Google Scholar 

  3. Arkoosh VA (1999) Neonatal resuscitation. In: Norris MC (ed) Obstetric anesthesia. Lippincott, Williams and Wilkins, Philadelphia Baltimore New York London Buenos Aires Hong Kong Syndey Tokyo, p 681

    Google Scholar 

  4. Berg RA, Otto CW, Kern KB, Hiolwig RW, Sanders AB, Henry CP, Ewy GA (1996) A randomized, blinded trial of high-dose epinephrine versus standard-dose epinephrine in a swine model of pediatric asphyxiai cardiac arrest. Crit Care Med 24:1695–1700

    Article  PubMed  CAS  Google Scholar 

  5. Burchfield DJ, Preziosi MP, Lucas VW, Fan J (1993) Effect of graded doses of epinephrine during asphyxia-induced bradycardia in newborn lams. Resuscitation 25:235–244

    Article  PubMed  CAS  Google Scholar 

  6. Carson BS, Losey RW, Bowes WA Jr, Simmons MA (1976) Combined obstetric and pediatric approach to prevent meconium aspiration syndrome. Am J Obstet Gynecol 126:712–715

    PubMed  CAS  Google Scholar 

  7. Cordero L Jr, Hon EH (1971) Neonatal bradycardia following nasopharyngeal stimulation. J Pediatr 78:441–447

    Article  PubMed  Google Scholar 

  8. Dahm LS, James LS (1972) Newborn temperature and calculated heat loss in the delivery room. Pediatrics 49:504–513

    PubMed  CAS  Google Scholar 

  9. David R (1988) Closed chest cardiac massage in the newborn infant. Pediatrics 81:552–554

    PubMed  CAS  Google Scholar 

  10. Davis DJ (1993) How aggressive should delivery room cardiopulmonary resuscitation be for extremely low birth weight neonates? Pediatrics 92:447–450

    PubMed  CAS  Google Scholar 

  11. Drage JS, Berendes H (1961) Apgar scores and outcome of the newborn. Pediatr Clin North Am 13:635–638

    Google Scholar 

  12. Edwards AD, Wyatt JS, Jhoreson M (1998) Treatment of hypoxic-ischemic brain damage by moderate hypothermia. Arch Dis Child Fetal Neonatal Ed 78:85–88

    Article  Google Scholar 

  13. Emergency Cardiac Care Committee and Subcommittees, American Heart Association (1992) Guidelines for cardiopulmonary resuscitation and emergency cardiac care. JAMA 268:2276–2281

    Article  Google Scholar 

  14. Estol PC, Piriz H, Basalo S, Simini F, Grela C (1992) Oro-nasopharyngeal suction at birth: effects on respiratory adaptation of normal term vaginally born infants. J Perinat Med 20:297–305

    Article  PubMed  CAS  Google Scholar 

  15. Falciglia HS (1988) Failure to prevent meconium aspiration syndrome. Obstet Gynecol 71:349–353

    PubMed  CAS  Google Scholar 

  16. Gandy GM, Adamson SK Jr, Cunningham N, Silverman WA, James LS (1964) Thermal environment and acid-base homeostasis in human infants during the first few hours of life. J Clin Invest 43:751–758

    Article  PubMed  CAS  Google Scholar 

  17. Gogarten W, Marcus MA, Van Aken H (1998) Anästhesie in der Gynäkologie und Geburtshilfe. Anasthesiol Intensivmed Notfallmed Schmerther 33:297–314

    Google Scholar 

  18. Greenough A (1995) Meconium aspiration Syndrome: prevention and treatment. Early Hum Dev 41:183–192

    Article  PubMed  CAS  Google Scholar 

  19. Gregory GA, Gooding C, Phibbs RH Jooley WH (1974) Meconium aspiration in infants — a prospective study. J Pediatr 85:848–852

    Article  PubMed  CAS  Google Scholar 

  20. Gunn AJ, Gluckman PD, Gunn TR (1998) Selective head cooling in newborn infants after perinatal asphyxia: a safety study. Pediatrics 102:885–892

    Article  PubMed  CAS  Google Scholar 

  21. Hawkins JL, Gibbs CP, Orleans M, Martin-Salvaj G, Beaty B (1997) Obstetric anesthesia work force survey, 1981 versus 1992. Anesthesiology 87:135–143

    Article  PubMed  CAS  Google Scholar 

  22. Heyman HJ, Joseph NJ, Salem MR, Heyman K (1991) Anesthesia personnel, neonatal resuscitation, and the courts. Anesthesiology 75:1074

    Article  Google Scholar 

  23. Jain L, Ferre C, Vidyasagar D, Nath S, Sheftel D (1991) Cardiopulmonary resuscitation of apparently stillborn infants: survival and long-term outcome. J Pediatr 118:778–782

    Article  PubMed  CAS  Google Scholar 

  24. James LS, Weisbrot IM, Prince CE (1958) The acid-base status of human infants in relation to birth asphyxia and onset of respiration. J Pediatr 52:379–385

    Article  PubMed  CAS  Google Scholar 

  25. Kattwinkel J (1998) Surfactant: evolving issues. Clin Perinatol 25:17–32

    PubMed  CAS  Google Scholar 

  26. Kette F, Weil MH, Planta M von, Gazmuri RJ, Rackow EC (1990) Buffer agents do not reverse intramyocarial acidosis during cardiac resuscitation. Circulation 81:1660–1666

    Article  PubMed  CAS  Google Scholar 

  27. Lieberman E, Lang J, Richardson DK, Frigoletto FD, Heffner LJ, Cohen A (2000) Intrapartum maternal fever and neonatal outcome. Pediatrics 105:8–13

    Article  PubMed  CAS  Google Scholar 

  28. Palme-Kilander C (1992) Methods of resuscitation in low-Apgar-score newborn infants: a national survey. Acta Paediatr 81:739–744

    Article  PubMed  CAS  Google Scholar 

  29. Papile LA, Burstein J, Burstein R, Koffler H, Koops B (1978) Relationsship of intravenous sodium bicarbonate infusions and cerebral intraventricular hemorrhage. J Pediatr. 93:834–836

    Article  PubMed  CAS  Google Scholar 

  30. Perlman JM (1999) Maternal fever and neonatal depression: preliminary observations. Clin Pediatr 38:287–291

    Article  CAS  Google Scholar 

  31. Ritzefeld S, Singer D, Speer CP (1995) Erstversorgung und Reanimation von Neugeborenen -Techniken, Indikationen und Gefahren. Z Geburtsh Neonatol 199:199–202

    Google Scholar 

  32. Rossi EM, Philipson EH, Williams TG, Kalhan SC (1989) Meconium aspiration syndrome: intrapartum and neonatal attributes. Am J Obstet Gynecol 161:1106–1110

    Article  PubMed  CAS  Google Scholar 

  33. Ruth VJ, Raivio KO (1988) Perinatal brain damage: predictive value of metabolic acidosis and the Apgar score. BMJ 297:24–27

    Article  PubMed  CAS  Google Scholar 

  34. Saugstad OD (1998) Practical aspects of resuscitating asphyxiated newborn infants. Eur J Pediatr 157:11–15

    Article  Google Scholar 

  35. Thaler MM, Stobie GHC (1963) An improved technique of external cardiac compression in infants and young children. N Engl J Med 269:606–610

    Article  PubMed  CAS  Google Scholar 

  36. Theophilopoulos DT, Burchfield DJ (1998) Accuracy of different methods for heart rate determination during simulated neonatal resuscitations. J Perinatol 18:65–67

    PubMed  CAS  Google Scholar 

  37. Tyson JE, Younes N, Verter J, Wright LL (1996) Viability, morbidity, and resource use among newborns of 501 — to 800-g birth weight: National Institute of Child Health and Human Development Neonatal Research Network. JAMA 276:1645–1651

    Article  PubMed  CAS  Google Scholar 

  38. Usher RH, Allen AC, McLean FH (1971) Risk of respiratory distress syndrome related to gestational age, route of delivery and maternal diabetes. Am J Obstet Gynecol 111:826–832

    PubMed  CAS  Google Scholar 

  39. Vannucci RC, Perlman JM (1997) Interventions for perinatal hypoxic-ischemic encephalopathy. Pediatrics 100:1004–1014

    Article  PubMed  CAS  Google Scholar 

  40. Whitelaw CC, Goldsmith LJ (1997) Comparison of two techniques for determining the presence of a pulse in an infant. Acad Emerg Med 4:153–154

    Article  PubMed  CAS  Google Scholar 

  41. Whitsett JA, Pryhuber GS, Rice WR, Warner BB, Wert SE (1999) Acute respiratory disorders. In: Avery GB, Fletcher MA, MacDonald MG (eds) Neonatology. Pathophysiology and management of the newborn. Lippincott, Williams and Wilkins, Philadelphia Baltimore New York London Buenos Aires Hong Kong Syndey Tokyo, p 499

    Google Scholar 

  42. Wimmer JE (1994) Neonatal resuscitation. Pediatr Rev 15:255–265

    Article  Google Scholar 

  43. Wiswell TE, Ganon CM, Jacob J et al. (2000) Meconium in the Delivery Room Trial Group: delivery room management of the apparently vigorous meconium-stained neonate: results of the multicenter collaborative trial. Pediatrics 105:1–7

    Article  PubMed  CAS  Google Scholar 

  44. World Health Report (1995) World Health Organization; Geneva, Switzerland

    Google Scholar 

  45. Zimmermann A (2000) Primäre Reanimation. In: Schneider H, Husslein P, Schneider KTM (Hrsg) Geburtshilfe. Springer, Berlin Heidelberg New York S 923–924

    Google Scholar 

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Author information

Authors and Affiliations

  1. Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie, Klinikum der Johann Wolfgang Goethe-Universität Frankfurt/Main, Deutschland

    D. Meininger & J. Gerber

  2. Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie, Klinikum der Johann Wolfgang Goethe-Universität Frankfurt/Main, Theodor-Stern-Kai 7, 60590, Frankfurt/Main, Deutschland

    PD Dr. Dorothee H. Bremerich

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  1. D. Meininger
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  2. J. Gerber
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  3. PD Dr. Dorothee H. Bremerich
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Editor information

Editors and Affiliations

  1. Klinik für Anästhesiologie, Universität Heidelberg, Im Neuenheimer Feld 110, D-69120, Heidelberg, Deutschland

    Hubert J. Bardenheuer

  2. Klinik für Anästhesiologie und operative Intensivmedizin Zentralklinikum, Stenglinstraße 2, D-86156, Augsburg, Deutschland

    Helmuth Forst

  3. Klinik für Anästhesiologie, Medizinische Einrichtungen der RWTH Aachen, Pauwelsstraße 30, D-52074, Aachen, Deutschland

    Rolf Rossaint

  4. Service d’Anesthésiologie Centre Hospitalier, Universitaire Vaudois - CHUV, Rue du Bugnon 46, CH-1011, Lausanne, Schweiz

    Donat R. Spahn

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Meininger, D., Gerber, J., Bremerich, D.H. (2003). Neugeborenenerstversorgung und Reanimation. In: Bardenheuer, H.J., Forst, H., Rossaint, R., Spahn, D.R. (eds) Weiterbildung für Anästhesisten 2002. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-10888-8_1

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  • DOI: https://doi.org/10.1007/978-3-662-10888-8_1

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-00092-1

  • Online ISBN: 978-3-662-10888-8

  • eBook Packages: Springer Book Archive

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