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Lebensrettende Maßnahmen bei Kindern nach den aktuellen Leitlinien

Pediatric Life Support – wie wird’s gemacht?

Life-saving measures for children according to the current guidelines. Pediatric life support – how is it performed?

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Zusammenfassung

Die Reanimation von Neugeborenen und Kindern ist mit besonderen Anforderungen verbunden, zumal die initiale Versorgung kritisch kranker Kinder häufig nicht durch Pädiater durchgeführt wird. Die aktualisierten Leitlinien des European Resuscitation Council zu den lebensrettenden Maßnahmen bei Kindern (Pediatric Life Support) und Neugeborenen (Newborn Life Support) berücksichtigen dies. Neue wissenschaftliche Erkenntnisse wurden evidenzbasiert ausgewertet, die Leitlinien im Hinblick auf die didaktische Umsetzbarkeit so weit wie möglich vereinfacht. Zur Verbesserung des Outcomes reanimierter Kinder gilt der Prävention und der Früherfassung kritisch kranker Kinder ein besonderes Augenmerk. Das Erkennen der Frühphase einer zirkulatorischen oder respiratorischen Insuffizienz hat dabei hohe Priorität, da hier rechzeitige Interventionen sehr effektiv sind und lebensrettend sein können. Im Fall eines Kreislaufstillstands ist somit die frühzeitige und konsequente Durchführung von Basismaßnahmen der kardiopulmonalen Reanimation durch Ersthelfer ebenso wie die Reduktion der „No-flow-Zeiten“ während Herzdruckmassage und Beatmung entscheidend für das Überleben der Kinder.

Abstract

Resuscitation of neonates and children is associated with special requirements, particularly since initial medical care of critically ill children is often not provided by a pediatrician. The updated guidelines of the European Resuscitation Council on life-saving measures for children (pediatric life support) and newborns (newborn life support) take these needs into consideration. New scientific findings were evaluated based on the evidence and the guidelines were simplified as far as possible in view of didactic feasibility. To improve the outcome of resuscitated children, prevention and early detection of critically ill children deserve particular attention. Recognizing the early phase of circulatory and respiratory insufficiency takes high priority since timely interventions are very effective and can be life-saving. In the case of circulatory arrest, early and diligent implementation of basic measures for cardiopulmonary resuscitation by the first to help as well as reduction of “no-flow times” during cardiac massage and artificial respiration can be crucial for the children’s survival.

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Literatur

  1. Biarent D, Bingham R, Richmond S et al. (2005) European Resuscitation Council guidelines for resuscitation 2005. Section Paediatric life support. Resuscitation 67 (Suppl): S97–133

    Article  PubMed  Google Scholar 

  2. Eich C, Russo S, Timmermann A et al. (2006) New perspectives for simulator-based training in paediatric anaesthesia and emergency medicine. Anaesthesist 55: 179–184

    Article  PubMed  Google Scholar 

  3. Young KD, Seidel JS (1999) Pediatric cardiopulmonary resuscitation: a collective review. Ann Emerg Med 33: 195–205

    Article  PubMed  Google Scholar 

  4. Gerein R, Osmond M, Stiell I et al. OPALS Study Group (2006) What are the etiology and epidemiology of out-of-hospital pediatric cardiopulmonary arrest in Ontario, Canada? Acad Emerg Med 13: 653–658

    Article  PubMed  Google Scholar 

  5. Samson R, Nadkarni V, Meaney P et al. (2006) Outcomes of in-hospital ventricular fibrillation in children. N Engl J Med 354: 2328–2339

    Article  PubMed  Google Scholar 

  6. Kuisma M, Suominen P, Korpela R (1995) Paediatric out-of-hospital cardiac arrests – epidemiology and outcome. Resuscitation 30: 141–150

    Article  PubMed  Google Scholar 

  7. American Heart Association (2006) 2005 American Heart Association (AHA) guidelines for cardiopulmonary resuscitation (CPR) and emergency cardiovascular care (ECC) of pediatric and neonatal patients: pediatric advanced life support. Pediatrics 117: e1005–1028

    Article  PubMed  Google Scholar 

  8. ILCOR (2005) Paediatric basic and advanced life support. Resuscitation 67: 271–303

    Article  PubMed  Google Scholar 

  9. European Resuscitation Council (1998) Paediatric life support: (including the recommendations for resuscitation of babies at birth). Resuscitation 37: 95–96

    Article  PubMed  Google Scholar 

  10. Phillips B, Zideman D, Garcia-Castrillo L et al. (2001) European Resuscitation Council Guidelines 2000 for Basic Paediatric Life Support. A statement from the Paediatric Life Support Working Group and approved by the Executive Committee of the European Resuscitation Council. Resuscitation 48: 223–229

    Article  PubMed  Google Scholar 

  11. Stevenson AG, McGowan J, Evans AL, Graham CA (2005) CPR for children: one hand or two? Resuscitation 64: 205–208

    Article  PubMed  Google Scholar 

  12. Samson RA, Berg RA, Bingham R et al. (2003) Use of automated external defibrillators for children: an update: an advisory statement from the pediatric advanced life support task force, International Liaison Committee on Resuscitation. Circulation 107: 3250–3255

    Article  PubMed  Google Scholar 

  13. Efrati O, Ben-Abraham R, Barak A et al. (2003) Endobronchial adrenaline: should it be reconsidered? Dose response and haemodynamic effect in dogs. Resuscitation 59: 117–122

    Article  PubMed  Google Scholar 

  14. Park C, Bahk JH, Ahn WS et al. (2001) The laryngeal mask airway in infants and children. Can J Anaesth 48: 413–417

    PubMed  Google Scholar 

  15. Weiss M, Bernet V, Stutz K et al. (2006) Comparison of cuffed and uncuffed preformed oral pediatric tracheal tubes. Paediatr Anaesth 16: 734–742

    Article  PubMed  Google Scholar 

  16. Aufderheide TP, Sigurdsson G, Pirrallo RG et al. (2004) Hyperventilation-induced hypotension during cardiopulmonary resuscitation. Circulation 109: 1960–1965

    Article  PubMed  Google Scholar 

  17. Kanter RK, Zimmerman JJ, Strauss RH, Stoeckel KA (1986) Pediatric emergency intravenous access: evaluation of a protocol. Am J Dis Child 140: 132–134

    PubMed  Google Scholar 

  18. Hypothermia after Cardiac Arrest Study Group (2002) Mild therapeutic hypothermia to improve the neurologic outcome after cardiac arrest. N Engl J Med 346: 549–556

    Article  PubMed  Google Scholar 

  19. Bernard SA, Gray TW, Buist MD et al. (2002) Treatment of comatose survivors of out-of-hospital cardiac arrest with induced hypothermia. N Engl J Med 346: 557–563

    Article  PubMed  Google Scholar 

  20. Wiswell TE, Gannon CM, Jacob J et al. (2000) Delivery room management of the apparently vigorous meconium-stained neonate: results of the multicenter, international collaborative trial. Pediatrics 105: 1–7

    Article  PubMed  Google Scholar 

  21. Schwab KO, von Stockhausen HB (1994) Plasma catecholamines after endotracheal administration of adrenaline during postnatal resuscitation. Arch Dis Child Fetal Neonatal Ed 70: F213–217

    PubMed  Google Scholar 

  22. Lenclen R, Mazraani M, Jugie M et al. (2002) Use of a polyethylene bag: a way to improve the thermal environment of the premature newborn at the delivery room. Arch Pediatr 9: 238–244

    Article  PubMed  Google Scholar 

  23. ERC (2006) European Paediatric Life Support Course Manual, 3rd ed.

  24. Biarent D, Bingham R, Richmond S et al. (2006) Lebensrettende Maßnahmen bei Kindern (Paediatric Life Support, PLS). Abschnitt 6 der Leitlinien zur Reanimation 2005 des European Resuscitation Council. Notfall Rettungsmed 9: 90–122

    Article  Google Scholar 

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Authors and Affiliations

  1. Zentrum Anaesthesiologie, Rettungs- und Intensivmedizin, Georg-August-Universität, Robert-Koch-Straße 40, 37075, Göttingen, Deutschland

    C. Eich DEAA

  2. Abteilung für Anästhesie, Universitäts-Kinderkliniken, Zürich, Schweiz

    M. Weiss

  3. Universitätsklinik für Anästhesie und Allgemeine Intensivmedizin, Medizinische Universität, Wien, Österreich

    M. Hüpfl

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  1. C. Eich DEAA
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  2. M. Weiss
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  3. M. Hüpfl
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Correspondence to C. Eich DEAA.

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Eich, C., Weiss, M. & Hüpfl, M. Lebensrettende Maßnahmen bei Kindern nach den aktuellen Leitlinien. Notfall Rettungsmed 10, 117–123 (2007). https://doi.org/10.1007/s10049-007-0898-3

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