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Management der akzidentellen Hypothermie

Management of accidental hypothermia

  • Notfallmedizin
  • Published:
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Zusammenfassung

Hypotherme Patienten sind in der Notfallmedizin häufig anzutreffen. Insbesondere bei Traumapatienten, aber auch bei anderen prädisponierten Gruppen muss in jeder Jahreszeit mit einer Hypothermie gerechnet werden. Therapeutisch steht neben einer symptomorientierten Intensivtherapie zur Sicherung und Stabilisierung der Vitalfunktionen die Erwärmung im Mittelpunkt der Bemühungen. Hierbei können selbst bei schwerer Hypothermie mit Kreislaufstillstand ausgezeichnete Ergebnisse erzielt werden. Der vorliegende Artikel gibt zunächst einen kurzen Überblick über die typischen klinischen Symptome der Hypothermie. Präklinisches und innerklinisches Management des hypothermen Patienten werden im Anschluss detailliert dargestellt. Im Besonderen werden verschiedene Strategien zur Wiedererwärmung aufgezeigt und kritisch bewertet.

Abstract

Patients with hypothermia are frequently encountered in emergency medicine. Particularly trauma patients, but also other predisposed persons, can be expected to suffer from hypothermia at any time of the year. Therapy focuses not only on symptom-oriented intensive care to stabilize and secure vital functions, but also on rewarming. Even in cases of severe hypothermia with circulatory arrest, therapy can produce excellent results. This paper first gives a brief overview of the typical clinical symptoms of hypothermia, before giving a detailed description of the preclinical and in-hospital management of the hypothermia patient. The various rewarming strategies are the subject of special attention and critical evaluation.

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Authors and Affiliations

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

    M. Hohlrieder, M. Kaufmann, M. Moritz & V. Wenzel

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  1. M. Hohlrieder
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  2. M. Kaufmann
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  3. M. Moritz
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  4. V. Wenzel
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Correspondence to M. Hohlrieder.

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Gefördert vom Jubiläumsfonds der Österreichischen Nationalbank Projekt 11448, Wien, Österreich.

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Hohlrieder, M., Kaufmann, M., Moritz, M. et al. Management der akzidentellen Hypothermie. Anaesthesist 56, 805–811 (2007). https://doi.org/10.1007/s00101-007-1206-9

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  • DOI: https://doi.org/10.1007/s00101-007-1206-9

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