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Atemwegsmanagement im deutschen Luftrettungsdienst

Airway management in the German air rescue service

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Zusammenfassung

Hintergrund

Die Ausstattung von Luftrettungsmitteln hinsichtlich des vorhandenen Materials zum Atemwegsmanagement ist in Deutschland nicht standardisiert. Die für Luftrettungsmittel gültige DIN/EN ist hier nur sehr allgemein gehalten, sodass an den einzelnen Standorten ggf. eine unterschiedliche medizinische Ausrüstung vorhanden ist. Bestehende Unterschiede bei der Ausstattung für das Atemwegsmanagement sollen aufgezeigt werden.

Methode

Alle 72 deutschen Luftrettungsstationen wurden über den ADAC-Stationsatlas – Luftrettungsstationen in Deutschland 2006/2007 erfasst und erhielten einen Fragebogen zur Ausstattung.

Ergebnisse

Es schickten 64 Luftrettungsstationen den Fragebogen zurück (88,9%). Die am häufigsten vorhandenen supraglottischen Atemwegshilfen waren Larynxmaske (67,2%), Combitubus (32,8%) und Larynxtubus (29,7%). Koniotomiesets waren häufiger vorhanden (68,8%) als Tracheotomiesets (35,9%). An 18,8% der Standorte waren geeignete (Gesichts-)Masken für die nichtinvasive Beatmung („non-invase ventilation“, NIV) verfügbar. Alle Rettungshubschrauber konnten eine Kapnometrie durchführen.

Schlussfolgerungen

Bei der Ausstattung der deutschen Rettungshubschrauber sind Unterschiede zu verzeichnen. Eine medizinische Versorgung nach dem aktuellen Stand der Empfehlungen ist an den allermeisten Standorten möglich.

Abstract

Background

The equipment carried in rescue helicopters concerning airway management is not standardized in Germany. The current DIN/EN equipment regulations are not detailed for every single item resulting in differences between the various rescue bases. The aim of this survey was to show existing differences in airway management equipment.

Methods

All 72 German air rescue helicopters listed in the ADAC air rescue stations atlas 2006/2007 received a questionnaire.

Results

A total of 64 bases returned the questionnaire (88.9%). The most frequent types of supraglottic airway equipment were laryngeal masks (67.2%), Combitubes (32.8%) and laryngeal tubes (29.7%). Cricothyrotomy sets were more frequent (68.8%) than tracheostomy sets (35.9%). Of the bases 18.8% had masks suitable for non-invasive ventilation (NIV). All helicopters were equipped to carry out capnometry.

Conclusions

The rescue helicopters were found to have differences with respect to the equipment carried for airway management. Medical treatment according to current guidelines is possible on almost all bases.

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Authors and Affiliations

  1. Anästhesiologische Klinik, Universitätsklinikum Erlangen, Krankenhausstr. 12, 91054, Erlangen, Deutschland

    M.C. Schmid DESA, H. Mang & J. Schüttler

  2. Anästhesiologische Klinik, Ingolstadt, Deutschland

    K. Ey

  3. DRF Stiftung Luftrettung gemeinnützige AG, Filderstadt, Deutschland

    J. Braun

Authors
  1. M.C. Schmid DESA
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  2. H. Mang
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  3. K. Ey
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  4. J. Braun
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  5. J. Schüttler
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Corresponding author

Correspondence to M.C. Schmid DESA.

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Schmid, M., Mang, H., Ey, K. et al. Atemwegsmanagement im deutschen Luftrettungsdienst. Anaesthesist 58, 884–890 (2009). https://doi.org/10.1007/s00101-009-1584-2

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