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Tod durch (k)einen Atemweg

Trauma durch die präklinische Atemwegssicherung?

Death due to (no) airway

Adverse events by out-of-hospital airway management?

  • Notfallmedizin
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Zusammenfassung

Die Sicherung der Atemwege ist eine in der präklinischen Situation selten durchgeführte Maßnahme. In den letzten Jahren hat es zunehmend Hinweise darauf gegeben, dass die Sicherung der Atemwege auch für im Atemwegsmanagement erfahrene Retter schwieriger ist als unter elektiven Bedingungen. Gleichzeitig wird der Nutzen der präklinischen trachealen Intubation, v. a. für die Versorgung traumatologischer Patienten, von verschiedenen Autoren infrage gestellt. Dieser Übersichtsbeitrag erörtert die Problematik präklinischer Studien zur Atemwegssicherung und diskutiert Möglichkeiten, die zu einer verbesserten präklinischen Versorgung führen könnten.

Abstract

Securing the airway is a rarely performed procedure in the out-of-hospital setting. In recent years evidence has been accumulated indicating that out-of-hospital airway management is more challenging as compared to elective situations even for experienced health care providers. Furthermore, several authors have questioned the benefit of out-of-hospital tracheal intubation. This review argues the problems regarding out-of-hospital airway management studies and discusses potential solutions which may improve out-of-hospital health care.

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Danksagung

Dieser Beitrag ist Herrn Meinert Puttendörfer gewidmet (* 1942, † 2010). Meinert Puttendörfer fühlte sich als ehemaliger Mitarbeiter unserer Abteilung auch in den letzten Jahren weiterhin für das gewachsene und stetig optimierte Göttinger Rettungsdienst-Dokumentationsprogramm (RED) des Zentrums Anaesthesiologie, Rettungs- und Intensivmedizin, Universität Göttingen, verantwortlich. Mit seiner Erfahrung und seinem Engagement war Meinert Puttendörfer damit eine unschätzbare Hilfe im Rahmen präklinischer, wissenschaftlicher Projekte.

Unser Dank gilt Herrn Stephan Cremer sowie Herrn Dr. Eike A. Nickel und Herrn Dr. Jan Bahr, alle Zentrum Anaesthesiologie, Rettungs- und Intensivmedizin, Universitätsmedizin Göttingen, für die kritische Durchsicht des Manuskripts.

Interessenkonflikt

Der korrespondierende Autor versichert, dass kein Interessenkonflikt mit einer Firma, deren Produkte in dem Artikel genannt werden, oder einer Firma, die Konkurrenzprodukte vertreibt, besteht. Folgende Firmen haben die Universitätsmedizin Göttingen bei der Durchführung von Kursen zur Sicherung der Atemwege in der Vergangenheit unterstützt: Cook – Deutschland GmbH; LMA – Deutschland GmbH; Oridion; Karl Storz GmbH; The Surgical Company – Deutschland GmbH; Covidien – Deutschland GmbH; VBM Medizintechnik GmbH.

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  1. Zentrum Anaesthesiologie, Rettungs- und Intensivmedizin, Universitätsmedizin Göttingen, Robert-Koch-Str. 40, 37075, Göttingen, Deutschland

    S.G. Russo D.E.A.A.

  2. Klinik für Anästhesiologie, Universitätsklinikum Regensburg, Regensburg, Deutschland

    W. Zink & C.H.R. Wiese

  3. Universitätsklinik für Anaesthesie und Intensivmedizin , Medizinische Universität Innsbruck, Innsbruck, Österreich

    H. Herff

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  1. S.G. Russo D.E.A.A.
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  4. C.H.R. Wiese
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Correspondence to S.G. Russo D.E.A.A..

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Russo, S., Zink, W., Herff, H. et al. Tod durch (k)einen Atemweg. Anaesthesist 59, 929–939 (2010). https://doi.org/10.1007/s00101-010-1782-y

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