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Neue Leitlinien zur Reanimation:

Wie gehe ich vor? Was ist alt? Was ist neu?

New guidelines for cardiopulmonary resuscitation: How to proceed? What is new? What is old?

  • BEITRAG ZUM THEMENSCHWERPUNKT
  • Published:
Intensivmedizin und Notfallmedizin

Abstract

The recently published new guidelines for cardiopulmonary resuscitation were derived from an international "Consensus of Science", challenging many of the traditional rules. This may explain the extraordinary extent of changes compared to the earlier guidelines. The new rules for basic life support for adults emphasize the outstanding importance of compressions. In general the decisions regarding basic life support try to simplify procedures and are driven by the fact that starting effective basic measurements is the key for resuscitation success. The rules for advanced life support remained generally unchanged. In contract mild therapeutic hypothermia has been emphasized in the guidelines for post resuscitation care as one of the few major progresses improving prognosis.

Zusammenfassung

Die kürzlich publizierten neuen Leitlinien zur kardiopulmonalen Reanimation, die aus einem internationalen "Consensus of Science" abgeleitet wurden, stellen viele der bisher fest gefügt erscheinenden Vorgehensweisen in Frage. Dies erklärt den außerordentlichen Umfang der Änderung im Vergleich zu früheren Leitlinien. Im Zentrum des neuen Vorgehens stehen Änderungen im Bereich der Basisreanimation. Primäres Ziel ist eine Vereinfachung der Maßnahmen. Daneben wird bei der Reanimation des Erwachsenen die Bedeutung der Herzdruckmassage besonders herausgestellt. Die Erkenntnis, dass möglichst frühzeitiges Einleiten effektiver Basisreanimation der Schlüssel zum Reanimationserfolg ist, war Antrieb für diese Modifikationen. In den erweiterten Maßnahmen jenseits der Fortführung der neuen Regeln zur Basisreanimation finden sich nur relativ wenig Änderungen. Dagegen wird in den neuen Leitlinien die große Bedeutung der milden therapeutischen Therapie nach primär erfolgreicher Reanimation unterstrichen.

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Authors and Affiliations

  1. Charité, Campus Benjamin Franklin, Med. Klinik II, Kardiopulmologie, Hindenburgdamm 30, 12200, Berlin, Germany

    H.-R. Arntz

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  1. H.-R. Arntz
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Correspondence to H.-R. Arntz.

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Arntz, HR. Neue Leitlinien zur Reanimation:. Intensivmed 44, 194–200 (2007). https://doi.org/10.1007/s00390-007-0799-1

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  • DOI: https://doi.org/10.1007/s00390-007-0799-1

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