NOTARZT 2012; 28(04): 149-161
DOI: 10.1055/s-0032-1305095
Originalia
© Georg Thieme Verlag KG Stuttgart · New York

Obduktionsbefunde und Interpretation nach frustraner Reanimation

Autopsy Findings and Interpretation After Unsuccessful Resuscitation
C. Buschmann
1   Charité – Universitätsmedizin Berlin, Institut für Rechtsmedizin (Direktor: Prof. Dr. med. M. Tsokos), Berlin
,
M. Tsokos
1   Charité – Universitätsmedizin Berlin, Institut für Rechtsmedizin (Direktor: Prof. Dr. med. M. Tsokos), Berlin
,
M. Peters
1   Charité – Universitätsmedizin Berlin, Institut für Rechtsmedizin (Direktor: Prof. Dr. med. M. Tsokos), Berlin
,
C. Kleber
2   Charité – Universitätsmedizin Berlin, Centrum für Muskuloskeletale Chirurgie, Berlin
› Author Affiliations
Further Information

Publication History

Publication Date:
14 August 2012 (online)

Zusammenfassung

Reanimationsmaßnahmen (externe Herzdruckmassage, [Früh-]Defibrillation, Atemwegssicherung, Medikamenten- und Volumenapplikation) können potenziell lebensrettend sein, beinhalten allerdings z. T. nicht unerhebliche Verletzungsrisiken für den Patienten, welche allein oder in Kombination nicht nur den initialen Erfolg der Reanimationsbemühungen limitieren, sondern auch nach inital erfolgreicher Wiederbelebung im klinischen Verlauf zu schwerwiegenden Komplikationen führen können. Wir berichten in der Synopsis aus Literatur und Obduktionsbefunden nach frustranen Wiederbelebungsversuchen über entsprechende medizinische und medikolegale Implikationen von reanimationsbedingten Verletzungen.

Abstract

Resuscitation techniques (external cardiac massage, [early] defibrillation, airway management, application of drugs and infusions) may be potentially live-saving, but they also contain a significant risk of injury for the patient. These resuscitation-related injuries – solitary or combined – might not only limit the success of the initial resuscitation attempts but they can also complicate the clinical course after primarily successful resuscitation. In the subsumption of literature and autopsy findings after unsuccessful resuscitation attempts, we report about medical and medicolegal implications of resuscitation-related trauma.

 
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