Erweiterte Maßnahmen der kardiopulmonalen Reanimation bei Kindern und Jugendlichen

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• 作者：Dr. F. Hoffmann ; E. Heimberg ; J.-C. Schwindt ; O. Heinzel
• 关键词：Cardiac arrest ; Cardiac arrhythmias ; Defibrillation ; Resuscitation recommendations 2010 ; EPLS guidelines 2010
• 刊名：Monatsschrift Kinderheilkunde
• 出版年：2016
• 出版时间：March 2016
• 年：2016
• 卷：164
• 期：3
• 页码：195-202
• 全文大小：485 KB
• 参考文献：1.Maconochie IK, Bingham R, Eich C, López-Herce J, Rodríguez-Núñez A, Rajka T, Van de Voorde P, Zideman DA, Biarent D (2015) Paediatric life support section Collaborators. European Resuscitation Council Guidelines for Resuscitation 2015: Section 6. Paediatric life support. Resuscitation 95:223–248CrossRef PubMed
  2.Rajan S, Wissenberg M, Folke F, Hansen CM, Lippert FK, Weeke P, Karlsson L, Søndergaard KB, Kragholm K, Christensen EF, Nielsen SL, Kober L, Gislason GH, Torp-Pedersen C (2015) Out-of-hospital cardiac arrests in children and adolescents: incidences, outcomes, and household socioeconomic status. Resuscitation 88:12–19CrossRef PubMed
  3.Maitland K, Kiguli S, Opoka RO, Engoru C, Olupot-Olupot P, Akech SO, Nyeko R, Mtove G, Reyburn H, Lang T, Brent B, Evans JA, Tibenderana JK, Crawley J, Russell EC, Levin M, Babiker AG, Gibb DM; FEAST Trial Group (2011) Mortality after fluid bolus in African children with severe infection. N Engl J Med. 364:2483–2495
  4.Keil J, Jung P, Schiele A, Urban B, Parsch A, Matsche B, Eich C, Becke K, Landsleitner B, Russo SG, Bernhard M, Nicolai T, Hoffmann F Interdisziplinär konsentierte Stellungnahme zum Atemwegsmanagement mit supraglottischen Atemwegshilfen in der Kindernotfallmedizin – die Larynxmaske ist State-of-the-art. Anaesthesist Online. doi:10.1007/s00101-015-0107-6
  5.Moler FW et al (2015) Therapeutic hypothermia after out-of-hospital cardiac arrest in children. N Engl J Med 372:1898–1908
  
• 作者单位：Dr. F. Hoffmann (1) (5)
  E. Heimberg (2) (5)
  J.-C. Schwindt (3) (4) (5)
  O. Heinzel (2) (5)
  
  1. Interdisziplinäre Kinderintensivstation (KIPS), Kinderklinik und Kinderpoliklinik im Dr. von Haunerschen Kinderspital, Lindwurmstr. 4, 80337, München, Deutschland
  5. PAEDSIM, Teamtraining für Kindernotfälle e.V., Tübingen, Deutschland
  2. Klinik für Kinder- und Jugendmedizin, Universitätsklinikum Tübingen, Tübingen, Deutschland
  3. SIMCharacters Training GmbH, Wien, Österreich
  4. Paediatric Working Group, Austrian Resuscitation Council, Innsbruck, Österreich
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Pediatrics
  General Practice and Family Medicine
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1433-0474

文摘

The extended resuscitation measures include the administration of medications, heart rhythm analysis and defibrillation. Resuscitation situations in pediatrics are rare events and represent a high cognitive challenge and a significant emotional burden for all concerned; therefore, continuous training measures for learning and refreshing pediatric basic life support (BLS) and advanced life support (ALS) techniques is essential. For this purpose the European Resuscitation Council provides special child resuscitation courses (European pediatric life support, EPLS, http://​www.​erc.​edu). So-called non-technical skills, such as communication, team leadership and task distribution within the team are becoming increasingly more important and should be integrated into training concepts. Team-oriented training concepts using state of the art patient simulators are becoming more widespread; however, in the guidelines there is no clear statement about an obligatory participation in training or the frequency of refresher courses. There is an increasing amount of evidence that acquired knowledge and also skills become lost even after only a few months; therefore, it is postulated that annual training refreshers are possibly not sufficient. The authors hope that the summary provided here will contribute to a greater acceptance and wider distribution of the current guidelines for life-saving measures in children.