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Medizinische Klinik - Intensivmedizin und Notfallmedizin

Erschienen in:

13.06.2019 | Kardiopulmonale Reanimation | Übersichten

Praxisleitfaden für die Postreanimationsbehandlung

verfasst von: Prof. Dr. C. Storm, Prof. Dr. W. Behringer, MBA, MSc, S. Wolfrum, G. Michels, K. Fink, C. Kill, J. Arrich, C. Leithner, C. Ploner, Prof. Dr. H.-J. Busch

Erschienen in: Medizinische Klinik - Intensivmedizin und Notfallmedizin | Ausgabe 7/2020

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Zusammenfassung

Hintergrund

Die Therapie nach Herz-Kreislauf-Stillstand ist über die letzten Jahre deutlich komplexer und interdisziplinärer geworden. Dabei muss der klinisch tätige Intensiv- und Notfallmediziner nicht nur die unmittelbare Versorgung und Akutdiagnostik durchführen, sondern auch die neurologische Prognoseerstellung planen.

Ziel der Arbeit

Es sollen von führenden Experten im Gebiet die unterschiedlichen, wichtigsten Schritte vorgestellt werden unter Berücksichtigung der Interdisziplinarität und der aktuell gültigen Leitlinien.

Material/Methoden

Es wurde auf eine knappe, praxisorientierte Darstellung geachtet.

Ergebnis/Diskussion

Der Praxisleitfaden enthält alle wichtigen Schritte von der Akutversorgung bis hin zur neurologischen Prognoseerstellung, die relevant sind für den klinisch tätigen Intensivmediziner.

Adler C, Reuter H, Seck C et al (2013) Fluid therapy and acute kidney injury in cardiogenic shock after cardiac arrest. Resuscitation 84:194–199PubMed

Adrie C, Adib-Conquy M, Laurent I et al (2002) Successful cardiopulmonary resuscitation after cardiac arrest as a “sepsis-like” syndrome. Circulation 106:562–568PubMed

Alonso-Alconada D, Broad KD, Bainbridge A et al (2015) Brain cell death is reduced with cooling by 3.5 degrees C to 5 degrees C but increased with cooling by 8.5 degrees C in a piglet asphyxia model. Stroke 46:275–278PubMed

Alshamsi F, Belley-Cote E, Cook D et al (2016) Efficacy and safety of proton pump inhibitors for stress ulcer prophylaxis in critically ill patients: a systematic review and meta-analysis of randomized trials. Crit Care 20:120PubMedPubMedCentral

Andremont O, Du Cheyron D, Terzi N et al (2018) Endovascular cooling versus standard femoral catheters and intravascular complications: a propensity-matched cohort study. Resuscitation 124:1–6PubMed

Arrich J, Holzer M, Havel C et al (2012) Hypothermia for neuroprotection in adults after cardiopulmonary resuscitation. Cochrane Database Syst Rev. https://doi.org/10.1002/14651858.CD004128.pub4CrossRefPubMed

Balan IS, Fiskum G, Hazelton J et al (2006) Oximetry-guided reoxygenation improves neurological outcome after experimental cardiac arrest. Stroke 37:3008–3013PubMedPubMedCentral

Bein TB, Bischoff M, Brückner U (2015) S2e guideline: positioning and early mobilisation in prophylaxis or therapy of pulmonary disorders: revision 2015: S2e guideline of the German Society of Anaesthesiology and Intensive Care Medicine (DGAI). Anaesthesist 64:1–26PubMedPubMedCentral

Bellomo R, Martensson J, Eastwood GM (2015) Metabolic and electrolyte disturbance after cardiac arrest: how to deal with it. Best Pract Res Clin Anaesthesiol 29:471–484PubMed

10.

Bender A (2018) S1-Leitlinie Hypoxisch-ischämische Enzephalopathie im Erwachsenenalter. Leitlinien für Diagnostik und Therapie in der Neurologie. Deutsche Gesellschaft für Neurologie, Berlin

11.

Borgquist O, Wise MP, Nielsen N et al (2017) Dysglycemia, glycemic variability, and outcome after cardiac arrest and temperature management at 33 degrees C and 36 degrees C. Crit Care Med 45:1337–1343PubMed

12.

Bottiger BW, Motsch J, Bohrer H et al (1995) Activation of blood coagulation after cardiac arrest is not balanced adequately by activation of endogenous fibrinolysis. Circulation 92:2572–2578PubMed

13.

Bouwes A, Binnekade JM, Kuiper MA et al (2012) Prognosis of coma after therapeutic hypothermia: a prospective cohort study. Ann Neurol 71:206–212PubMed

14.

Bray JE, Stub D, Bloom JE et al (2017) Changing target temperature from 33 degrees C to 36 degrees C in the ICU management of out-of-hospital cardiac arrest: a before and after study. Resuscitation 113:39–43PubMed

15.

Breitkreutz R, Price S, Steiger HV et al (2010) Focused echocardiographic evaluation in life support and peri-resuscitation of emergency patients: a prospective trial. Resuscitation 81:1527–1533PubMed

16.

Bro-Jeppesen J, Annborn M, Hassager C et al (2015) Hemodynamics and vasopressor support during targeted temperature management at 33 degrees C Versus 36 degrees C after out-of-hospital cardiac arrest: a post hoc study of the target temperature management trial. Crit Care Med 43:318–327PubMed

17.

Busto R, Dietrich WD, Globus MY et al (1987) Small differences in intraischemic brain temperature critically determine the extent of ischemic neuronal injury. J Cereb Blood Flow Metab 7:729–738PubMed

18.

Cavaillon JM, Adrie C, Fitting C et al (2003) Endotoxin tolerance: is there a clinical relevance? J Endotoxin Res 9:101–107PubMed

19.

Chan PS, Berg RA, Tang Y et al (2016) Association between therapeutic hypothermia and survival after in-hospital cardiac arrest. JAMA 316:1375–1382PubMedPubMedCentral

20.

Chang WT, Ma MH, Chien KL et al (2007) Postresuscitation myocardial dysfunction: correlated factors and prognostic implications. Intensive Care Med 33:88–95PubMed

21.

Chelly J, Mongardon N, Dumas F et al (2012) Benefit of an early and systematic imaging procedure after cardiac arrest: insights from the PROCAT (Parisian Region Out of Hospital Cardiac Arrest) registry. Resuscitation 83:1444–1450PubMed

22.

Choi SW, Shin SD, Ro YS et al (2016) Effect of therapeutic hypothermia on the outcomes after out-of-hospital cardiac arrest according to initial ECG rhythm and witnessed status: a nationwide observational interaction analysis. Resuscitation 100:51–59PubMed

23.

Colbourne F, Corbett D (1995) Delayed postischemic hypothermia: a six month survival study using behavioral and histological assessments of neuroprotection. J Neurosci 15:7250–7260PubMedPubMedCentral

24.

Dalhoff K, Ewig S (2013) Adult patients with nosocomial pneumonia: epidemiology, diagnosis, and treatment. Dtsch Arztebl Int 110:634–640PubMedPubMedCentral

25.

Davis MD, Walsh BK, Sittig SE et al (2013) AARC clinical practice guideline: blood gas analysis and hemoximetry: 2013. Respir Care 58:1694–1703PubMed

26.

Dragancea I, Horn J, Kuiper M et al (2015) Neurological prognostication after cardiac arrest and targeted temperature management 33 degrees C versus 36 degrees C: results from a randomised controlled clinical trial. Resuscitation 93:164–170PubMed

27.

Dunham GM, Perez-Girbes A, Bolster F et al (2018) Use of whole body CT to detect patterns of CPR-related injuries after sudden cardiac arrest. Eur Radiol 28:4122–4127PubMed

28.

Encke A, Kopp I et al (2015) AWMF S3-Leitlinie Prophylaxe der venösen Thromboembolie (VTE) (http://www.awmf.org/leitlinien/detail/ll/003-001.html)

29.

Endisch C, Storm C, Ploner CJ et al (2015) Amplitudes of SSEP and outcome in cardiac arrest survivors: a prospective cohort study. Baillieres Clin Neurol 85:1752–1760

30.

Ewig S, Höffken G, v Kern W, Rohde G, Flick H, Krause R, Ott S, Bauer T, Dalhoff K, Gatermann S, Kolditz M, Krüger S, Lorenz J, Pletz M, De Roux A, Schaaf B, Schaberg T, Schütte H, Welte T (2016) Management of adult community-acquired pneumonia and prevention—update 2016. Pneumologie 70:151–200PubMed

31.

Fink K, Schwarz M, Feldbrugge L et al (2010) Severe endothelial injury and subsequent repair in patients after successful cardiopulmonary resuscitation. Crit Care 14:R104PubMedPubMedCentral

32.

Fink K, Busch H‑J, Wengenmayer T (2014) Update Postreanimationserkrankung – neue Evidenz und Rolle der Inflammation. Intensivmed Up2date 10:301–316

33.

Fink K, Schmid B, Busch H‑J (2016) Current recommendations for basic/advanced life support: addressing unanswered questions and future prospects. Med Klin Intensivmed Notfmed 111:670–681PubMed

34.

Gaieski DF, Band RA, Abella BS et al (2009) Early goal-directed hemodynamic optimization combined with therapeutic hypothermia in comatose survivors of out-of-hospital cardiac arrest. Resuscitation 80:418–424PubMed

35.

Gando S, Nanzaki S, Morimoto Y et al (2000) Out-of-hospital cardiac arrest increases soluble vascular endothelial adhesion molecules and neutrophil elastase associated with endothelial injury. Intensive Care Med 26:38–44PubMed

36.

Gärtner B, Thanheiser M et al (2017) Prävention von Infektionen, die von Gefäßkathetern ausgehen. Teil 1 – nichtgetunnelte zentralvenöse Katheter. Bundesgesundheitsblatt 60:171–206

37.

Geffers C, Scheithauer S et al (2017) Prävention von Infektionen, die von Gefäßkathetern ausgehen. Teil 2 – Periphervenöse Verweilkanülen und arterielle Katheter. Bundesgesundheitsblatt 60:207–215

38.

Geri G, Passouant O, Dumas F et al (2017) Etiological diagnoses of out-of-hospital cardiac arrest survivors admitted to the intensive care unit: insights from a French registry. Resuscitation 117:66–72PubMed

39.

Greer DM, Rosenthal ES, Wu O (2014) Neuroprognostication of hypoxic-ischaemic coma in the therapeutic hypothermia era. Nat Rev Neurol 10:190–203PubMed

40.

Han L, Fuqua S, Li Q et al (2016) Propofol-induced inhibition of catecholamine release is reversed by maintaining calcium influx. Anesthesiology 124:878–884PubMed

41.

Hekimian G, Baugnon T, Thuong M et al (2004) Cortisol levels and adrenal reserve after successful cardiac arrest resuscitation. Shock 22:116–119PubMed

42.

Hoedemaekers C, Van Der Hoeven JG (2014) Is alpha-stat or pH-stat the best strategy during hypothermia after cardiac arrest? Crit Care Med 42:1950–1951PubMed

43.

Ibanez B, James S, Agewall S et al (2018) 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: the Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC). Eur Heart J 39:119–177PubMed

44.

Idris AH, Roberts LJ 2nd, Caruso L et al (2005) Oxidant injury occurs rapidly after cardiac arrest, cardiopulmonary resuscitation, and reperfusion. Crit Care Med 33:2043–2048PubMed

45.

Kamarainen A, Virkkunen I, Tenhunen J et al (2009) Prehospital therapeutic hypothermia for comatose survivors of cardiac arrest: a randomized controlled trial. Acta Anaesthesiol Scand 53:900–907PubMed

46.

Kern KB, Hilwig RW, Berg RA et al (1997) Postresuscitation left ventricular systolic and diastolic dysfunction. Treatment with dobutamine. Circulation 95:2610–2613PubMed

47.

Kern KB, Hilwig RW, Rhee KH et al (1996) Myocardial dysfunction after resuscitation from cardiac arrest: an example of global myocardial stunning. J Am Coll Cardiol 28:232–240PubMed

48.

Kilgannon JH, Jones AE, Shapiro NI et al (2010) Association between arterial hyperoxia following resuscitation from cardiac arrest and in-hospital mortality. JAMA 303:2165–2171PubMed

49.

Kim F, Nichol G, Maynard C et al (2014) Effect of prehospital induction of mild hypothermia on survival and neurological status among adults with cardiac arrest: a randomized clinical trial. JAMA 311:45–52PubMed

50.

Kim YM, Youn CS, Kim SH et al (2015) Adverse events associated with poor neurological outcome during targeted temperature management and advanced critical care after out-of-hospital cardiac arrest. Crit Care 19:283PubMedPubMedCentral

51.

Kirkegaard H, Soreide E, De Haas I et al (2017) Targeted temperature management for 48 vs 24 hours and Neurologic outcome after out-of-hospital cardiac arrest: a randomized clinical trial. JAMA 318:341–350PubMedPubMedCentral

52.

Laurent I, Monchi M, Chiche JD et al (2002) Reversible myocardial dysfunction in survivors of out-of-hospital cardiac arrest. J Am Coll Cardiol 40:2110–2116PubMed

53.

Lee HK, Lee H, No JM et al (2013) Factors influencing outcome in patients with cardiac arrest in the ICU. Acta Anaesthesiol Scand 57:784–792PubMed

54.

Legriel S, Bougouin W, Chocron R et al (2018) Early in-hospital management of cardiac arrest from neurological cause: diagnostic pitfalls and treatment issues. Resuscitation. https://doi.org/10.1016/j.resuscitation.2018.08.004CrossRefPubMed

55.

Madl C, Holzer M (2004) Brain function after resuscitation from cardiac arrest. Curr Opin Crit Care 10:213–217PubMed

56.

Manzo-Silberman S, Fichet J, Mathonnet A et al (2013) Percutaneous left ventricular assistance in post cardiac arrest shock: comparison of intra aortic blood pump and IMPELLA Recover LP2.5. Resuscitation 84:609–615PubMed

57.

Menon DK, Coles JP, Gupta AK et al (2004) Diffusion limited oxygen delivery following head injury. Crit Care Med 32:1384–1390PubMed

58.

Michels G, Wengenmayer T, Hagl C et al (2018) Recommendations for extracorporeal cardiopulmonary resuscitation (eCPR) : consensus statement of DGIIN, DGK, DGTHG, DGfK, DGNI, DGAI, DIVI and GRC. Anaesthesist 67:607–616PubMed

59.

Michels G, Kochanek M (2017) Repetitorium Internistische Intensivmedizin, 3. Aufl. Springer, Berlin Heidelberg

60.

Moler FW, Silverstein FS, Holubkov R et al (2017) Therapeutic hypothermia after in-hospital cardiac arrest in children. N Engl J Med 376:318–329PubMedPubMedCentral

61.

Moler FW, Silverstein FS, Holubkov R et al (2015) Therapeutic hypothermia after out-of-hospital cardiac arrest in children. N Engl J Med 372:1898–1908PubMedPubMedCentral

62.

Moulaert VR, Van Heugten CM, Winkens B et al (2015) Early neurologically-focused follow-up after cardiac arrest improves quality of life at one year: a randomised controlled trial. Int J Cardiol 193:8–16PubMed

63.

Murray MJ, Deblock H, Erstad B et al (2016) Clinical practice guidelines for sustained neuromuscular blockade in the adult critically ill patient. Crit Care Med 44:2079–2103PubMed

64.

Neumar RW (2000) Molecular mechanisms of ischemic neuronal injury. Ann Emerg Med 36:483–506PubMed

65.

Nielsen N, Wetterslev J, Cronberg T et al (2013) Targeted temperature management at 33 degrees C versus 36 degrees C after cardiac arrest. N Engl J Med 369:2197–2206PubMed

66.

Nolan JP, Soar J, Cariou A et al (2015) European Resuscitation Council and European Society of Intensive Care Medicine Guidelines for Post-resuscitation Care 2015: Section 5 of the European Resuscitation Council Guidelines for Resuscitation 2015. Resuscitation. https://doi.org/10.1016/j.resuscitation.2015.07.018CrossRefPubMed

67.

Nurnberger A, Herkner H, Sterz F et al (2017) Observed survival benefit of mild therapeutic hypothermia reanalysing the circulation improving resuscitation care trial. Eur J Clin Invest 47:439–446PubMedPubMedCentral

68.

Oh SH, Oh JS, Kim YM et al (2015) An observational study of surface versus endovascular cooling techniques in cardiac arrest patients: a propensity-matched analysis. Crit Care 19:85PubMedPubMedCentral

69.

Pene F, Hyvernat H, Mallet V et al (2005) Prognostic value of relative adrenal insufficiency after out-of-hospital cardiac arrest. Intensive Care Med 31:627–633PubMed

70.

Pilcher J, Weatherall M, Shirtcliffe P et al (2012) The effect of hyperoxia following cardiac arrest—a systematic review and meta-analysis of animal trials. Resuscitation 83:417–422PubMed

71.

Qian J, Yang Z, Cahoon J et al (2014) Post-resuscitation intestinal microcirculation: its relationship with sublingual microcirculation and the severity of post-resuscitation syndrome. Resuscitation 85:833–839PubMed

72.

Reintam Blaser A, Starkopf J, Alhazzani W et al (2017) Early enteral nutrition in critically ill patients: ESICM clinical practice guidelines. Intensive Care Med 43:380–398PubMedPubMedCentral

73.

Riessen R, Busch H‑J, Haap M (2017) Invasive cardiac procedures in post-cardiac arrest care. Aktuel Kardiol 6(1):53–58

74.

Riessen R, Möckel M (2016) Klug entscheiden: . . . in der Internistischen Intensivmedizin. Dtsch Arztebl 113:33–34

75.

Rittenberger JC, Doshi AA, Reynolds JC et al (2015) Postcardiac arrest management. Emerg Med Clin North Am 33:691–712PubMed

76.

Rivers EP, Wortsman J, Rady MY et al (1994) The effect of the total cumulative epinephrine dose administered during human CPR on hemodynamic, oxygen transport, and utilization variables in the postresuscitation period. Chest 106:1499–1507PubMed

77.

Rossetti AO, Rabinstein AA, Oddo M (2016) Neurological prognostication of outcome in patients in coma after cardiac arrest. Lancet Neurol 15:597–609PubMed

78.

Ruiz-Bailen M, Aguayo De Hoyos E, Ruiz-Navarro S et al (2005) Reversible myocardial dysfunction after cardiopulmonary resuscitation. Resuscitation 66:175–181PubMed

79.

Salciccioli JD, Cocchi MN, Rittenberger JC et al (2013) Continuous neuromuscular blockade is associated with decreased mortality in post-cardiac arrest patients. Resuscitation 84:1728–1733PubMed

80.

Samaniego EA, Mlynash M, Caulfield AF et al (2011) Sedation confounds outcome prediction in cardiac arrest survivors treated with hypothermia. Neurocrit Care 15:113–119PubMedPubMedCentral

81.

Sandroni C, Cariou A, Cavallaro F et al (2014) Prognostication in comatose survivors of cardiac arrest: an advisory statement from the European resuscitation council and the European society of intensive care medicine. Resuscitation. https://doi.org/10.1016/j.resuscitation.2014.08.011CrossRefPubMed

82.

Sandroni C, Cavallaro F, Callaway CW et al (2013) Predictors of poor neurological outcome in adult comatose survivors of cardiac arrest: a systematic review and meta-analysis. Part 2: patients treated with therapeutic hypothermia. Resuscitation 84:1324–1338PubMed

83.

Scheel M, Storm C, Gentsch A et al (2013) The prognostic value of gray-white-matter ratio in cardiac arrest patients treated with hypothermia. Scand J Trauma Resusc Emerg Med 21:23PubMedPubMedCentral

84.

Schneider AG, Eastwood GM, Bellomo R et al (2013) Arterial carbon dioxide tension and outcome in patients admitted to the intensive care unit after cardiac arrest. Resuscitation 84:927–934PubMed

85.

Scholz KH, Andresen D, Bottiger BW et al (2017) Quality indicators and structural requirements for Cardiac Arrest Centers-German Resuscitation Council (GRC). Anaesthesist 66:360–362PubMed

86.

Simon A, Hamprecht A (2017) Prävention von Infektionen, die von Gefäßkathetern ausgehen. Hinweise zur Blutkulturdiagnostik. Bundesgesundheitsblatt 60:216–230

87.

Sonder P, Janssens GN, Beishuizen A et al (2018) Efficacy of different cooling technologies for therapeutic temperature management: a prospective intervention study. Resuscitation 124:14–20PubMed

88.

Stammet P, Collignon O, Hassager C et al (2015) Neuron-specific enolase as a predictor of death or poor neurological outcome after out-of-hospital cardiac arrest and targeted temperature management at 33 degrees C and 36 degrees C. J Am Coll Cardiol 65:2104–2114PubMed

89.

Stockl M, Testori C, Sterz F et al (2017) Continuous versus intermittent neuromuscular blockade in patients during targeted temperature management after resuscitation from cardiac arrest—a randomized, double blinded, double dummy, clinical trial. Resuscitation 120:14–19PubMed

90.

Streitberger KJ, Leithner C, Wattenberg M et al (2017) Neuron-specific enolase predicts poor outcome after cardiac arrest and targeted temperature management: a multicenter study on 1,053 patients. Crit Care Med 45:1145–1151PubMed

91.

Stub D, Smith K, Bernard S et al (2015) Air versus oxygen in ST-segment-elevation myocardial infarction. Circulation 131:2143–2150PubMed

92.

Suh GJ, Kwon WY, Kim KS et al (2014) Prolonged therapeutic hypothermia is more effective in attenuating brain apoptosis in a Swine cardiac arrest model. Crit Care Med 42:e132–e142PubMed

93.

Sunde K, Pytte M, Jacobsen D et al (2007) Implementation of a standardised treatment protocol for post resuscitation care after out-of-hospital cardiac arrest. Resuscitation 73:29–39PubMed

94.

Tagami T, Matsui H, Kuno M et al (2016) Early antibiotics administration during targeted temperature management after out-of-hospital cardiac arrest: a nationwide database study. BMC Anesthesiol 16:89PubMedPubMedCentral

95.

DAS-Taskforce 2015, Baron R, Binder A et al (2015) Evidence and consensus based guideline for the management of delirium, analgesia, and sedation in intensive care medicine. Revision 2015 (DAS-Guideline 2015)—short version. Ger Med Sci 13:Doc19PubMedCentral

96.

Thiele H, Zeymer U, Neumann FJ et al (2012) Intraaortic balloon support for myocardial infarction with cardiogenic shock. N Engl J Med 367:1287–1296PubMed

97.

Uray T, Mayr FB, Stratil P et al (2015) Prehospital surface cooling is safe and can reduce time to target temperature after cardiac arrest. Resuscitation 87:51–56PubMed

98.

Vasquez A, Kern KB, Hilwig RW et al (2004) Optimal dosing of dobutamine for treating post-resuscitation left ventricular dysfunction. Resuscitation 61:199–207PubMed

99.

Velly L, Perlbarg V, Boulier T et al (2018) Use of brain diffusion tensor imaging for the prediction of long-term neurological outcomes in patients after cardiac arrest: a multicentre, international, prospective, observational, cohort study. Lancet Neurol 17:317–326PubMed

100.

Walters EL, Morawski K, Dorotta I et al (2011) Implementation of a post-cardiac arrest care bundle including therapeutic hypothermia and hemodynamic optimization in comatose patients with return of spontaneous circulation after out-of-hospital cardiac arrest: a feasibility study. Shock 35:360–366PubMed

101.

Wang CH, Huang CH, Chang WT et al (2016) Outcomes of adult in-hospital cardiac arrest treated with targeted temperature management: a retrospective cohort study. PLoS ONE 11:e166148PubMedPubMedCentral

102.

Westhall E, Rossetti AO, Van Rootselaar AF et al (2016) Standardized EEG interpretation accurately predicts prognosis after cardiac arrest. Neurology 86:1482–1490PubMedPubMedCentral

103.

Wyllie J, Bruinenberg J, Roehr CC et al (2015) European resuscitation council guidelines for resuscitation 2015: section 7. Resuscitation and support of transition of babies at birth. Resuscitation 95:249–263PubMed

104.

Yenari MA, Han HS (2012) Neuroprotective mechanisms of hypothermia in brain ischaemia. Nat Rev Neurosci 13:267–278PubMed

Titel: Praxisleitfaden für die Postreanimationsbehandlung
verfasst von: Prof. Dr. C. Storm
Prof. Dr. W. Behringer, MBA, MSc
S. Wolfrum
G. Michels
K. Fink
C. Kill
J. Arrich
C. Leithner
C. Ploner
Prof. Dr. H.-J. Busch
Publikationsdatum: 13.06.2019
Verlag: Springer Medizin
Schlagwörter: Kardiopulmonale Reanimation
Kreislaufstillstand
Temperaturmanagement
Erschienen in: Medizinische Klinik - Intensivmedizin und Notfallmedizin / Ausgabe 7/2020
Print ISSN: 2193-6218
Elektronische ISSN: 2193-6226
DOI: https://doi.org/10.1007/s00063-019-0591-6

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Praxisleitfaden für die Postreanimationsbehandlung

Zusammenfassung

Hintergrund

Ziel der Arbeit

Material/Methoden

Ergebnis/Diskussion

Neu im Fachgebiet AINS

Stereotaktische Radiatio schlägt konventionelle Bestrahlung

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

Hochrisiko-Eingriffe für postoperative Übelkeit

Diclofenac-Gel versus Ibuprofen bei akuten Rückenschmerzen

Update AINS

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Zusammenfassung

Hintergrund

Ziel der Arbeit

Material/Methoden

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