Skip to main content

01.03.2016 | Kardiopulmonale Reanimation | Leitthema

Stabilisierung und Reanimation des Neugeborenen direkt nach der Geburt

Kommentierte Zusammenfassung der Leitlinien des European Resuscitation Council 2015

verfasst von: Dr. J.-C. Schwindt, O. Heinzel, F. Hoffmann, E. Heimberg

Erschienen in: Monatsschrift Kinderheilkunde | Ausgabe 3/2016

Einloggen, um Zugang zu erhalten

Zusammenfassung

Am 15. Oktober 2015 wurden die neuen Reanimations-Guidelines des European Resuscitation Council (ERC) veröffentlicht. Im Kap. 7 finden sich die Empfehlungen zur Stabilisierung und zur Reanimation von Neugeborenen. Der Algorithmus der Neugeborenenreanimation hat sich grundsätzlich nicht geändert, dennoch gibt es einige interessante Neuerungen. So wurde das Vorgehen bei mekoniumhaltigem Fruchtwasser deutlich vereinfacht und das Monitoring der Herzfrequenz über das EKG in die Empfehlungen aufgenommen. Die neue Empfehlung, in einer Reanimationssituation nicht mehr nur einen Nabelvenenkatheter (NVK) zu legen, sondern diesen auch in dieser Situation zentral zu platzieren, muss jedoch zumindest kritisch diskutiert werden. Der vorliegende Artikel stellt eine gekürzte Zusammenfassung der neuen ERC-Guidelines dar. So sind z. B. die Empfehlungen zur Versorgung des Frühgeborenen und die Maßnahmen nach erfolgreicher Reanimation nicht Bestandteil dieses Beitrags. Die Kommentare enthalten praktische Tipps, die die Umsetzung der neuen Leitlinien in die Praxis erleichtern sollen.
Literatur
1.
Zurück zum Zitat Wyllie J et al (2015) European Resuscitation Council Guidelines for Resuscitation 2015: section 7. Resuscitation and support of transition of babies at birth. Resuscitation 95:249–263PubMedCrossRef Wyllie J et al (2015) European Resuscitation Council Guidelines for Resuscitation 2015: section 7. Resuscitation and support of transition of babies at birth. Resuscitation 95:249–263PubMedCrossRef
2.
Zurück zum Zitat Ersdal HL et al (2012) Early initiation of basic resuscitation interventions including face mask ventilation may reduce birth asphyxia related mortality in low-income countries: a prospective descriptive observational study. Resuscitation 83(7):869–873PubMedCrossRef Ersdal HL et al (2012) Early initiation of basic resuscitation interventions including face mask ventilation may reduce birth asphyxia related mortality in low-income countries: a prospective descriptive observational study. Resuscitation 83(7):869–873PubMedCrossRef
3.
Zurück zum Zitat Perlman JM, Risser R (1995) Cardiopulmonary resuscitation in the delivery room: associated clinical events. Arch Pediatr Adolesc Med 149(1):20–25PubMedCrossRef Perlman JM, Risser R (1995) Cardiopulmonary resuscitation in the delivery room: associated clinical events. Arch Pediatr Adolesc Med 149(1):20–25PubMedCrossRef
4.
Zurück zum Zitat Barber CA, Wyckoff MH (2006) Use and efficacy of endotracheal versus intravenous epinephrine during neonatal cardiopulmonary resuscitation in the delivery room. Pediatrics 118(3):1028–1034PubMedCrossRef Barber CA, Wyckoff MH (2006) Use and efficacy of endotracheal versus intravenous epinephrine during neonatal cardiopulmonary resuscitation in the delivery room. Pediatrics 118(3):1028–1034PubMedCrossRef
5.
Zurück zum Zitat Aziz K et al (2008) Ante- and intra-partum factors that predict increased need for neonatal resuscitation. Resuscitation 79(3):444–452PubMedCrossRef Aziz K et al (2008) Ante- and intra-partum factors that predict increased need for neonatal resuscitation. Resuscitation 79(3):444–452PubMedCrossRef
6.
7.
Zurück zum Zitat Ertugrul S et al (2013) Evaluation of neonatal outcomes in elective repeat cesarean delivery at term according to weeks of gestation. J Obstet Gynaecol Res 39(1):105–112PubMedCrossRef Ertugrul S et al (2013) Evaluation of neonatal outcomes in elective repeat cesarean delivery at term according to weeks of gestation. J Obstet Gynaecol Res 39(1):105–112PubMedCrossRef
8.
Zurück zum Zitat Yee W, Amin H, Wood S (2008) Elective cesarean delivery, neonatal intensive care unit admission, and neonatal respiratory distress. Obstet Gynecol 111(4):823–828PubMedCrossRef Yee W, Amin H, Wood S (2008) Elective cesarean delivery, neonatal intensive care unit admission, and neonatal respiratory distress. Obstet Gynecol 111(4):823–828PubMedCrossRef
9.
Zurück zum Zitat Laptook AR et al (2007) Admission temperature of low birth weight infants: predictors and associated morbidities. Pediatrics 119(3):e643–e649PubMedCrossRef Laptook AR et al (2007) Admission temperature of low birth weight infants: predictors and associated morbidities. Pediatrics 119(3):e643–e649PubMedCrossRef
10.
Zurück zum Zitat Dalili H et al (2015) Comparison of the four proposed Apgar scoring systems in the assessment of birth asphyxia and adverse early neurologic outcomes. PLOS ONE 10(3):e0122116PubMedPubMedCentralCrossRef Dalili H et al (2015) Comparison of the four proposed Apgar scoring systems in the assessment of birth asphyxia and adverse early neurologic outcomes. PLOS ONE 10(3):e0122116PubMedPubMedCentralCrossRef
11.
12.
Zurück zum Zitat Rabe H, Reynolds G, Diaz-Rossello J (2008) A systematic review and meta-analysis of a brief delay in clamping the umbilical cord of preterm infants. Neonatology 93(2):138–144PubMedCrossRef Rabe H, Reynolds G, Diaz-Rossello J (2008) A systematic review and meta-analysis of a brief delay in clamping the umbilical cord of preterm infants. Neonatology 93(2):138–144PubMedCrossRef
13.
Zurück zum Zitat Strauss RG et al (2008) A randomized clinical trial comparing immediate versus delayed clamping of the umbilical cord in preterm infants: short-term clinical and laboratory endpoints. Transfusion 48(4):658–665PubMedPubMedCentralCrossRef Strauss RG et al (2008) A randomized clinical trial comparing immediate versus delayed clamping of the umbilical cord in preterm infants: short-term clinical and laboratory endpoints. Transfusion 48(4):658–665PubMedPubMedCentralCrossRef
14.
Zurück zum Zitat Kugelman A et al (2007) Immediate versus delayed umbilical cord clamping in premature neonates born. Am J Perinatol 24(5):307–315PubMedCrossRef Kugelman A et al (2007) Immediate versus delayed umbilical cord clamping in premature neonates born. Am J Perinatol 24(5):307–315PubMedCrossRef
15.
16.
Zurück zum Zitat Cordero L Jr, Hon EH (1971) Neonatal bradycardia following nasopharyngeal stimulation. J Pediatr 78(3):441–447PubMedCrossRef Cordero L Jr, Hon EH (1971) Neonatal bradycardia following nasopharyngeal stimulation. J Pediatr 78(3):441–447PubMedCrossRef
17.
Zurück zum Zitat Gungor S et al (2006) Oronasopharyngeal suction versus no suction in normal and term infants delivered by elective cesarean section: a prospective randomized controlled trial. Gynecol Obstet Invest 61(1):9–14PubMedCrossRef Gungor S et al (2006) Oronasopharyngeal suction versus no suction in normal and term infants delivered by elective cesarean section: a prospective randomized controlled trial. Gynecol Obstet Invest 61(1):9–14PubMedCrossRef
18.
Zurück zum Zitat Waltman PA et al (2004) Building evidence for practice: a pilot study of newborn bulb suctioning at birth. J Midwifery Womens Health 49(1):32–38PubMed Waltman PA et al (2004) Building evidence for practice: a pilot study of newborn bulb suctioning at birth. J Midwifery Womens Health 49(1):32–38PubMed
19.
Zurück zum Zitat Hird MF, Greenough A, Gamsu HR (1991) Inflating pressures for effective resuscitation of preterm infants. Early Hum Dev 26(1):69–72PubMedCrossRef Hird MF, Greenough A, Gamsu HR (1991) Inflating pressures for effective resuscitation of preterm infants. Early Hum Dev 26(1):69–72PubMedCrossRef
20.
Zurück zum Zitat Klingenberg C et al (2013) Effect of sustained inflation duration; resuscitation of near-term asphyxiated lambs. Arch Dis Child Fetal Neonatal Ed 98(3):F222–7PubMedCrossRef Klingenberg C et al (2013) Effect of sustained inflation duration; resuscitation of near-term asphyxiated lambs. Arch Dis Child Fetal Neonatal Ed 98(3):F222–7PubMedCrossRef
21.
Zurück zum Zitat te Pas AB et al (2009) Effect of sustained inflation length on establishing functional residual capacity at birth in ventilated premature rabbits. Pediatr Res 66(3):295–300PubMedCrossRef te Pas AB et al (2009) Effect of sustained inflation length on establishing functional residual capacity at birth in ventilated premature rabbits. Pediatr Res 66(3):295–300PubMedCrossRef
22.
Zurück zum Zitat Harling AE et al (2005) Does sustained lung inflation at resuscitation reduce lung injury in the preterm infant? Arch Dis Child Fetal Neonatal Ed 90(5):F406–F410PubMedPubMedCentralCrossRef Harling AE et al (2005) Does sustained lung inflation at resuscitation reduce lung injury in the preterm infant? Arch Dis Child Fetal Neonatal Ed 90(5):F406–F410PubMedPubMedCentralCrossRef
23.
Zurück zum Zitat Lindner W, Hogel J, Pohlandt F (2005) Sustained pressure-controlled inflation or intermittent mandatory ventilation in preterm infants in the delivery room? A randomized, controlled trial on initial respiratory support via nasopharyngeal tube. Acta Paediatr 94(3):303–309PubMed Lindner W, Hogel J, Pohlandt F (2005) Sustained pressure-controlled inflation or intermittent mandatory ventilation in preterm infants in the delivery room? A randomized, controlled trial on initial respiratory support via nasopharyngeal tube. Acta Paediatr 94(3):303–309PubMed
24.
Zurück zum Zitat Lindner W et al (1999) Delivery room management of extremely low birth weight infants: spontaneous breathing or intubation? Pediatrics 103(5 Pt 1):961–967PubMedCrossRef Lindner W et al (1999) Delivery room management of extremely low birth weight infants: spontaneous breathing or intubation? Pediatrics 103(5 Pt 1):961–967PubMedCrossRef
25.
Zurück zum Zitat Lista G et al (2015) Sustained lung inflation at birth for preterm infants: a randomized clinical trial. Pediatrics 135(2):e457–64PubMedCrossRef Lista G et al (2015) Sustained lung inflation at birth for preterm infants: a randomized clinical trial. Pediatrics 135(2):e457–64PubMedCrossRef
26.
Zurück zum Zitat Lista G et al (2011) Does sustained lung inflation at birth improve outcome of preterm infants at risk for respiratory distress syndrome? Neonatology 99(1):45–50PubMedCrossRef Lista G et al (2011) Does sustained lung inflation at birth improve outcome of preterm infants at risk for respiratory distress syndrome? Neonatology 99(1):45–50PubMedCrossRef
27.
Zurück zum Zitat Kamlin CO et al (2006) Accuracy of clinical assessment of infant heart rate in the delivery room. Resuscitation 71(3):319–321PubMedCrossRef Kamlin CO et al (2006) Accuracy of clinical assessment of infant heart rate in the delivery room. Resuscitation 71(3):319–321PubMedCrossRef
28.
Zurück zum Zitat Owen CJ, Wyllie JP (2004) Determination of heart rate in the baby at birth. Resuscitation 60(2):213–217PubMedCrossRef Owen CJ, Wyllie JP (2004) Determination of heart rate in the baby at birth. Resuscitation 60(2):213–217PubMedCrossRef
29.
Zurück zum Zitat Voogdt KG et al (2010) A randomised, simulated study assessing auscultation of heart rate at birth. Resuscitation 81(8):1000–1003PubMedCrossRef Voogdt KG et al (2010) A randomised, simulated study assessing auscultation of heart rate at birth. Resuscitation 81(8):1000–1003PubMedCrossRef
30.
Zurück zum Zitat Dawson JA et al (2013) Comparison of heart rate and oxygen saturation measurements from Masimo and Nellcor pulse oximeters in newly born term infants. Acta Paediatr 102(10):955–960PubMedCrossRef Dawson JA et al (2013) Comparison of heart rate and oxygen saturation measurements from Masimo and Nellcor pulse oximeters in newly born term infants. Acta Paediatr 102(10):955–960PubMedCrossRef
31.
Zurück zum Zitat Kamlin CO et al (2008) Accuracy of pulse oximetry measurement of heart rate of newborn infants in the delivery room. J Pediatr 152(6):756–760PubMedCrossRef Kamlin CO et al (2008) Accuracy of pulse oximetry measurement of heart rate of newborn infants in the delivery room. J Pediatr 152(6):756–760PubMedCrossRef
32.
Zurück zum Zitat Katheria A, Rich W, Finer N (2012) Electrocardiogram provides a continuous heart rate faster than oximetry during neonatal resuscitation. Pediatrics 130(5):e1177–e1181PubMedCrossRef Katheria A, Rich W, Finer N (2012) Electrocardiogram provides a continuous heart rate faster than oximetry during neonatal resuscitation. Pediatrics 130(5):e1177–e1181PubMedCrossRef
33.
Zurück zum Zitat Mizumoto H et al (2012) Electrocardiogram shows reliable heart rates much earlier than pulse oximetry during neonatal resuscitation. Pediatr Int 54(2):205–207PubMedCrossRef Mizumoto H et al (2012) Electrocardiogram shows reliable heart rates much earlier than pulse oximetry during neonatal resuscitation. Pediatr Int 54(2):205–207PubMedCrossRef
34.
Zurück zum Zitat van Vonderen JJ et al (2015) Pulse oximetry measures a lower heart rate at birth compared with electrocardiography. J Pediatr 166(1):49–53PubMedCrossRef van Vonderen JJ et al (2015) Pulse oximetry measures a lower heart rate at birth compared with electrocardiography. J Pediatr 166(1):49–53PubMedCrossRef
35.
Zurück zum Zitat Dawson JA et al (2009) Oxygen saturation and heart rate during delivery room resuscitation of infants. Arch Dis Child Fetal Neonatal Ed 94(2):F87–91PubMedCrossRef Dawson JA et al (2009) Oxygen saturation and heart rate during delivery room resuscitation of infants. Arch Dis Child Fetal Neonatal Ed 94(2):F87–91PubMedCrossRef
36.
Zurück zum Zitat O’Donnell CP et al (2005) Feasibility of and delay in obtaining pulse oximetry during neonatal resuscitation. J Pediatr 147(5):698–699PubMedCrossRef O’Donnell CP et al (2005) Feasibility of and delay in obtaining pulse oximetry during neonatal resuscitation. J Pediatr 147(5):698–699PubMedCrossRef
37.
Zurück zum Zitat Dildy GA et al (1994) Intrapartum fetal pulse oximetry: fetal oxygen saturation trends during labor and relation to delivery outcome. Am J Obstet Gynecol 171(3):679–684PubMedCrossRef Dildy GA et al (1994) Intrapartum fetal pulse oximetry: fetal oxygen saturation trends during labor and relation to delivery outcome. Am J Obstet Gynecol 171(3):679–684PubMedCrossRef
38.
Zurück zum Zitat Mariani G et al (2007) Pre-ductal and post-ductal O2 saturation in healthy term neonates after birth. J Pediatr 150(4):418–421PubMedCrossRef Mariani G et al (2007) Pre-ductal and post-ductal O2 saturation in healthy term neonates after birth. J Pediatr 150(4):418–421PubMedCrossRef
39.
Zurück zum Zitat Rabi Y et al (2006) Oxygen saturation trends immediately after birth. J Pediatr 148(5):590–594PubMedCrossRef Rabi Y et al (2006) Oxygen saturation trends immediately after birth. J Pediatr 148(5):590–594PubMedCrossRef
40.
Zurück zum Zitat Smit M et al (2014) Pulse oximetry in newborns with delayed cord clamping and immediate skin-to-skin contact. Arch Dis Child Fetal Neonatal Ed 99(4):F309–14PubMedCrossRef Smit M et al (2014) Pulse oximetry in newborns with delayed cord clamping and immediate skin-to-skin contact. Arch Dis Child Fetal Neonatal Ed 99(4):F309–14PubMedCrossRef
41.
Zurück zum Zitat Dawson JA et al (2010) Defining the reference range for oxygen saturation for infants after birth. Pediatrics 125(6):e1340–e1347PubMedCrossRef Dawson JA et al (2010) Defining the reference range for oxygen saturation for infants after birth. Pediatrics 125(6):e1340–e1347PubMedCrossRef
42.
Zurück zum Zitat Wyllie J et al (2010) Part 11: Neonatal resuscitation: 2010 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations. Resuscitation 81(Suppl 1):e260–87PubMedCrossRef Wyllie J et al (2010) Part 11: Neonatal resuscitation: 2010 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations. Resuscitation 81(Suppl 1):e260–87PubMedCrossRef
43.
Zurück zum Zitat Davis PG et al (2004) Resuscitation of newborn infants with 100 % oxygen or air: a systematic review and meta-analysis. Lancet 364(9442):1329–1333PubMedCrossRef Davis PG et al (2004) Resuscitation of newborn infants with 100 % oxygen or air: a systematic review and meta-analysis. Lancet 364(9442):1329–1333PubMedCrossRef
44.
Zurück zum Zitat Vento M et al (2009) Preterm resuscitation with low oxygen causes less oxidative stress, inflammation, and chronic lung disease. Pediatrics 124(3):e439–e49PubMedCrossRef Vento M et al (2009) Preterm resuscitation with low oxygen causes less oxidative stress, inflammation, and chronic lung disease. Pediatrics 124(3):e439–e49PubMedCrossRef
45.
Zurück zum Zitat Ganga-Zandzou PS et al (1996) Is Ambu ventilation of newborn infants a simple question of finger-touch? Arch Pediatr 3(12):1270–1272PubMedCrossRef Ganga-Zandzou PS et al (1996) Is Ambu ventilation of newborn infants a simple question of finger-touch? Arch Pediatr 3(12):1270–1272PubMedCrossRef
46.
Zurück zum Zitat Oddie S, Wyllie J, Scally A (2005) Use of self-inflating bags for neonatal resuscitation. Resuscitation 67(1):109–112PubMedCrossRef Oddie S, Wyllie J, Scally A (2005) Use of self-inflating bags for neonatal resuscitation. Resuscitation 67(1):109–112PubMedCrossRef
47.
Zurück zum Zitat Bennett S et al (2005) A comparison of three neonatal resuscitation devices. Resuscitation 67(1):113–118PubMedCrossRef Bennett S et al (2005) A comparison of three neonatal resuscitation devices. Resuscitation 67(1):113–118PubMedCrossRef
48.
Zurück zum Zitat Dawson JA et al (2011) Providing PEEP during neonatal resuscitation: which device is best? J Paediatr Child Health 47(10):698–703PubMedCrossRef Dawson JA et al (2011) Providing PEEP during neonatal resuscitation: which device is best? J Paediatr Child Health 47(10):698–703PubMedCrossRef
49.
Zurück zum Zitat Hartung JC et al (2013) Repeated thermo-sterilisation further affects the reliability of positive end-expiratory pressure valves. J Paediatr Child Health 49(9):741–745PubMedCrossRef Hartung JC et al (2013) Repeated thermo-sterilisation further affects the reliability of positive end-expiratory pressure valves. J Paediatr Child Health 49(9):741–745PubMedCrossRef
50.
Zurück zum Zitat Kelm M et al (2009) Reliability of two common PEEP-generating devices used in neonatal resuscitation. Klin Padiatr 221(7):415–418PubMedCrossRef Kelm M et al (2009) Reliability of two common PEEP-generating devices used in neonatal resuscitation. Klin Padiatr 221(7):415–418PubMedCrossRef
51.
Zurück zum Zitat Morley CJ et al (2010) The effect of a PEEP valve on a Laerdal neonatal self-inflating resuscitation bag. J Paediatr Child Health 46(1–2):51–56PubMedCrossRef Morley CJ et al (2010) The effect of a PEEP valve on a Laerdal neonatal self-inflating resuscitation bag. J Paediatr Child Health 46(1–2):51–56PubMedCrossRef
52.
Zurück zum Zitat Finer NN et al (2001) Comparison of methods of bag and mask ventilation for neonatal resuscitation. Resuscitation 49(3):299–305PubMedCrossRef Finer NN et al (2001) Comparison of methods of bag and mask ventilation for neonatal resuscitation. Resuscitation 49(3):299–305PubMedCrossRef
53.
Zurück zum Zitat Roehr CC et al (2010) Manual ventilation devices in neonatal resuscitation: tidal volume and positive pressure-provision. Resuscitation 81(2):202–205PubMedCrossRef Roehr CC et al (2010) Manual ventilation devices in neonatal resuscitation: tidal volume and positive pressure-provision. Resuscitation 81(2):202–205PubMedCrossRef
54.
Zurück zum Zitat Trevisanuto D et al (2015) Supreme laryngeal mask airway versus face mask during neonatal resuscitation: a randomized controlled trial. J Pediatr 167(2):286–291 e1PubMedCrossRef Trevisanuto D et al (2015) Supreme laryngeal mask airway versus face mask during neonatal resuscitation: a randomized controlled trial. J Pediatr 167(2):286–291 e1PubMedCrossRef
55.
Zurück zum Zitat Schmolzer GM et al (2013) Supraglottic airway devices during neonatal resuscitation: an historical perspective, systematic review and meta-analysis of available clinical trials. Resuscitation 84(6):722–730PubMedCrossRef Schmolzer GM et al (2013) Supraglottic airway devices during neonatal resuscitation: an historical perspective, systematic review and meta-analysis of available clinical trials. Resuscitation 84(6):722–730PubMedCrossRef
56.
Zurück zum Zitat Trevisanuto D et al (2004) Laryngeal mask airway: is the management of neonates requiring positive pressure ventilation at birth changing? Resuscitation 62(2):151–157PubMedCrossRef Trevisanuto D et al (2004) Laryngeal mask airway: is the management of neonates requiring positive pressure ventilation at birth changing? Resuscitation 62(2):151–157PubMedCrossRef
57.
Zurück zum Zitat Zhu XY et al (2011) A prospective evaluation of the efficacy of the laryngeal mask airway during neonatal resuscitation. Resuscitation 82(11):1405–1409PubMedCrossRef Zhu XY et al (2011) A prospective evaluation of the efficacy of the laryngeal mask airway during neonatal resuscitation. Resuscitation 82(11):1405–1409PubMedCrossRef
58.
Zurück zum Zitat Hosono S et al (2009) A role of end-tidal CO(2) monitoring for assessment of tracheal intubations in very low birth weight infants during neonatal resuscitation at birth. J Perinat Med 37(1):79–84PubMedCrossRef Hosono S et al (2009) A role of end-tidal CO(2) monitoring for assessment of tracheal intubations in very low birth weight infants during neonatal resuscitation at birth. J Perinat Med 37(1):79–84PubMedCrossRef
59.
Zurück zum Zitat Repetto JE et al (2001) Use of capnography in the delivery room for assessment of endotracheal tube placement. J Perinatol 21(5):284–287PubMedCrossRef Repetto JE et al (2001) Use of capnography in the delivery room for assessment of endotracheal tube placement. J Perinatol 21(5):284–287PubMedCrossRef
60.
Zurück zum Zitat Roberts WA et al (1995) The use of capnography for recognition of esophageal intubation in the neonatal intensive care unit. Pediatr Pulmonol 19(5):262–268PubMedCrossRef Roberts WA et al (1995) The use of capnography for recognition of esophageal intubation in the neonatal intensive care unit. Pediatr Pulmonol 19(5):262–268PubMedCrossRef
61.
Zurück zum Zitat Aziz HF, Martin JB, Moore JJ (1999) The pediatric disposable end-tidal carbon dioxide detector role in endotracheal intubation in newborns. J Perinatol 19(2):110–113PubMedCrossRef Aziz HF, Martin JB, Moore JJ (1999) The pediatric disposable end-tidal carbon dioxide detector role in endotracheal intubation in newborns. J Perinatol 19(2):110–113PubMedCrossRef
62.
Zurück zum Zitat Garey DM et al (2008) Tidal volume threshold for colorimetric carbon dioxide detectors available for use in neonates. Pediatrics 121(6):e1524–e1527PubMedCrossRef Garey DM et al (2008) Tidal volume threshold for colorimetric carbon dioxide detectors available for use in neonates. Pediatrics 121(6):e1524–e1527PubMedCrossRef
63.
Zurück zum Zitat Leone TA et al (2006) Disposable colorimetric carbon dioxide detector use as an indicator of a patent airway during noninvasive mask ventilation. Pediatrics 118(1):e202–e204PubMedCrossRef Leone TA et al (2006) Disposable colorimetric carbon dioxide detector use as an indicator of a patent airway during noninvasive mask ventilation. Pediatrics 118(1):e202–e204PubMedCrossRef
64.
Zurück zum Zitat Christman C et al (2011) The two-thumb is superior to the two-finger method for administering chest compressions in a manikin model of neonatal resuscitation. Arch Dis Child Fetal Neonatal Ed 96(2):F99–F101PubMedCrossRef Christman C et al (2011) The two-thumb is superior to the two-finger method for administering chest compressions in a manikin model of neonatal resuscitation. Arch Dis Child Fetal Neonatal Ed 96(2):F99–F101PubMedCrossRef
65.
Zurück zum Zitat Dorfsman ML et al (2000) Two-thumb vs. two-finger chest compression in an infant model of prolonged cardiopulmonary resuscitation. Acad Emerg Med 7(10):1077–1082PubMedCrossRef Dorfsman ML et al (2000) Two-thumb vs. two-finger chest compression in an infant model of prolonged cardiopulmonary resuscitation. Acad Emerg Med 7(10):1077–1082PubMedCrossRef
66.
Zurück zum Zitat Menegazzi JJ et al (1993) Two-thumb versus two-finger chest compression during CRP in a swine infant model of cardiac arrest. Ann Emerg Med 22(2):240–243PubMedCrossRef Menegazzi JJ et al (1993) Two-thumb versus two-finger chest compression during CRP in a swine infant model of cardiac arrest. Ann Emerg Med 22(2):240–243PubMedCrossRef
67.
Zurück zum Zitat Udassi S et al (2010) Two-thumb technique is superior to two-finger technique during lone rescuer infant manikin CPR. Resuscitation 81(6):712–717PubMedCrossRef Udassi S et al (2010) Two-thumb technique is superior to two-finger technique during lone rescuer infant manikin CPR. Resuscitation 81(6):712–717PubMedCrossRef
68.
Zurück zum Zitat Lim JS et al (2013) Comparison of overlapping (OP) and adjacent thumb positions (AP) for cardiac compressions using the encircling method in infants. Emerg Med J 30(2):139–142PubMedCrossRef Lim JS et al (2013) Comparison of overlapping (OP) and adjacent thumb positions (AP) for cardiac compressions using the encircling method in infants. Emerg Med J 30(2):139–142PubMedCrossRef
69.
Zurück zum Zitat Berkowitz ID et al (1989) Blood flow during cardiopulmonary resuscitation with simultaneous compression and ventilation in infant pigs. Pediatr Res 26(6):558–564PubMedCrossRef Berkowitz ID et al (1989) Blood flow during cardiopulmonary resuscitation with simultaneous compression and ventilation in infant pigs. Pediatr Res 26(6):558–564PubMedCrossRef
70.
Zurück zum Zitat Dannevig I et al (2012) lung injury in asphyxiated newborn pigs resuscitated from cardiac arrest – the impact of supplementary oxygen, longer ventilation intervals and chest compressions at different compression-to-ventilation ratios. Open Respir Med J 6:89–96PubMedPubMedCentralCrossRef Dannevig I et al (2012) lung injury in asphyxiated newborn pigs resuscitated from cardiac arrest – the impact of supplementary oxygen, longer ventilation intervals and chest compressions at different compression-to-ventilation ratios. Open Respir Med J 6:89–96PubMedPubMedCentralCrossRef
71.
Zurück zum Zitat Dannevig I et al (2013) Brain inflammation induced by severe asphyxia in newborn pigs and the impact of alternative resuscitation strategies on the newborn central nervous system. Pediatr Res 73(2):163–170PubMedCrossRef Dannevig I et al (2013) Brain inflammation induced by severe asphyxia in newborn pigs and the impact of alternative resuscitation strategies on the newborn central nervous system. Pediatr Res 73(2):163–170PubMedCrossRef
72.
Zurück zum Zitat Hemway RJ, Christman C, Perlman J (2013) The 3:1 is superior to a 15:2 ratio in a newborn manikin model in terms of quality of chest compressions and number of ventilations. Arch Dis Child Fetal Neonatal Ed 98(1):F42–F45PubMedCrossRef Hemway RJ, Christman C, Perlman J (2013) The 3:1 is superior to a 15:2 ratio in a newborn manikin model in terms of quality of chest compressions and number of ventilations. Arch Dis Child Fetal Neonatal Ed 98(1):F42–F45PubMedCrossRef
73.
Zurück zum Zitat Solevag AL et al (2010) Extended series of cardiac compressions during CPR in a swine model of perinatal asphyxia. Resuscitation 81(11):1571–1576PubMedCrossRef Solevag AL et al (2010) Extended series of cardiac compressions during CPR in a swine model of perinatal asphyxia. Resuscitation 81(11):1571–1576PubMedCrossRef
74.
Zurück zum Zitat Solevag AL et al (2011) Return of spontaneous circulation with a compression:ventilation ratio of 15:2 versus 3:1 in newborn pigs with cardiac arrest due to asphyxia. Arch Dis Child Fetal Neonatal Ed 96(6):F417–F421PubMedCrossRef Solevag AL et al (2011) Return of spontaneous circulation with a compression:ventilation ratio of 15:2 versus 3:1 in newborn pigs with cardiac arrest due to asphyxia. Arch Dis Child Fetal Neonatal Ed 96(6):F417–F421PubMedCrossRef
75.
Zurück zum Zitat Solevag AL et al (2012) Minute ventilation at different compression to ventilation ratios, different ventilation rates, and continuous chest compressions with asynchronous ventilation in a newborn manikin. Scand J Trauma Resusc Emerg Med 20:73PubMedPubMedCentralCrossRef Solevag AL et al (2012) Minute ventilation at different compression to ventilation ratios, different ventilation rates, and continuous chest compressions with asynchronous ventilation in a newborn manikin. Scand J Trauma Resusc Emerg Med 20:73PubMedPubMedCentralCrossRef
76.
Zurück zum Zitat Dean JM et al (1991) Improved blood flow during prolonged cardiopulmonary resuscitation with 30 % duty cycle in infant pigs. Circulation 84(2):896–904PubMedCrossRef Dean JM et al (1991) Improved blood flow during prolonged cardiopulmonary resuscitation with 30 % duty cycle in infant pigs. Circulation 84(2):896–904PubMedCrossRef
77.
Zurück zum Zitat Abe KK, Blum GT, Yamamoto LG (2000) Intraosseous is faster and easier than umbilical venous catheterization in newborn emergency vascular access models. Am J Emerg Med 18(2):126–129PubMedCrossRef Abe KK, Blum GT, Yamamoto LG (2000) Intraosseous is faster and easier than umbilical venous catheterization in newborn emergency vascular access models. Am J Emerg Med 18(2):126–129PubMedCrossRef
80.
Zurück zum Zitat Engle WA (2006) Intraosseous access for administration of medications in neonates. Clin Perinatol 33(1):161–168PubMedCrossRef Engle WA (2006) Intraosseous access for administration of medications in neonates. Clin Perinatol 33(1):161–168PubMedCrossRef
81.
Zurück zum Zitat Heyder-Musolf J, Giest J, Straub J (2011) Intraosseous access on a 1300 g septical premature infant. Anasthesiol Intensivmed Notfallmed Schmerzther 46(10):654–657PubMedCrossRef Heyder-Musolf J, Giest J, Straub J (2011) Intraosseous access on a 1300 g septical premature infant. Anasthesiol Intensivmed Notfallmed Schmerzther 46(10):654–657PubMedCrossRef
82.
Zurück zum Zitat Neuhaus D (2014) Intraosseous infusion in elective and emergency pediatric anesthesia: when should we use it? Curr Opin Anaesthesiol 27(3):282–287PubMedCrossRef Neuhaus D (2014) Intraosseous infusion in elective and emergency pediatric anesthesia: when should we use it? Curr Opin Anaesthesiol 27(3):282–287PubMedCrossRef
83.
Zurück zum Zitat Rajani AK et al (2011) Comparison of umbilical venous and intraosseous access during simulated neonatal resuscitation. Pediatrics 128(4):e954–e958PubMedCrossRef Rajani AK et al (2011) Comparison of umbilical venous and intraosseous access during simulated neonatal resuscitation. Pediatrics 128(4):e954–e958PubMedCrossRef
84.
Zurück zum Zitat Wyckoff MH, Perlman JM, Laptook AR (2005) Use of volume expansion during delivery room resuscitation in near-term and term infants. Pediatrics 115(4):950–955PubMedCrossRef Wyckoff MH, Perlman JM, Laptook AR (2005) Use of volume expansion during delivery room resuscitation in near-term and term infants. Pediatrics 115(4):950–955PubMedCrossRef
85.
Zurück zum Zitat Vain NE et al (2004) Oropharyngeal and nasopharyngeal suctioning of meconium-stained neonates before delivery of their shoulders: multicentre, randomised controlled trial. Lancet 364(9434):597–602PubMedCrossRef Vain NE et al (2004) Oropharyngeal and nasopharyngeal suctioning of meconium-stained neonates before delivery of their shoulders: multicentre, randomised controlled trial. Lancet 364(9434):597–602PubMedCrossRef
86.
Zurück zum Zitat Wiswell TE et al (2000) Delivery room management of the apparently vigorous meconium-stained neonate: results of the multicenter, international collaborative trial. Pediatrics 105(1 Pt 1):1–7PubMedCrossRef Wiswell TE et al (2000) Delivery room management of the apparently vigorous meconium-stained neonate: results of the multicenter, international collaborative trial. Pediatrics 105(1 Pt 1):1–7PubMedCrossRef
87.
Zurück zum Zitat Chettri S, Adhisivam B, Bhat BV (2015) Endotracheal suction for Nonvigorous neonates born through Meconium stained amniotic fluid: a randomized controlled trial. J Pediatr 166(5):1208–1213PubMedCrossRef Chettri S, Adhisivam B, Bhat BV (2015) Endotracheal suction for Nonvigorous neonates born through Meconium stained amniotic fluid: a randomized controlled trial. J Pediatr 166(5):1208–1213PubMedCrossRef
88.
Zurück zum Zitat Dargaville PA et al (2011) Randomized controlled trial of lung lavage with dilute surfactant for meconium aspiration syndrome. J Pediatr 158(3):383–389 e2PubMedCrossRef Dargaville PA et al (2011) Randomized controlled trial of lung lavage with dilute surfactant for meconium aspiration syndrome. J Pediatr 158(3):383–389 e2PubMedCrossRef
89.
Zurück zum Zitat Dargaville PA et al (2013) Fluid recovery during lung lavage in meconium aspiration syndrome. Acta Paediatr 102(2):e90–e93PubMedCrossRef Dargaville PA et al (2013) Fluid recovery during lung lavage in meconium aspiration syndrome. Acta Paediatr 102(2):e90–e93PubMedCrossRef
90.
Zurück zum Zitat Ziv A et al (2006) Simulation-based medical education: an ethical imperative. Simul Healthc 1(4):252–256PubMedCrossRef Ziv A et al (2006) Simulation-based medical education: an ethical imperative. Simul Healthc 1(4):252–256PubMedCrossRef
Metadaten
Titel
Stabilisierung und Reanimation des Neugeborenen direkt nach der Geburt
Kommentierte Zusammenfassung der Leitlinien des European Resuscitation Council 2015
verfasst von
Dr. J.-C. Schwindt
O. Heinzel
F. Hoffmann
E. Heimberg
Publikationsdatum
01.03.2016
Verlag
Springer Berlin Heidelberg
Erschienen in
Monatsschrift Kinderheilkunde / Ausgabe 3/2016
Print ISSN: 0026-9298
Elektronische ISSN: 1433-0474
DOI
https://doi.org/10.1007/s00112-016-0045-7

Neuer Typ-1-Diabetes bei Kindern am Wochenende eher übersehen

23.04.2024 Typ-1-Diabetes Nachrichten

Wenn Kinder an Werktagen zum Arzt gehen, werden neu auftretender Typ-1-Diabetes und diabetische Ketoazidosen häufiger erkannt als bei Arztbesuchen an Wochenenden oder Feiertagen.

Neue Studienergebnisse zur Myopiekontrolle mit Atropin

22.04.2024 Fehlsichtigkeit Nachrichten

Augentropfen mit niedrig dosiertem Atropin können helfen, das Fortschreiten einer Kurzsichtigkeit bei Kindern zumindest zu verlangsamen, wie die Ergebnisse einer aktuellen Studie mit verschiedenen Dosierungen zeigen.

Spinale Muskelatrophie: Neugeborenen-Screening lohnt sich

18.04.2024 Spinale Muskelatrophien Nachrichten

Seit 2021 ist die Untersuchung auf spinale Muskelatrophie Teil des Neugeborenen-Screenings in Deutschland. Eine Studie liefert weitere Evidenz für den Nutzen der Maßnahme.

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

18.04.2024 Pädiatrische Notfallmedizin Nachrichten

Im Choosing-Wisely-Programm, das für die deutsche Initiative „Klug entscheiden“ Pate gestanden hat, sind erstmals Empfehlungen zum Umgang mit Notfällen von Kindern erschienen. Fünf Dinge gilt es demnach zu vermeiden.

Update Pädiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.