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Erschienen in: Die Anaesthesiologie 6/2008

01.06.2008 | Kasuistiken

Notarzt und AutoPulse – ein gutes Duo im präklinischen Rettungsdienst?

Fallbeispiel und Erfahrungsbericht

verfasst von: Dr. J.-C. Schewe, U. Heister, A. Hoeft, H. Krep

Erschienen in: Die Anaesthesiologie | Ausgabe 6/2008

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Zusammenfassung

Das Überleben nach einem Herz-Kreislauf-Stillstand bleibt trotz erheblicher Bemühungen zur Verbesserung der kardiopulmonalen Reanimation (CPR) gering. Die jüngsten Änderungen der Internationalen Reanimationsrichtlinien 2005 betonen die Vermeidung von Unterbrechungen der Thoraxkompressionen. So wurden in der Vergangenheit auch verschiedene Reanimationsassistenzgeräte mit dem Ziel entwickelt, effektive und kontinuierliche Thoraxkompressionen zu erreichen. Eine dieser Entwicklungen stellt das AutoPulse-System dar. Ausgehend von dem Fallbeispiel eines 66-jährigen Patienten wird über den mehr als 3-jährigen Routineeinsatz des AutoPulse-Systems im Rettungsdienst der Stadt Bonn berichtet. Der AutoPulse stellt dieser Erfahrung nach eine sinnvolle Erweiterung und Bereicherung im Rahmen der Effektivitätsverbesserung der CPR dar.
Literatur
1.
Zurück zum Zitat Abella BS, Alvarado JP, Myklebust H et al. (2005) Quality of cardiopulmonary resuscitation during in-hospital cardiac arrest. JAMA 293: 305–310PubMedCrossRef Abella BS, Alvarado JP, Myklebust H et al. (2005) Quality of cardiopulmonary resuscitation during in-hospital cardiac arrest. JAMA 293: 305–310PubMedCrossRef
2.
Zurück zum Zitat Baskett PJ, Steen PA, Bossaert L (2005) European Resuscitation Council guidelines for resuscitation 2005. Section 8. The ethics of resuscitation and end-of-life decisions. Resuscitation 67 [Suppl 1]: S171–S180 Baskett PJ, Steen PA, Bossaert L (2005) European Resuscitation Council guidelines for resuscitation 2005. Section 8. The ethics of resuscitation and end-of-life decisions. Resuscitation 67 [Suppl 1]: S171–S180
3.
Zurück zum Zitat Berg RA, Sanders AB, Kern KB et al. (2001) Adverse hemodynamic effects of interrupting chest compressions for rescue breathing during cardiopulmonary resuscitation for ventricular fibrillation cardiac arrest. Circulation 104: 2465–2470PubMedCrossRef Berg RA, Sanders AB, Kern KB et al. (2001) Adverse hemodynamic effects of interrupting chest compressions for rescue breathing during cardiopulmonary resuscitation for ventricular fibrillation cardiac arrest. Circulation 104: 2465–2470PubMedCrossRef
4.
Zurück zum Zitat Casner M, Andersen D, Isaacs SM (2005) The impact of a new CPR assist device on rate of return of spontaneous circulation in out-of-hospital cardiac arrest. Prehosp Emerg Care 9: 61–67PubMedCrossRef Casner M, Andersen D, Isaacs SM (2005) The impact of a new CPR assist device on rate of return of spontaneous circulation in out-of-hospital cardiac arrest. Prehosp Emerg Care 9: 61–67PubMedCrossRef
5.
Zurück zum Zitat De Latorre F, Nolan J, Robertson C et al. (2001) European Resuscitation Council guidelines 2000 for adult advanced life support. A statement from the Advanced Life Support Working Group (1) and approved by the Executive Committee of the European Resuscitation Council. Resuscitation 48: 211–221CrossRef De Latorre F, Nolan J, Robertson C et al. (2001) European Resuscitation Council guidelines 2000 for adult advanced life support. A statement from the Advanced Life Support Working Group (1) and approved by the Executive Committee of the European Resuscitation Council. Resuscitation 48: 211–221CrossRef
6.
Zurück zum Zitat ECC Committee, Subcommittees and Task Forces of the American Heart Association (2005) 2005 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation 112: IV1–IV203 ECC Committee, Subcommittees and Task Forces of the American Heart Association (2005) 2005 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation 112: IV1–IV203
7.
8.
Zurück zum Zitat Hallstrom A, Rea TD, Sayre MR et al. (2006) Manual chest compression vs use of an automated chest compression device during resuscitation following out-of-hospital cardiac arrest: a randomized trial. JAMA 295: 2620–2628PubMedCrossRef Hallstrom A, Rea TD, Sayre MR et al. (2006) Manual chest compression vs use of an automated chest compression device during resuscitation following out-of-hospital cardiac arrest: a randomized trial. JAMA 295: 2620–2628PubMedCrossRef
9.
Zurück zum Zitat Halperin HR, Paradis N, Ornato JP et al. (2004) Cardiopulmonary resuscitation with a novel chest compression device in a porcine model of cardiac arrest: improved hemodynamics and mechanisms. J Am Coll Cardiol 44: 2214–2220PubMedCrossRef Halperin HR, Paradis N, Ornato JP et al. (2004) Cardiopulmonary resuscitation with a novel chest compression device in a porcine model of cardiac arrest: improved hemodynamics and mechanisms. J Am Coll Cardiol 44: 2214–2220PubMedCrossRef
10.
Zurück zum Zitat Halperin HR, Tsitlik JE, Gelfand M et al. (1993) A preliminary study of cardiopulmonary resuscitation by circumferential compression of the chest with use of a pneumatic vest. N Engl J Med 329: 762–768PubMedCrossRef Halperin HR, Tsitlik JE, Gelfand M et al. (1993) A preliminary study of cardiopulmonary resuscitation by circumferential compression of the chest with use of a pneumatic vest. N Engl J Med 329: 762–768PubMedCrossRef
11.
Zurück zum Zitat Hart AP, Azar VJ, Hart KR et al. (2005) Autopsy artifact created by the Revivant AutoPulse resuscitation device. J Forensic Sci 50: 164–168PubMed Hart AP, Azar VJ, Hart KR et al. (2005) Autopsy artifact created by the Revivant AutoPulse resuscitation device. J Forensic Sci 50: 164–168PubMed
12.
Zurück zum Zitat Hightower D, Thomas SH, Stone CK et al. (1995) Decay in quality of closed-chest compressions over time. Ann Emerg Med 26: 300–303PubMedCrossRef Hightower D, Thomas SH, Stone CK et al. (1995) Decay in quality of closed-chest compressions over time. Ann Emerg Med 26: 300–303PubMedCrossRef
13.
Zurück zum Zitat International Liaison Committee on Resuscitation (2005) 2005 International consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations. Part 2: Adult basic life support. Resuscitation 67: 187–201CrossRef International Liaison Committee on Resuscitation (2005) 2005 International consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations. Part 2: Adult basic life support. Resuscitation 67: 187–201CrossRef
14.
Zurück zum Zitat International Liaison Committee on Resuscitation (2005) 2005 International consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment tecommendations. Part 4: Advanced life support. Resuscitation 67: 213–247CrossRef International Liaison Committee on Resuscitation (2005) 2005 International consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment tecommendations. Part 4: Advanced life support. Resuscitation 67: 213–247CrossRef
15.
Zurück zum Zitat Kahn CA, Pirrallo RG, Kuhn EM (2001) Characteristics of fatal ambulance crashes in the United States: an 11-year retrospective analysis. Prehosp Emerg Care 5: 261–269PubMedCrossRef Kahn CA, Pirrallo RG, Kuhn EM (2001) Characteristics of fatal ambulance crashes in the United States: an 11-year retrospective analysis. Prehosp Emerg Care 5: 261–269PubMedCrossRef
16.
Zurück zum Zitat Kellermann AL, Hackman BB, Somes G (1993) Predicting the outcome of unsuccessful prehospital advanced cardiac life support. JAMA 270: 1433–1436PubMedCrossRef Kellermann AL, Hackman BB, Somes G (1993) Predicting the outcome of unsuccessful prehospital advanced cardiac life support. JAMA 270: 1433–1436PubMedCrossRef
17.
Zurück zum Zitat Kellum MJ, Kennedy KW, Ewy GA (2006) Cardiocerebral resuscitation improves survival of patients with out-of-hospital cardiac arrest. Am J Med 119: 335–340PubMedCrossRef Kellum MJ, Kennedy KW, Ewy GA (2006) Cardiocerebral resuscitation improves survival of patients with out-of-hospital cardiac arrest. Am J Med 119: 335–340PubMedCrossRef
18.
Zurück zum Zitat Kern KB, Carter AB, Showen RL et al. (1987) Comparison of mechanical techniques of cardiopulmonary resuscitation: survival and neurologic outcome in dogs. Am J Emerg Med 5: 190–195PubMedCrossRef Kern KB, Carter AB, Showen RL et al. (1987) Comparison of mechanical techniques of cardiopulmonary resuscitation: survival and neurologic outcome in dogs. Am J Emerg Med 5: 190–195PubMedCrossRef
19.
Zurück zum Zitat Kern KB, Hilwig RW, Berg RA et al. (2002) Importance of continuous chest compressions during cardiopulmonary resuscitation: improved outcome during a simulated single lay-rescuer scenario. Circulation 105: 645–649PubMedCrossRef Kern KB, Hilwig RW, Berg RA et al. (2002) Importance of continuous chest compressions during cardiopulmonary resuscitation: improved outcome during a simulated single lay-rescuer scenario. Circulation 105: 645–649PubMedCrossRef
20.
Zurück zum Zitat Krep H, Mamier M, Breil M et al. (2007) Out-of-hospital cardiopulmonary resuscitation with the AutoPulse system: a prospective observational study with a new load-distributing band chest compression device. Resuscitation 73: 86–95PubMedCrossRef Krep H, Mamier M, Breil M et al. (2007) Out-of-hospital cardiopulmonary resuscitation with the AutoPulse system: a prospective observational study with a new load-distributing band chest compression device. Resuscitation 73: 86–95PubMedCrossRef
21.
Zurück zum Zitat Lewis RJ, Niemann JT (2006) Manual vs device-assisted CPR: reconciling apparently contradictory results. JAMA 295: 2661–2664PubMedCrossRef Lewis RJ, Niemann JT (2006) Manual vs device-assisted CPR: reconciling apparently contradictory results. JAMA 295: 2661–2664PubMedCrossRef
22.
Zurück zum Zitat Ong ME, Ornato JP, Edwards DP et al. (2006) Use of an automated, load-distributing band chest compression device for out-of-hospital cardiac arrest resuscitation. JAMA 295: 2629–2637PubMedCrossRef Ong ME, Ornato JP, Edwards DP et al. (2006) Use of an automated, load-distributing band chest compression device for out-of-hospital cardiac arrest resuscitation. JAMA 295: 2629–2637PubMedCrossRef
23.
Zurück zum Zitat Sunde K, Wik L, Steen PA (1997) Quality of mechanical, manual standard and active compression-decompression CPR on the arrest site and during transport in a manikin model. Resuscitation 34: 235–242PubMedCrossRef Sunde K, Wik L, Steen PA (1997) Quality of mechanical, manual standard and active compression-decompression CPR on the arrest site and during transport in a manikin model. Resuscitation 34: 235–242PubMedCrossRef
24.
Zurück zum Zitat Timerman S, Cardoso LF, Ramires JA et al. (2004) Improved hemodynamic performance with a novel chest compression device during treatment of in-hospital cardiac arrest. Resuscitation 61: 273–280PubMedCrossRef Timerman S, Cardoso LF, Ramires JA et al. (2004) Improved hemodynamic performance with a novel chest compression device during treatment of in-hospital cardiac arrest. Resuscitation 61: 273–280PubMedCrossRef
25.
Zurück zum Zitat Valenzuela TD, Kern KB, Clark LL et al. (2005) Interruptions of chest compressions during emergency medical systems resuscitation. Circulation 112: 1259–1265PubMedCrossRef Valenzuela TD, Kern KB, Clark LL et al. (2005) Interruptions of chest compressions during emergency medical systems resuscitation. Circulation 112: 1259–1265PubMedCrossRef
26.
Zurück zum Zitat Valenzuela TD, Roe DJ, Nichol G et al. (2000) Outcomes of rapid defibrillation by security officers after cardiac arrest in casinos. N Engl J Med 343: 1206–1209PubMedCrossRef Valenzuela TD, Roe DJ, Nichol G et al. (2000) Outcomes of rapid defibrillation by security officers after cardiac arrest in casinos. N Engl J Med 343: 1206–1209PubMedCrossRef
27.
Zurück zum Zitat Wigginton JG, Miller AH, Benitez FL et al. (2005) Mechanical devices for cardiopulmonary resuscitation. Curr Opin Crit Care 11: 219–223PubMedCrossRef Wigginton JG, Miller AH, Benitez FL et al. (2005) Mechanical devices for cardiopulmonary resuscitation. Curr Opin Crit Care 11: 219–223PubMedCrossRef
28.
Zurück zum Zitat Wik L, Kramer-Johansen J, Myklebust H et al. (2005) Quality of cardiopulmonary resuscitation during out-of-hospital cardiac arrest. JAMA 293: 299–304PubMedCrossRef Wik L, Kramer-Johansen J, Myklebust H et al. (2005) Quality of cardiopulmonary resuscitation during out-of-hospital cardiac arrest. JAMA 293: 299–304PubMedCrossRef
29.
Zurück zum Zitat Yu T, Weil MH, Tang W et al. (2002) Adverse outcomes of interrupted precordial compression during automated defibrillation. Circulation 106: 368–372PubMedCrossRef Yu T, Weil MH, Tang W et al. (2002) Adverse outcomes of interrupted precordial compression during automated defibrillation. Circulation 106: 368–372PubMedCrossRef
Metadaten
Titel
Notarzt und AutoPulse – ein gutes Duo im präklinischen Rettungsdienst?
Fallbeispiel und Erfahrungsbericht
verfasst von
Dr. J.-C. Schewe
U. Heister
A. Hoeft
H. Krep
Publikationsdatum
01.06.2008
Verlag
Springer-Verlag
Erschienen in
Die Anaesthesiologie / Ausgabe 6/2008
Print ISSN: 2731-6858
Elektronische ISSN: 2731-6866
DOI
https://doi.org/10.1007/s00101-008-1376-0

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