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Standardverfahren und neue Entwicklungen in der Reanimationstechnik

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Zusammenfassung

In der folgenden Übersicht werden wir uns vorwiegend mit den mechanischen Reanimationstechniken befassen, neuere experimentelle und klinische Ergebnisse bewerten und den Versuch einer Standortbestimmung unternehmen. Da es neben den weiterhin gültigen Grundlagen auch einige neue Erkenntnisse für die Beatmungstechniken im Rahmen der kardiopulmonalen Reanimation gibt, die vor kurzem auf der „National Conference on Standards and Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiac Care“ in Dallas verabschiedet wurden, sollen die daraus resultierenden Empfehlungen vorangestellt werden. Aufgrund der letzten Richtlinien der American Heart Association aus dem Jahre 1980 galt bisher [2]:

  1. 1.

    Jede kardiopulmonale Reanimation beginnt mit vier schnell hintereinander durchgeführten kräftigen Luftinsufflationen, die Exspiration sollte nicht abgewartet werden.

  2. 2.

    Bei der Einhelfermethode folgen auf 15 Kompressionen zwei Insufflationen, wiederum ohne die Ausatmung abzuwarten.

  3. 3.

    Bei der Zweihelfermethode wird nach jeder fünften Kompression ohne Pause, also interponiert, einmal beatmet.

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© 1986 Springer-Verlag Berlin Heidelberg

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Ahnefeld, F.W., Lindner, K.H. (1986). Standardverfahren und neue Entwicklungen in der Reanimationstechnik. In: List, W.F., Steinbereithner, K., Schalk, H.V. (eds) Intensiv- und Notfallmedizin — Neue Aspekte. Anaesthesiologie und Intensivmedizin Anaesthesiology and Intensive Care Medicine, vol 194. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-71284-5_31

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  • DOI: https://doi.org/10.1007/978-3-642-71284-5_31

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-16632-0

  • Online ISBN: 978-3-642-71284-5

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