Zusammenfassung
Ein 65jähriger Mann erleidet im Rahmen eines Angina-pectoris-Anfalls einen Herz-Kreislauf-Stillstand. Von den anwesenden Angehörigen wird zum einen der Notarzt verständigt und zum anderen mit der Herzdruckmassage begonnen. Nach ca. 10 min trifft der Notarzt ein. Im ersten angelegten EKG zeigt sich ein grobschlägiges Kammerflimmern. Der Patient wird sofort defibrilliert, worauf sich ein stabiler Herzrhythmus zeigt. Des weiteren liegt eine Schnappatmung vor. Der Patient wird orotracheal intubiert und sediert. Nach weiterer Kreislaufstabilisierung wird der Patient in das Zentralkrankenhaus gebracht. Die Diagnostik ergibt einen Anteroseptal-infarkt aufgrund einer proximalen LAD-Stenose, die im weiteren Verlauf dilatiert und mit einem Microstent versorgt wird. Der Patient kann am darauffolgenden Tag extubiert werden, ist gut ansprechbar und neurologisch unauffällig.
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Literatur
Babbs CF (1985) Abdominal counterpulsation in cardiopulmonary resuscitation: animal models and theoretical considerations. Am J Emerg Med 3: 165–170
Bouillon B, Walther T, Kramer M et al. (1994) Trauma und Herz-Kreislaufstillstand. Ana- esthesist 43: 786–790
Brown CG, Werman HA, Davis EA et al. (1987) The effect of graded doses of epinephrine on regional myocardial blood flow during cardiopulmonary resuscitation in swine. Circulation 75: 491–497
Chamberlain DA, Cummins RO, Abramson NS et al. (1992) Recommended guidelines for uniform reporting of data from out-of-hospital cardiac arrest: The Utstein Style. Br Heart J 67: 325–333
Cohen TJ, Tucker KJ, Lurie KG et al. (1992) Active compression-decompression: a new method of cardiopulmonary resuscitation. JAMA 267: 2916–2923
Cohen TJ, Goldner BG, Maccaro PC et al. (1993) A comparison of active compression-de- compression CPR with standard CPR for cardiac arrest occuring in hospital. N Engl J Med 329: 1918–1921
Criley JM, Blaufuss AH, Kissel GL (1976) Cough-induced cardiac compression. JAMA 236: 1246–1250
Eisenberg MS, Horwood BT, Cummins RO et al. (1990) Cardiac arrest and resuscitation: A tale of 29 cities. Ann Emerg Med 19: 179–186
Eleff SM, Schleien CL, Koehler RC et al. (1992) Brain bioenergetics during cardiopulmonary resuscitation in dogs. Anesthesiology 76: 666
European Resuscitation Council (ERC) (1992) Guidelines for basic and advanced life support. Resuscitation 24: 103–121
Halperin HR, Guerci AD, Chandra N et al. (1986) Vest inflation without simultaneous venti-lation during cardiac arrest in dogs: improved survival from prolonged cardiopulmonary resuscitation. Circulation 74: 1407–1415
Halperin HR, Tsitlik JE, Bejar R (1987) Intrathoracic pressure fluctuations move blood du-ring CPR: Comparison of hemodynamic data with predictions from a mathematical model. Ann Biomed Eng 15: 385–403
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: 762–768
Herlitz J, Ekstrom L, Wennerblom B et al. (1994) Predictors of early and late survival after out-of-hospital cardiac arrest in which asystole was the first recorded arrhythmia on scene. Resuscitation 28: 27–36
Hofmann NG, Schochl H, Brunauer A et al. (1995) Aktive Kompressions-Dekompressions- CPR-Methode beim asystolen Patienten. Notfallmedizin 21: 632–636
Kouwenhoven WB, Jude JR, Knickerbocker CG (1960) Closed-chest cardiac massage. JAMA 173: 1064–1067
Lindner KH, Strohmenger HU, Ensinger H et al. (1992) Stress response during and after cardiopulmonary resuscitation. Anesthesiology 77: 662–668
Lindner KH, Prengel AW, Pfenninger EG et al. (1995) Vasopressin improves vital organ blood flow during closed-chest cardiopulmonary resuscitation in pigs. Circulation 91: 215–221
Lurie KG, Lindo C, Chin J (1990) CPR: the P stands for plumper’s helper. JAMA 264: 1661
Ornato JP, Peberdy MA (1996) The mystery of bradyasystole during cardiac arrest. Ann Emerg Med 27: 576–587
Paradis NA, Martin GB, Rivers EP (1990) Coronary perfusion pressure and the return of spontaneous circulation in human cardiopulmonary resuscitation. JAMA 263: 1106–1113
Pepe PE (1996) Resuscitation descisions. In: Vincent JL (ed) Yearbook of intensive care medicine and emergency medicine. Springer, Berlin Heidelberg New York Tokio
Ralston SH, Babbs CF, Niebauer MJ (1982) Cardiopulmonary resuscitation with interposed abdominal compression in dogs. Anesth Analg 61: 645–651
Redberg RF, Tucker KJ, Cohen TJ et al. (1993) Physiology of blood flow during cardio-pulmonary resuscitation. A transesophageal echocardiographic study. Circulation 88: 534–542
Rudikoff MT, Maughan WL, Effron M et al. (1980) Mechanisms of blood flow during cardiopulmonary resuscitation. Circulation 61: 345–352
Sack JB, Kesselbrenner MB, Bergmann D (1992) Survival from in-hospital cardiac arrest with interposed abdominal counterpulsation during cardiopulmonary resuscitation. JAMA 267: 379–385
Safar P, Escarraga LA, Elam JO (1958) A comparison of the mouth-to-mouth airway artificial respiration with the chest-pressure, armlift method. N Engl J Med 258: 675
Safar P, Xiao F, Radovsky A et al. (1996) Improved cerebral resuscitation from cardiac arrest in dogs with mild hypothermia plus blood flow promotion. Stroke 27: 105–133
Saklayen M, Liss H, Markert R et al. (1995) In-hospital cardiopulmonary resuscitation. Sur-vival in 1 hospital and literature review. Medicine (Baltimore) 74: 163–175
Schwab TM, Callaham ML, Madsen CD et al. (1995) A randomized clinical trial of active compression-decompression CPR vs. standard CPR in out-of-hospital cardiac arrest in two cities. JAMA 273: 1261–1268
Sedgwick ML, Dalziel K, Watson J et al. (1994) The causative rhythm in out-of-hospital cardiac arrest witnessed by the emergency medical services in Heartstart Scotland project. Resuscitation 27: 55–59
Taylor GJ, Tucker WM, Greene HL et al. (1977) Importance of prolonged compression during cardiopulomonary resuscitation in man. N Engl J Med 296: 1515–1517
Weaver WD, Hill D, Fahrenbruch CE et al. (1988) Use of the automatic external defibrillator in the management of aut-of-hospital cardiac arrest. N Engl J Med 319: 661–666
Weaver WD, Fahrenbruch CE, Johnson DD et al. (1990) Effect of Epinephrine and lidocaine therapy on outcome after cardiac arrest due to ventricular fibrillation. Circulation 82: 2027–2034
Weil MH, Rackow EC, Tevino P et al. (1986) Difference in acid-base state between venous and arterial blood during cardiopulmonary resuscitation. N Engl J Med 315: 153–156
Wortsman J, Frank S, Cryer PE et al. (1984) Adrenomedullary response to maximal stress in humane. Am J Med 77: 779–784
Zoll PM, Linenthal AS, Gibson W et al. (1956) Termination of ventricular fibrillation in man by externally applied electric countershock. N Engl Med 254: 727
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Hofmann, N., Schöchl, H., Pauser, G. (1998). Kardiopulmonale Reanimation. In: Unger, F. (eds) Herzerkrankungen und Interventions-möglichkeiten. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-80404-5_28
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DOI: https://doi.org/10.1007/978-3-642-80404-5_28
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