Skip to main content
SpringerLink
Log in

Aktuelle Aspekte der kardiopulmonalen Wiederbelebung

  • Conference paper
Katastrophenmedizin — Eine Standortbestimmung

Part of the book series: Deutsche Gesellschaft für Katastrophenmedizin e.V. ((KATASTROPHENMED,volume 2))

  • 27 Accesses

Zusammenfassung

Seit dem Erscheinen der redigierten Fassung der Richtlinien (Standards and Guidelines) der American Heart Association (AHA) für die kardiopulmonale Wiederbelebung im Jahre 1980 ist in der „Reanimatologie“ unverkennbar eine deutliche Bewegung, wenn nicht Unruhe festzustellen. „Neue“ klinische und expirementelle Daten in großer Zahl, die Technik der Herzmassage selbst, vor allem aber ihre Relation zur Beatmung betreffend, haben manch eingefahrenes Denkkonzept in Frage gestellt (ähnliches gilt mutatis mutandis auch für die sog. „Hirnprotektion“) und neue Entwicklungen angestoßen. — Diese an sich begrüßenswerte Unruhe führte aber auch zu Unsicherheit in Ausbildung und Lehre, die es zu steuern gilt. Unsere Ausführungen (die sich mehrfach auf in jüngster Zeit von Dick bzw. Dölp erarbeitete Übersichten stützen) möchten nun — notwendigerweise eher schlaglichtartig — zu einigen „neuen“ Konzepten Stellung nehmen und versuchen, Gesichertes von evtl. noch Fragwürdigem kritisch zu trennen (vgl. Tabelle 1 nach Steinbereithner u. Bergmann).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 49.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 59.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. Ahnefeld, FW (1980) Akute Obstruktion der Atemwege — was ist zu tun? Dtsch Med Wochenschr 105: 809

    Article  PubMed  CAS  Google Scholar 

  2. Ahnefeld, FW (1981) Kommentar zu den neuen Richtlinien der AHA. Notfallmedizin 7: 689

    Google Scholar 

  3. Aliflmoff, J., Safar, P., Bircher, M., Stadjuhar, K., Steinberg P, Sotosky M, Stezoski W, McNulty P (1983) Rationale for open-chest cardiopulmonary resuscitation (OCCPR). World Congress Emergency Disaster Medicine, Rome, May 24-27, 1983, p 120 [Abstr 3]

    Google Scholar 

  4. Babbs, CF. (1980) New versus old theories of blood flow during CPR. Crit Care Med 8: 191

    Article  PubMed  CAS  Google Scholar 

  5. Babbs, CF., Ralston, SH., Voorhees, WD. (1983) Improved cardiac output during CPR with interposed abdominal compression. Ann Emerg Med 12: 246

    Article  Google Scholar 

  6. Berryman CR, Phillips GM (1983) Preliminary results from Interposed abdominal compression - CPR in human. Ann Emerg Med 12: 249

    Google Scholar 

  7. Bilfield, LH., Regula, GA. (1978) A new technique for external heart compression. J Am Med Assoc 239: 2468

    Article  CAS  Google Scholar 

  8. Bircher, N., Safar, P. (1981) Comparison of standard and “new” closed-chest CPR and open-chest CPR in dogs. Crit Care Med 9: 384

    Article  PubMed  CAS  Google Scholar 

  9. Cary JM, Ross BK, Krugmiere R et al. (1978) Coughing causes systemic blood flow. Chest 74: 332

    Google Scholar 

  10. Chandra N, Rudikoff M, Weisfeldt ML (1980) Simultaneous chest compression and ventilation at high airway pressure during cardiopulmonary resuscitation. Lancet 1: 175

    Article  PubMed  CAS  Google Scholar 

  11. Chandra N, Snyder LD, Weisfeldt ML (1981) Abdominal binding during cardiopulmonary resuscitation in man. J Am Med Assoc 246: 351

    Article  CAS  Google Scholar 

  12. Criley JM, Blaufuss AH, Kissel GL (1976) Cough-induced cardiac compression: Self-administered form of cardiopulmonary resuscitation. J Am Med Ass 236: 1246

    Google Scholar 

  13. Crul JF, Bart TJ, Meursing A, Zimmerman HE (1981) The ABC of CPR. World Congress Emergency Disaster Medicine Pittsburgh, p 199, [Abstr 2]

    Google Scholar 

  14. Dick W (1982) Pulmo-kardio-zerebrale Reanimation - Realität oder Zukunft? Notfallmedizin 8: 1473

    Google Scholar 

  15. Dick W (1983) Kontroverse Aspekte der mechanischen kardiopulmonalen Reanimation. Anaesthesist [Suppl] 32: 36

    Google Scholar 

  16. Dick, W., Lötz P, Milewski C, Ohmann H, Spilker D (1980) PEEP-Beatmung bei der notfallmedizinischen Erstversorgung. Notfallmedizin 6: 1231

    Google Scholar 

  17. Dohi, S. (1983) Postcardiopulmonary resuscitation pulmonary edema. Crit Care Med 11: 434

    Article  PubMed  CAS  Google Scholar 

  18. Dölp, R. (1982) Kardiale und zerebrale Reanimation: Welche Maßnahmen müssen neu überdacht werden? Notfallmedizin 8: 1478

    Google Scholar 

  19. Dölp, R. (1983) Der derzeitige Stand der kardiopulmonalen Wiederbelebung. Ref Kongr Ärztl Fortb Linz 30.6.-2.7.1983, Beitr Anaesth Intensivmed (im Druck)

    Google Scholar 

  20. Donega,n, J.H. (1979) The leg-heel vs the standard arm-hand method of external cardiac compression. Anesth Analg 58: 170

    Google Scholar 

  21. Donegan, JH. (1981) New concepts in cardiopulmonary resuscitation. Anesth Analg 60: 100

    Article  PubMed  CAS  Google Scholar 

  22. Gattiker, RI. (1983) Medikamentöse Unterstützung der kardialen Wiederbele-bung. Anaesthesist [Suppl] 32: 37

    Google Scholar 

  23. Gordon, AS. (1977) Improved esophageal obturator airway (EOA) and new esophageal gastric tube airway (EGTA). In: Safar P, Elam J (eds) Advances in cardiopulmonary resuscitation, Springer, New York Heidelberg Berlin, p 58 ff

    Chapter  Google Scholar 

  24. Gulliford, DE., Douce, FH. (1983) CPR. A study of skill retention with suggestions for improvement. J Cardiovasc Pulm Techn 11: 23

    Google Scholar 

  25. Kivelä, SL. (1982) Resuscitation skills among the population. Acta Anaesth Scand 26: 626

    Article  PubMed  Google Scholar 

  26. Klain, M., Keszler, H., Brader, E. (1981) High frequency jet ventilation in CPR. Crit Care Med 9: 421

    Article  PubMed  CAS  Google Scholar 

  27. Koehler, RC., Chandra, N., Guerci, AD., Traystman, RJ., Rogers, MC., Weisfeldt, ML. (1982) Cerebral blood flow during CPR in dogs. Crit Care Med 10: 214

    Article  Google Scholar 

  28. Laing, G., Redmond, A. (1982) Cardiac arrest - a new concept. In: Wilson DH, Marsden AK (eds) Care of the acutely ill and injured. Wiley, Chichester New York Brisbane Toronto Singapore, p 157ff

    Google Scholar 

  29. Laver, MB., Strauss, HW., Pohost GM (1979) Right and left ventricular geometry: Adjustments during acute respiratory failure. Crit Care Med 7: 509

    Google Scholar 

  30. Lindner, KL., Dick, W., Bowdler, I., Mehrkens, HH., Lötz, P. (1983) Intermittent and simultaneous ventilation and chest compression with and without abdominal binding during cardiopulmonary resuscitation. World Congress Emergency Dis-aster Medicine, Rome, May 24–27, 1983, p 123 [Abstr 3]

    Google Scholar 

  31. Lowenstein, SR., Libby, LS., Mountain, RD., Hansbrough, JF., Hill, DM., Scoggin, CH. (1981) Cardiopulmonary resuscitation by medical and surgical house- officers. Lancet 2: 679

    Article  PubMed  CAS  Google Scholar 

  32. Luce, JM., Cary, JM., Ross, BK., Culver, BH., Butler, J. (1980) New developments in cardiopulmonary resuscitation. J Am Med Assoc 244: 1366

    Article  CAS  Google Scholar 

  33. McDonald, JL. (1981) Systolic and mean arterial pressures during manual and mechanical CPR in humans. Crit Care Med 9: 382

    Article  PubMed  CAS  Google Scholar 

  34. Meuret, GH. (1983) Calcium-antagonism - a new pharmacological principle in CPCR. World Congress Emergency Disaster Medicine, Rome, May 24-27,1983, p 126 [Abstr 3]

    Google Scholar 

  35. Meuret, GH., Lenders, HG., Schindler, HFO., Scholler, KL. (1983) Orciprenalin (Alupent) in der Reanimation nach Kreislaufstillstand? Anaesthesist 32: 352

    PubMed  CAS  Google Scholar 

  36. Meuret, GH., Mussler, M. (1983) The immediate correction of acidosis is not neces-sary in CPCR, alkalosis has deleterious effects. World Congress Emergency Disaster Medicine, Rome, May 24-27, 1983, p 124 [Abstr 3]

    Google Scholar 

  37. Miller, J., Tresch, D., Horwitz, L., Thompson, BM., Abrahamian, C., Darin, JC. (1983) The precordial thump - useful or detrimental? Ann Emerg Med 12: 246

    Google Scholar 

  38. Niemann, JT., Garner D, Rosborough J et al. (1979) The mechanism of blood flow in closed chest cardiopulmonary resuscitation. Circulation [Suppl 2] 60: 74

    Google Scholar 

  39. Otto CW, Yakaitis RW, Redding JS, Blitt CD (1981) Comparison of dopamine, dobutamine, and epinephrine in CPR. Crit Care Med 9: 640

    Article  PubMed  CAS  Google Scholar 

  40. Rattenborg CC (1977) Effect of bicarbonate and THAM on apneainduced hypercarbia. In: Safar P, Elam J (eds) Advances in cardiopulmonary resuscitation. Springer, New York Heidelberg Berlin, p 128ff

    Chapter  Google Scholar 

  41. Redding JS (1977 a) Precordial thumping during cardiac resuscitation. In: Safar P, Elam J (eds) Advances in cardiopulmonary resuscitation. Springer, New York Heidelberg Berlin, p 87 ff

    Google Scholar 

  42. Redding JS (1977 b) Drug therapy during cardiac arrest. In: Safar P, Elam J (eds) Advances in cardiopulmonary resuscitation. Springer, New York Heidelberg Berlin, p 113ff

    Google Scholar 

  43. Redding JS (1980) The choking controversy. Crit Care Med 8: 184

    Article  Google Scholar 

  44. Redding JS, Haynes RR, Thomas RD (1981) “Old” and “new” CPR manually performed in dogs. Crit Care Med 9: 386

    Google Scholar 

  45. Redding JS, Pearson JW (1963) Evaluation of drugs for cardiac resuscitation. Anesthesiology 24: 203

    Article  PubMed  CAS  Google Scholar 

  46. Rosborough JP, Hausknecht M, Nieman JT, Criley JM (1981) Cough supported circulation. Crit Care Med 9: 371

    Article  PubMed  CAS  Google Scholar 

  47. SafarP (1981) Cardiopulmonary cerebral resuscitation. AS Laerdal, Stavanger

    Google Scholar 

  48. Sefrin P, Albert M (1979) Herzdruckmassage durch Fußkompression. Anaesthe- sist 28: 540

    CAS  Google Scholar 

  49. Sefrin P, Braun KF (1981) Wirkt sich die frühzeitige Intubation auf die Prognose von Notfallpatienten aus? Notfallmedizin 7: 1324

    Google Scholar 

  50. Standards and guidelines for cardiopulmonary resuscitation (CPR) and emergency cardiac care (ECC) (1980). J Am Med Assoc 244: 453

    Article  Google Scholar 

  51. Steinbereithner K (1983) Grenzen der Reanimation - Unterlassung bzw. Abbruch der Behandlung. Anaesthesist [Suppl] 32: 39

    Google Scholar 

  52. Steinbereithner K, Bergmann H (1983) Aufgaben der Anaesthesiologie in der Forschung für die Notfallmedizin. Anaesthesist [Suppl] 32: 61

    Google Scholar 

  53. Stephenson HE (1980) Pathophysiological considerations that warrant open- chest cardiac resuscitation. Crit Care Med 8: 185

    Article  Google Scholar 

  54. Taylor GJ, Tucker WM, Greene HL, Rudikoff MT, Weisfeldt ML (1977) Impor-tance of prolonged compression during cardiopulmonary resuscitation in man. N Engl J Med 296: 1515

    Article  PubMed  CAS  Google Scholar 

  55. Wauquier A (1983) Möglichkeiten und Grenzen der Hirnreanimation. Anaesthe-sist [Suppl] 32: 37

    Google Scholar 

  56. Weale FE, Roth Well-Jackson RL (1962) The efficiency of cardiac massage. Lan-cet 1: 990

    CAS  Google Scholar 

  57. Webb DD, Lambrew CT (1978) Evaluation of physician skills in cardiopulmonary resuscitation. J Am Coll Emerg Phys 7: 387

    Article  CAS  Google Scholar 

  58. Weisfeldt ML, Chandra N, Tsitlik J (1981) Increased intrathoracic pressure - not direct heart compression - causes the rise in intrathoracic vascular pressures during CPR in dogs and pigs. Crit Care Med 9: 377

    Article  PubMed  CAS  Google Scholar 

  59. Zideman DA (1983) Cardiopulmonary resuscitation: New methods or improved training? Anaesthesia 38: 837

    Article  PubMed  CAS  Google Scholar 

Download references

Authors
  1. K. Steinbereithner
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Chirurgischen Klinik und Poliklinik, Ludwig-Maximilians-Universität München Klinikum Großhadern, Marchioninistr. 15, D-8000, München 70, Deutschland

    G. Heberer (Direktor) (Direktor)

  2. Institutes für Anästhesiologie, Ludwig-Maximilians-Universität München Klinikum Großhadern, Marchioninistr. 15, D-8000, München 70, Deutschland

    K. Peter (Direktor) (Direktor)

  3. Chirurgischen Klinik, Nordwest-Krankenhaus, Steinbacher Hohl 2, D-6000, Frankfurt a.M. 90, Deutschland

    E. Ungeheuer (Direktor) (Direktor)

Rights and permissions

Reprints and permissions

Copyright information

© 1984 J. F. Bergmann Verlag, München

About this paper

Cite this paper

Steinbereithner, K. (1984). Aktuelle Aspekte der kardiopulmonalen Wiederbelebung. In: Heberer, G., Peter, K., Ungeheuer, E. (eds) Katastrophenmedizin — Eine Standortbestimmung. Deutsche Gesellschaft für Katastrophenmedizin e.V. , vol 2. J.F. Bergmann-Verlag. https://doi.org/10.1007/978-3-642-80512-7_3

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-80512-7_3

  • Publisher Name: J.F. Bergmann-Verlag

  • Print ISBN: 978-3-8070-0346-7

  • Online ISBN: 978-3-642-80512-7

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation