Kardiopulmonale Reanimation von Kindern und Jugendlichen. Kommentierte Zusammenfassung der neuen Leitlinien des European Resuscitation Council 2021

Hoffmann, Florian; Lieftuechter, Victoria; Jung, Philipp; Landsleitner, Bernd; Olivieri, Martin; Eich, Christoph und Heimberg, Ellen (2022): Kardiopulmonale Reanimation von Kindern und Jugendlichen. Kommentierte Zusammenfassung der neuen Leitlinien des European Resuscitation Council 2021. In: Monatsschrift Kinderheilkunde, Bd. 170, Nr. 7: S. 604-612

Abstract

Early initiation of resuscitation measures is of enormous importance for the outcome of a child after respiratory failure and cardiac arrest. Therefore, the timely recognition of a critically ill patient, early initiation and effective performance of basic measures, such as securing an open airway, effective ventilation and high-quality thorax compressions (frequency 100-120/min, depth 4-5 cm, full chest recoil, minimization of interruptions) are essential. After assessing consciousness, the airway should be opened and in the case of insufficient or lack of breathing five initial rescue breaths should be given. Subsequently, effective chest compressions should be performed in conjunction with assisted ventilation in a ratio of 15:2. If a bag valve mask is not immediately available, continuous chest compressions should be started immediately and ventilation added as soon as a bag valve mask becomes available. The extended resuscitation measures include the administration of medicaments, heart rhythm analysis and possibly defibrillation. Resuscitation situations in pediatrics are overall rare events and represent a great cognitive challenge and a significant emotional burden for all those involved. Therefore, continuous training measures to learn and refresh basic life support (BLS) and advanced life support (ALS) measures are essential. To this end, special pediatric resuscitation courses of the European Resuscitation Council (European pediatric life support, EPLS;) are provided. So-called nontechnical skills, such as communication, team leadership and task distribution within the team are becoming increasingly more important and should be integrated into training concepts. In this context, team-oriented training concepts on state-of-the-art patient simulators are increasing in popularity.

• Dokumententyp: Zeitschriftenartikel
• Fakultät: Medizin
• Themengebiete: 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin und Gesundheit
• ISSN: 0026-9298
• Sprache: Deutsch