{"id":11559,"date":"2020-05-27T04:41:17","date_gmt":"2020-05-27T02:41:17","guid":{"rendered":"http:\/\/news-papers.eu\/?p=11559"},"modified":"2020-05-23T17:50:21","modified_gmt":"2020-05-23T15:50:21","slug":"ecpr-ein-update","status":"publish","type":"post","link":"https:\/\/news-papers.eu\/?p=11559","title":{"rendered":"eCPR: Ein Update"},"content":{"rendered":"<p style=\"text-align: justify;\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"11560\" data-permalink=\"https:\/\/news-papers.eu\/?attachment_id=11560\" data-orig-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2020\/05\/macro-1452987_1920-e1590248993780.jpg?fit=300%2C196&amp;ssl=1\" data-orig-size=\"300,196\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"macro-1452987_1920\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2020\/05\/macro-1452987_1920-e1590248993780.jpg?fit=300%2C196&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2020\/05\/macro-1452987_1920-e1590248993780.jpg?fit=1024%2C668&amp;ssl=1\" class=\"size-medium wp-image-11560 alignright\" src=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2020\/05\/macro-1452987_1920.jpg?resize=300%2C196\" alt=\"Maschine\" width=\"300\" height=\"196\" \/>Die Therapie des pr\u00e4hospitalen\u00a0Herz-Kreislauf-Stillstands ist integraler\u00a0Bestandteil notfallmedizinischer\u00a0T\u00e4tigkeit. Die Rettungskette (\u201echain\u00a0of survival\u201c) als idealisierte Abfolge\u00a0der Behandlung von Patienten\u00a0mit lebensbedrohlichen Erkrankungen\u00a0visualisiert die Notwendigkeit\u00a0der Verzahnung pr\u00e4hospitaler Basisma\u00dfnahmen.\u00a0Trotz jahrzehntelanger\u00a0intensiver Bem\u00fchungen ist die\u00a0Sterblichkeit unver\u00e4ndert hoch.\u00a0Die extrakorporale kardiopulmonale\u00a0Reanimation (eCPR), also das\u00a0Anlegen einer venoarteriellen extrakorporalen\u00a0Membranoxygenierung\u00a0(va-ECMO) unter Reanimationsbedingungen,\u00a0kann in ausgew\u00e4hlten\u00a0F\u00e4llen das \u00dcberleben verbessern.<\/p>\n<blockquote><p><strong>Lotz C et al. Pr\u00e4klinisches Management bei\u00a0Herz-Kreislauf-Stillstand \u2013\u00a0extrakorporale kardiopulmonale\u00a0Reanimation.\u00a0Anaesthesist\u00a0https:\/\/doi.org\/10.1007\/s00101-020-00787-6\u00a0(<a href=\"https:\/\/link.springer.com\/content\/pdf\/10.1007%2Fs00101-020-00787-6.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">PDF<\/a>)<\/strong><\/p><\/blockquote>\n<p style=\"text-align: justify;\">Als\u00a0hochtechnisiertes und kostenintensives\u00a0Rettungsmittel muss es sich\u00a0jedoch den Fragen zu medizinischer\u00a0Effizienz, \u00d6konomie und ethischer\u00a0Verantwortung stellen.<\/p>\n<ul>\n<li style=\"text-align: justify;\">engagierten Schulung von Basisma\u00dfnahmen sind notwendig<\/li>\n<li style=\"text-align: justify;\">(eCPR) kann bei ausgew\u00e4hlten Indikationen innerhalb eines Zeitfensters von 60 min nach Reanimationsbeginn das \u00dcberleben eines Herz-Kreislauf-Stillstands signifikant verbessern.<\/li>\n<li style=\"text-align: justify;\">Wichtige \u00dcberlebensparameter sind: beobachteter Herz-Kreislauf-Stillstand, initial schockbarer Rhythmus, Laienreanimation fehlende Multimorbidit\u00e4t, umkehrbare (a.e. kardiale) Ursache.<\/li>\n<li style=\"text-align: justify;\">Die Entscheidung zur eCPR sollte innerhalb von 20min und anhand definierter Parameter erfolgen.<\/li>\n<li style=\"text-align: justify;\">Die Weiterversorgung sollte in einem spezialisierten Zentrum erfolgen.<\/li>\n<li style=\"text-align: justify;\">Die aktuellen Empfehlungen basieren auf retrospektiven Daten. Gr\u00f6\u00dfere prospektive, kontrollierte, randomisierte Studien hierzu fehlen.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Die Therapie des pr\u00e4hospitalen\u00a0Herz-Kreislauf-Stillstands ist integraler\u00a0Bestandteil notfallmedizinischer\u00a0T\u00e4tigkeit. Die Rettungskette (\u201echain\u00a0of survival\u201c) als idealisierte Abfolge\u00a0der Behandlung von Patienten\u00a0mit lebensbedrohlichen Erkrankungen\u00a0visualisiert die Notwendigkeit\u00a0der Verzahnung pr\u00e4hospitaler Basisma\u00dfnahmen.\u00a0Trotz jahrzehntelanger\u00a0intensiver Bem\u00fchungen ist die\u00a0Sterblichkeit unver\u00e4ndert hoch.\u00a0Die [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":11560,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"__cvm_playback_settings":[],"__cvm_video_id":"","jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[137],"tags":[942],"class_list":["post-11559","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-reanimatologie","tag-ecpr"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2020\/05\/macro-1452987_1920-e1590248993780.jpg?fit=300%2C196&ssl=1","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p7fR2g-30r","jetpack-related-posts":[{"id":19811,"url":"https:\/\/news-papers.eu\/?p=19811","url_meta":{"origin":11559,"position":0},"title":"Fortschritte in der kardiopulmonalen Reanimation: \u00a0Beyond ACLS","author":"Michael Bernhard","date":"August 12, 2025","format":false,"excerpt":"In der Online-First Ausgabe von Medizinische Klinik \u2013 Intensivmedizin und Notfallmedizin stellen Simon Wei\u00dfler und Kollegen ein Konzept vor, das die Reanimation st\u00e4rker auf die Bed\u00fcrfnisse einzelner Patient:innen abstimmt. Anstelle eines einheitlichen \u201eOne-Size-Fits-All\u201c-Schemas r\u00fccken patientenspezifische Parameter und moderne Diagnostik in den Vordergrund. Wei\u00dfler S, Kill C, Fischer M, et al.\u2026","rel":"","context":"In &quot;Reanimatologie&quot;","block_context":{"text":"Reanimatologie","link":"https:\/\/news-papers.eu\/?cat=137"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":4160,"url":"https:\/\/news-papers.eu\/?p=4160","url_meta":{"origin":11559,"position":1},"title":"Frustrane Reanimation: &#8230; und jetzt ?","author":"Michael Bernhard","date":"Mai 11, 2017","format":false,"excerpt":"In INTENSIVE CARE MEDICINE findet sich eine aktuelle Arbeit zum Thema: Was tun, wenn die kardiopulmonale Reanimation nicht erfolgreich ist... Nolan JP et al. In this patient in refractory cardiac arrest\u00a0should I continue CPR for longer than 30 min\u00a0and, if so, how? 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November 2018 Extrakorporale Reanimation (ECPR):\u00a0wann macht es Sinn? R. M\u00fcllenbach, Kassel Wir w\u00fcnschen allen nicht-\u00e4rztlichen und \u00e4rztlichen Kolleginnen und Kollegen aus Rettung- und Notarztdienst, Notaufnahmen und akutmedizinischen Behandlungsbereichen sowie notfallmedizinisch Interessierten ganz viel Spass bei dieser Online-Fortbildung. 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