{"id":11587,"date":"2020-06-05T04:41:30","date_gmt":"2020-06-05T02:41:30","guid":{"rendered":"http:\/\/news-papers.eu\/?p=11587"},"modified":"2020-06-05T12:55:20","modified_gmt":"2020-06-05T10:55:20","slug":"temperaturmanagement-in-der-postreanimationsphase-hilft-es-wirklich","status":"publish","type":"post","link":"https:\/\/news-papers.eu\/?p=11587","title":{"rendered":"Temperaturmanagement in der Postreanimationsphase &#8211; Hilft es wirklich?"},"content":{"rendered":"<p style=\"text-align: justify;\"><strong><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"10313\" data-permalink=\"https:\/\/news-papers.eu\/?attachment_id=10313\" data-orig-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/10\/Eisw%C3%BCrfel.jpg?fit=1920%2C1280&amp;ssl=1\" data-orig-size=\"1920,1280\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;11&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;X-T2&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;80&quot;,&quot;iso&quot;:&quot;200&quot;,&quot;shutter_speed&quot;:&quot;0.04&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Eisw\u00fcrfel\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/10\/Eisw%C3%BCrfel.jpg?fit=300%2C200&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/10\/Eisw%C3%BCrfel.jpg?fit=1024%2C683&amp;ssl=1\" class=\"size-medium wp-image-10313 alignright\" src=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/10\/Eisw%C3%BCrfel.jpg?resize=300%2C200\" alt=\"\" width=\"300\" height=\"200\" srcset=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/10\/Eisw%C3%BCrfel.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/10\/Eisw%C3%BCrfel.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/10\/Eisw%C3%BCrfel.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/10\/Eisw%C3%BCrfel.jpg?resize=750%2C500&amp;ssl=1 750w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/10\/Eisw%C3%BCrfel.jpg?w=1920&amp;ssl=1 1920w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/>Brit Long<\/strong> publiziert immer wieder fantastische Zusammenfassungen zu diverse Themen rund um die Notfallmedizin. Nun geht es um die <strong>Postresuscitation Phase<\/strong>, hier wird nun seit geraumer Zeit ein kontrolliertes Temperaturmanagement durchgef\u00fchrt. Aber was bringt es tats\u00e4chlich?<\/p>\n<blockquote><p><strong>Long B et al.\u00a0Targeted Temperature Management in\u00a0Post\u2013Cardiac Arrest Patients.\u00a0ACADEMIC EMERGENCY MEDICINE 2020;00:1\u20133.<\/strong><\/p><\/blockquote>\n<p style=\"text-align: justify;\">In dieser Zusammenfassung der aktuellen Evidenz werden einige wichtige Punkte aus 9 Studien mit insgesamt<strong> 1.592 Patienten<\/strong> angesprochen:<\/p>\n<ul>\n<li>TTM (Target Temperatur Management) reduziert die Mortalit\u00e4t (OR 0,637, 95%CI: 0,436-0,930) und verbessert das neurologische Behandlungsergebnis nach Herzkreislaufstillstand (OR 0,582, 95%CI: 0,363-0,931)<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Brit Long publiziert immer wieder fantastische Zusammenfassungen zu diverse Themen rund um die Notfallmedizin. Nun geht es um die Postresuscitation Phase, hier wird nun seit geraumer Zeit ein kontrolliertes Temperaturmanagement [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":10313,"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":[138,1852],"class_list":["post-11587","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-reanimatologie","tag-reanimation","tag-ttm"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/10\/Eisw%C3%BCrfel.jpg?fit=1920%2C1280&ssl=1","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p7fR2g-30T","jetpack-related-posts":[{"id":4081,"url":"https:\/\/news-papers.eu\/?p=4081","url_meta":{"origin":11587,"position":0},"title":"Update &#8222;Reanimation&#8220;: Was l\u00e4uft &#8230;?","author":"Michael Bernhard","date":"Mai 5, 2017","format":false,"excerpt":"In einem aktuellen Update haben Jerry Nolan und Kollegen eine umfassende Aufarbeitung relevanter Themen zur kardiopulmonalen Reanimation verfasst: Nolan JP et al. Intensive care medicine research agenda\u00a0on cardiac arrest. Intensive Care Med 2017;\u00a0DOI 10.1007\/s00134-017-4739-7 Hier ein paar der angef\u00fchrten Punkte: Forschungsinhalte der letzten 15 Jahre waren: Fokussierung auf die Optimierung\u2026","rel":"","context":"In &quot;Reanimatologie&quot;","block_context":{"text":"Reanimatologie","link":"https:\/\/news-papers.eu\/?cat=137"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/05\/Bildschirmfoto-2017-03-17-um-09.25.55-300x167.png?resize=350%2C200","width":350,"height":200},"classes":[]},{"id":10311,"url":"https:\/\/news-papers.eu\/?p=10311","url_meta":{"origin":11587,"position":1},"title":"Therapeutische Hypothermie bei nicht defibrillierbarem Rhythmus?","author":"Michael Bernhard","date":"Oktober 4, 2019","format":false,"excerpt":"Ein Beitrag von PD Dr. J\u00fcrgen Knapp, Bern\/Schweiz: Eine weitere Studie, die ich beim HAI zum Thema \u201etargeted temperature management\u201c vorgestellt habe, war der HYPERION trial. Nun wurden die Ergebnisse im New England Journal of Medicine publiziert. Lascarrou JB et al. Targeted Temperature Management for Cardiac Arrest with Nonshockable Rhythm.\u2026","rel":"","context":"In &quot;Reanimatologie&quot;","block_context":{"text":"Reanimatologie","link":"https:\/\/news-papers.eu\/?cat=137"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/10\/Eisw%C3%BCrfel.jpg?fit=1200%2C800&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/10\/Eisw%C3%BCrfel.jpg?fit=1200%2C800&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/10\/Eisw%C3%BCrfel.jpg?fit=1200%2C800&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/10\/Eisw%C3%BCrfel.jpg?fit=1200%2C800&ssl=1&resize=700%2C400 2x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2019\/10\/Eisw%C3%BCrfel.jpg?fit=1200%2C800&ssl=1&resize=1050%2C600 3x"},"classes":[]},{"id":4245,"url":"https:\/\/news-papers.eu\/?p=4245","url_meta":{"origin":11587,"position":2},"title":"Cardiac Arrest Center","author":"Michael Bernhard","date":"April 2, 2017","format":false,"excerpt":"\"Nach dem ROSC ist vor dem ROSC...\"\u00a0oder wie es bereits V.A. Negovsky in der ersten Ausgabe von RESUSCITATION 1972 formulierte: \"The second step in resuscitation - the treatment of the \u00b4post-resuscitation disease\u00b4\" (Resuscitation 1972; 1: 1-7 und Resuscitation 2012; 83: 1187-1190). Die Etablierung eines Spontankreislauf bei einer kardiopulmonalen Reanimation ist\u2026","rel":"","context":"In &quot;Reanimatologie&quot;","block_context":{"text":"Reanimatologie","link":"https:\/\/news-papers.eu\/?cat=137"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/05\/Bildschirmfoto-2017-04-01-um-11.07.12.png?fit=1157%2C466&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/05\/Bildschirmfoto-2017-04-01-um-11.07.12.png?fit=1157%2C466&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/05\/Bildschirmfoto-2017-04-01-um-11.07.12.png?fit=1157%2C466&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/05\/Bildschirmfoto-2017-04-01-um-11.07.12.png?fit=1157%2C466&ssl=1&resize=700%2C400 2x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/05\/Bildschirmfoto-2017-04-01-um-11.07.12.png?fit=1157%2C466&ssl=1&resize=1050%2C600 3x"},"classes":[]},{"id":2098,"url":"https:\/\/news-papers.eu\/?p=2098","url_meta":{"origin":11587,"position":3},"title":"Eckpunktepapier 2016: Reanimationsbehandlung","author":"Michael Bernhard","date":"September 18, 2016","format":false,"excerpt":"K\u00fcrzlich hatten wir von der Publikation des Eckpunktepapier zur notfallmedizinischen Versorgung der Bev\u00f6lkerung berichtet. Eingegangene in dieses Eckpunktepapier sind auch sechs Tracerdiagnosen. Heute wollen wir uns mit dem Anteil \"kardiopulmonale Reanimation\" aus dem Eckpunktepapier besch\u00e4ftigen und die wesentlichen Punkte auff\u00fchren.\u00a0Erarbeitet\u00a0wurden die wichtigsten Punkte von: Gr\u00e4sner JT, Fischer M, Kehrberger E,\u00a0Marung\u2026","rel":"","context":"In &quot;Reanimatologie&quot;","block_context":{"text":"Reanimatologie","link":"https:\/\/news-papers.eu\/?cat=137"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/08\/Bildschirmfoto-2016-08-09-um-08.05.02.png?fit=673%2C416&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/08\/Bildschirmfoto-2016-08-09-um-08.05.02.png?fit=673%2C416&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/08\/Bildschirmfoto-2016-08-09-um-08.05.02.png?fit=673%2C416&ssl=1&resize=525%2C300 1.5x"},"classes":[]},{"id":15070,"url":"https:\/\/news-papers.eu\/?p=15070","url_meta":{"origin":11587,"position":4},"title":"Targeted temperature management nach Reanimation \u2013 mit welchem Device?","author":"Michael Bernhard","date":"Februar 5, 2022","format":false,"excerpt":"Ein Beitrag von PD Dr. J\u00fcrgen Knapp, Schweiz Eine gro\u00dfe Netzwerk-Metaanalyse hat untersucht, welches Verfahren zur Temperaturkontrolle nach erfolgreicher Reanimation hinsichtlich \u00dcberleben und gutem neurologischem Behandlungsergebnis am besten ist. Die intravaskul\u00e4re K\u00fchlung zeigt hier die besten Ergebnisse im Vergleich zur Oberfl\u00e4chenk\u00fchlung. Insbesondere die Oberfl\u00e4chenk\u00fchlung ohne Feedbacksystem sollte heute nicht mehr\u2026","rel":"","context":"In &quot;Reanimatologie&quot;","block_context":{"text":"Reanimatologie","link":"https:\/\/news-papers.eu\/?cat=137"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2022\/02\/image-1-scaled.jpeg?fit=900%2C1200&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2022\/02\/image-1-scaled.jpeg?fit=900%2C1200&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2022\/02\/image-1-scaled.jpeg?fit=900%2C1200&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2022\/02\/image-1-scaled.jpeg?fit=900%2C1200&ssl=1&resize=700%2C400 2x"},"classes":[]},{"id":5930,"url":"https:\/\/news-papers.eu\/?p=5930","url_meta":{"origin":11587,"position":5},"title":"Atemwegs- und Beatmungsstrategie bei der Reanimation","author":"Michael Bernhard","date":"Dezember 2, 2017","format":false,"excerpt":"Auf news-papers.eu haben wir uns schon h\u00e4ufiger mit der Problematik alternativer Methoden zur Atemwegssicherung bei der Reanimation besch\u00e4ftigt. Ein ganz aktuelle Artikel kommt nun aus Wien und wurde im\u00a0European Heart Journal publiziert: Sulzgruber P, et al. 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