{"id":12627,"date":"2020-12-12T04:23:14","date_gmt":"2020-12-12T03:23:14","guid":{"rendered":"http:\/\/news-papers.eu\/?p=12627"},"modified":"2020-12-12T10:43:36","modified_gmt":"2020-12-12T09:43:36","slug":"natriumkarbonat-nabi-bei-der-kardiopulmonalen-reanimation","status":"publish","type":"post","link":"https:\/\/news-papers.eu\/?p=12627","title":{"rendered":"Natriumkarbonat (NaBi) bei der kardiopulmonalen Reanimation"},"content":{"rendered":"
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\"\"Gibt man Natriumkarbonat (NaBi) bei einer kardiopulmonalen Reanimation?<\/p>\n

Wu KH et al.\u00a0EFFECTIVENESS OF SODIUM BICARBONATE ADMINISTRATION ON MORTALITY IN CARDIAC ARREST PATIENTS: A SYSTEMATIC REVIEW AND META-ANALYSIS. J Emerg Med 2020, https:\/\/doi.org\/10.1016\/j.jemermed.2020.08.012<\/strong><\/p><\/blockquote>\n<\/div>\n<\/div>\n<\/div>\n

In den Leitlinien zur kardiopulmonalen Reanimation von 2010 wird die routinem\u00e4\u00dfige Verwendung von Natriumbikarbonat (NaBi) bei Patienten mit Herzstillstand nicht empfohlen. Die Verabreichung von NaBi w\u00e4hrend der Reanimation ist jedoch nach wie vor \u00fcblich.<\/p>\n

In einer systematischen Literatur\u00fcbersicht und Metaanalyse wurden Arbeiten zur NaBi-Gabe bei der kardiopulmonalen Reanimation durchgef\u00fchrt.\u00a0Es erfolgte die Bewertung der Wirkung von NaBi auf die R\u00fcckkehr der Spontankreislauf (ROSC) und die \u00dcberlebensrate bis zur Entlassung bei erwachsenen Patienten mit Herzstillstand.<\/p>\n

Methoden:<\/strong><\/p>\n

    \n
  • Literatursuche in Medline, Scopus und dem Cochrane Central Register (CENTRAL)<\/li>\n
  • Einschluss von kontrollierten Studien an nicht-traumatischen erwachsenen Patienten nach Reanimation und NaBi-Behandlung<\/li>\n<\/ul>\n

    Ergebnisse:<\/strong><\/p>\n

      \n
    • Einschluss von sechs Beobachtungsstudien<\/li>\n
    • n=18.406 erwachsene Patienten mit Herzstillstand<\/li>\n
    • f\u00fcr den Vergleich „Nabi-“ vs. „kein NaBi“ bei der kardiopulmonalen Reanimation fand sich\n
        \n
      • keine signifikanten Unterschiede in der ROSC-Rate
        \n(Odds Ratio [OR]: 1,185; 95% Konfidenzintervall [KI] 0,680-2,065)<\/li>\n
      • keine signifikanten Unterschiede in der \u00dcberlebens-\/Entlassungsrate
        \n(OR: 0,296; 95% KI 0,066-1,323)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n

        Fazit:\u00a0<\/strong><\/p>\n

          \n
        • In dieser \u00dcbersichtsarbeit und Metaanalyse war die NaBi-Anwendung nicht mit einer Verbesserung der ROSC-, oder der \u00dcberlebens- bis Entlassungsrate bei der kardiopulmonalen Reanimation assoziiert.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"

          Gibt man Natriumkarbonat (NaBi) bei einer kardiopulmonalen Reanimation? Wu KH et al.\u00a0EFFECTIVENESS OF SODIUM BICARBONATE ADMINISTRATION ON MORTALITY IN CARDIAC ARREST PATIENTS: A SYSTEMATIC REVIEW AND META-ANALYSIS. J Emerg Med […]<\/p>\n","protected":false},"author":2,"featured_media":5559,"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},"_wpas_customize_per_network":false},"categories":[137],"tags":[1968,138],"class_list":["post-12627","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-reanimatologie","tag-nabi","tag-reanimation"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/10\/NaBi.jpg?fit=960%2C1280&ssl=1","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p7fR2g-3hF","jetpack-related-posts":[{"id":1582,"url":"https:\/\/news-papers.eu\/?p=1582","url_meta":{"origin":12627,"position":0},"title":"Tablet-PC bei innenklinischer Reanimation","author":"Michael Bernhard","date":"Juni 21, 2016","format":false,"excerpt":"Die genaue Dokumentation der Ma\u00dfnahmen bei der kardiopulmonalen Reanimation ist von gro\u00dfer Bedeutung. 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