{"id":15070,"date":"2022-02-05T04:35:53","date_gmt":"2022-02-05T03:35:53","guid":{"rendered":"http:\/\/news-papers.eu\/?p=15070"},"modified":"2022-02-03T21:40:46","modified_gmt":"2022-02-03T20:40:46","slug":"targeted-temperature-management-nach-reanimation-mit-welchem-device","status":"publish","type":"post","link":"https:\/\/news-papers.eu\/?p=15070","title":{"rendered":"Targeted temperature management nach Reanimation \u2013 mit welchem Device?"},"content":{"rendered":"

Ein Beitrag von PD Dr. J\u00fcrgen Knapp, Schweiz<\/strong><\/p>\n

\"\"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 zum Einsatz kommen.<\/p>\n

Ramadanov N et al. Intravascular Versus Surface Cooling in Patients Resuscitated From Cardiac Arrest. <\/strong>A Systematic Review and Network Meta-Analysis With Focus on Temperature Feedback.\u00a0<\/strong>Crit Care Med 2022; <\/strong>doi: 10.1097\/CCM.0000000000005463<\/strong><\/p><\/blockquote>\n

 <\/p>\n

Die Arbeit kann \u201eopen access\u201c unter folgendem Link heruntergeladen werden:<\/p>\n

https:\/\/journals.lww.com\/ccmjournal\/Abstract\/9000\/Intravascular_Versus_Surface_Cooling_in_Patients.95010.aspx<\/a><\/p>\n

\"\"Wichtig in diesem Zusammenhang zu erw\u00e4hnen ist aber, dass die K\u00fchlung auch bei Nutzung eines intravaskul\u00e4ren Katheters m\u00f6glichst fr\u00fchzeitig initiiert wird und nicht wegen der Invasivit\u00e4t der Ma\u00dfnahme und des (initial) h\u00f6heren Aufwands im Vergleich zur Oberfl\u00e4chenk\u00fchlung zeitlich verz\u00f6gert (z.B. erst nach Stabilisierung und ggf. Herzkatheter-Untersuchung) gestartet wird.<\/p>\n

Idealerweise wird der K\u00fchlkatheter bereits im Schockraum angelegt und nicht erst verz\u00f6gert nach Aufnahme auf die Intensivstation.<\/p>\n","protected":false},"excerpt":{"rendered":"

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 […]<\/p>\n","protected":false},"author":2,"featured_media":15072,"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":[2265,1852],"class_list":["post-15070","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-reanimatologie","tag-targeted-temperature-management","tag-ttm"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2022\/02\/image-1-scaled.jpeg?fit=1920%2C2560&ssl=1","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p7fR2g-3V4","jetpack-related-posts":[{"id":5296,"url":"https:\/\/news-papers.eu\/?p=5296","url_meta":{"origin":15070,"position":0},"title":"Hypothermie nach erfolgreicher Reanimation f\u00fcr 24 oder 48 h?","author":"Michael Bernhard","date":"August 5, 2017","format":false,"excerpt":"Die milde therapeutische Hypothermie (MTH) ist aktuell (noch) fester Bestandteil der Postresuscitation Care im Rahmen eines Reanimationsereignisses. Kirkegaard und Kollegen gingen nun der Frage nach, ob die Hypothermie f\u00fcr 24 oder 48 h umgesetzt werden sollte. Kirkegaard H, et al. Targeted Temperature Management for 48 vs 24 Hours\u00a0and Neurologic Outcome\u2026","rel":"","context":"In "Reanimatologie"","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\/09\/Eisw%C3%BCrfel-300x169.jpg?resize=350%2C200","width":350,"height":200},"classes":[]},{"id":11587,"url":"https:\/\/news-papers.eu\/?p=11587","url_meta":{"origin":15070,"position":1},"title":"Temperaturmanagement in der Postreanimationsphase – Hilft es wirklich?","author":"Michael Bernhard","date":"Juni 5, 2020","format":false,"excerpt":"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 durchgef\u00fchrt. Aber was bringt es tats\u00e4chlich? Long B et al.\u00a0Targeted Temperature Management in\u00a0Post\u2013Cardiac Arrest Patients.\u00a0ACADEMIC EMERGENCY MEDICINE 2020;00:1\u20133. In dieser\u2026","rel":"","context":"In "Reanimatologie"","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":12432,"url":"https:\/\/news-papers.eu\/?p=12432","url_meta":{"origin":15070,"position":2},"title":"Advanced Life Support – Update 2020 der sechs ILCOR TASK FORCES","author":"Michael Bernhard","date":"Oktober 22, 2020","format":false,"excerpt":"Am 21. 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