{"id":6225,"date":"2018-02-24T04:54:00","date_gmt":"2018-02-24T03:54:00","guid":{"rendered":"http:\/\/news-papers.eu\/?p=6225"},"modified":"2018-01-31T09:31:37","modified_gmt":"2018-01-31T08:31:37","slug":"area-of-debate-sga-und-reanimation","status":"publish","type":"post","link":"https:\/\/news-papers.eu\/?p=6225","title":{"rendered":"„Area of debate“: SGA und Reanimation"},"content":{"rendered":"

Das Atemwegsmanagement<\/strong> im Rahmen der kardiopulmonalen Reanimation<\/strong> ist seit vielen Jahren ein kritisch diskutierter und noch nicht umfassend erforschter Bereich. Wie so h\u00e4ufig in der Medizin entwickeln sich Erkenntnisse mitunter sprunghaft aus ersten Erfahrungen, Studien unterst\u00fctzen dann diese Ansichten, andere Studien widerlegen die initialen Ergebnisse und mehr und mehr verdichtet sich das Feld. Erkenntnisgewinn sozusagen mit sinuskurvenartigen Verlauf.<\/p>\n

\"\"<\/p>\n

Gerade hatten wir uns noch mit den Ergebnissen von Sulzgruber et al.<\/strong> aus dem Eur Heart J<\/strong> besch\u00e4ftigt, nun liegen von Park et al.<\/strong> Ergebnisse aus S\u00fcdkorea vor:<\/p>\n

\n

Park MJ et al. Prehospital Supraglottic Airway Was\u00a0Associated With Good Neurologic Outcome\u00a0in Cardiac Arrest Victims Especially Those\u00a0Who Received Prolonged Cardiopulmonary\u00a0Resuscitation. Acad Emerg Med 2017, online<\/strong><\/p>\n<\/blockquote>\n

Min Ji Park<\/strong> untersuchte hier in einer\u00a0retrospektiven Studie anhand multicenterisch und prospektiv erhobener \u00a0Kohortdaten (Register) von 12\/2013 bis 04\/2016 pr\u00e4hospitale Reanimation in Abh\u00e4ngigkeit vom durchgef\u00fchrten Atemwegsmanagement. Ingesamt konnten 869 Patienten mit Herzkreislaufstillst\u00e4nden mit Aufnahme in einer Notaufnahme untersucht werden. 310 Patienten erreichten letztendlich die Intensivstation. Prim\u00e4re Untersuchungsparameter war das neurologische Behandlungsergebnis nach 28 Tagen anhand der CPC-Kategorie.<\/p>\n

Die Kollegen fanden in einer Multivarianten Analyse folgende Ergebnisse:<\/p>\n

\"\"<\/p>\n

Abb: Ergebnisse der Multivarianten Analyse nach Park et al. Acad Emerg Med 2017.<\/strong><\/h6>\n

Mit einem guten neurologischen Behandlungsergebnisse (CPC 1,2) nach 28 Tagen war die pr\u00e4hospitale Anwendung von SGA und schockbare Rhythmen assoziiert. Damit stehen die gefundenen Ergebnisse in dieser Studie diametral den Ergebnisse von Sulzgruber et al. entgegen.<\/p>\n

\n

Lesen Sie hierzu auch die anderen Post:<\/p>\n

Atemweg, Beatmung und Reanimation\u00a0<\/strong><\/a><\/p>\n

Atemweg, Beatmung und Reanimation (Sulzgruber et al. )<\/strong><\/a><\/p>\n

\n

News-Papers.eu auf TWITTER<\/a>\u00a0 \u00a0 \u00a0 \u00a0\u00a0Follow news-papers.eu<\/a><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

Das Atemwegsmanagement im Rahmen der kardiopulmonalen Reanimation ist seit vielen Jahren ein kritisch diskutierter und noch nicht umfassend erforschter Bereich. Wie so h\u00e4ufig in der Medizin entwickeln sich Erkenntnisse mitunter […]<\/p>\n","protected":false},"author":2,"featured_media":6228,"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":[3],"tags":[199,290,138],"class_list":["post-6225","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-atemwegsmanagement","tag-atemweg","tag-kardiopulmonale-reanimation","tag-reanimation"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/01\/Bildschirmfoto-2017-11-09-um-12.02.35-e1510225460798.png?fit=500%2C253&ssl=1","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p7fR2g-1Cp","jetpack-related-posts":[{"id":8830,"url":"https:\/\/news-papers.eu\/?p=8830","url_meta":{"origin":6225,"position":0},"title":"Mechanische Reanimation: Ergebnisse einer Registerstudie","author":"Michael Bernhard","date":"Februar 11, 2019","format":false,"excerpt":"In einer retrospektiven Untersuchung der Daten des Deutschen Reanimationsregister von 2007-2014 wurde die mechanische (ACCD) und die manuelle Thoraxkompression (mCC) verglichen: Seewald S et al.,\u00a0Application of mechanical cardiopulmonary\u00a0resuscitation devices and their value in out-of hospital\u00a0cardiac arrest: A retrospective\u00a0analysis of the German Resuscitation Registry.\u00a0PLoS ONE 14\u00a0(1): e0208113. https:\/\/doi.org\/10.1371\/journal.pone.0208113 (PDF) Die Anwendung\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\/2016\/02\/LUCAS2.jpg?fit=1200%2C1006&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/02\/LUCAS2.jpg?fit=1200%2C1006&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/02\/LUCAS2.jpg?fit=1200%2C1006&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/02\/LUCAS2.jpg?fit=1200%2C1006&ssl=1&resize=700%2C400 2x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/02\/LUCAS2.jpg?fit=1200%2C1006&ssl=1&resize=1050%2C600 3x"},"classes":[]},{"id":4081,"url":"https:\/\/news-papers.eu\/?p=4081","url_meta":{"origin":6225,"position":1},"title":"Update „Reanimation“: Was l\u00e4uft …?","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 "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\/05\/Bildschirmfoto-2017-03-17-um-09.25.55-300x167.png?resize=350%2C200","width":350,"height":200},"classes":[]},{"id":6474,"url":"https:\/\/news-papers.eu\/?p=6474","url_meta":{"origin":6225,"position":2},"title":"Atemweg und Reanimationsergebnis: Neue Daten","author":"Michael Bernhard","date":"Januar 9, 2018","format":false,"excerpt":"Bereits zuvor hatten wir in verschiedenen Post \u00fcber den Einfluss des pr\u00e4hospitalen Atemwegs auf das Behandlungsergebnis bei der kardiopulmonalen Reanimation berichtet. 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Outcome differences between PARAMEDIC2 and the German Resuscitation Registry: a secondary analysis of a randomized controlled trial compared with registry data. 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