Gegenwärtige Standards in der kardiopulmonalen Reanimation

Abstract

Sudden cardiac arrest, a leading cause of death in developed countries, requires instant and efficient cardiopulmonary resuscitation (CPR) and post-resuscitation care. Recently, the 2015 American Heart Association (AHA) Guidelines Update for Cardiopulmonary Resuscitation (CPR) and the corresponding 2015 European Resuscitation Council (ERC) Guidelines for Resuscitation were published as individual papers in Circulation and Resuscitation, respectively. These guidelines provide essential treatment algorithms for the resuscitation of children and adults with sudden cardiac arrest including basis life support and advanced interventions. This article summarizes the new AHA/ERC recommendations for the management of resuscitation in adult patients, with a particular focus on issues relevant for clinical cardiologists.

• Literatur

• 1 Callaway CW, Donnino MW, Fink EL et al. Part 8: Post-Cardiac Arrest Care: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2015; 132: S465-S468
• 2 Nolan JP, Soar J, Cariou A et al. European Resuscitation Council and European Society of Intensive Care Medicine Guidelines for Post-resuscitation Care 2015: Section 5 of the European Resuscitation Council Guidelines for Resuscitation 2015. Resuscitation 2015; 95: 202-222
• 3 Kleinman ME, Brennan EE, Goldberger ZD et al. Part 5: Adult Basic Life Support and Cardiopulmonary Resuscitation Quality: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2015; 132: S414-S435
• 4 Kronick SL, Kurz MC, Lin S et al. Part 4: Systems of Care and Continuous Quality Improvement: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2015; 132: 397-413
• 5 Perkins GD, Handley AJ, Koster RW et al. Adult basic life support and automated external defibrillation section Collaborators. European Resuscitation Council Guidelines for Resuscitation 2015: Section 2. Adult basic life support and automated external defibrillation. Resuscitation 2015; 95: 81-99
• 6 Lavonas EJ, Drennan IR, Gabrielli A et al. Part 10: Special Circumstances of Resuscitation: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2015; 132: S501-S518
• 7 Soar J, Nolan JP, Böttiger BW et al. Adult advanced life support section Collaborators. European Resuscitation Council Guidelines for Resuscitation 2015: Section 3. Adult advanced life support. Resuscitation 2015; 95: 100-147
• 8 Link MS, Berkow LC, Kudenchuk PJ et al. Part 7: Adult Advanced Cardiovascular Life Support: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2015; 132: S444-S464 ; Erratum in: Circulation 2015; 132: e385
• 9 Truhlář A, Deakin CD, Soar J et al. Cardiac arrest in special circumstances section. Collaborators. European Resuscitation Council Guidelines for Resuscitation 2015: Section 4. Cardiac arrest in special circumstances. Resuscitation 2015; 95: 148-201
• 10 Brooks SC, Anderson ML, Bruder E et al. Part 6: Alternative Techniques and Ancillary Devices for Cardiopulmonary Resuscitation: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2015; 132: S436-S443
• 11 Li H, Wang D, Yu Y et al. Mechanical versus manual chest compressions for cardiac arrest: a systematic review and meta-analysis. Scand J Trauma Resusc Emerg Med 2016; 24: 10
• 12 Nikolaou NI, Arntz HR, Bellou A et al. Initial management of acute coronary syndromes section Collaborator. European Resuscitation Council Guidelines for Resuscitation 2015 Section 8. Initial management of acute coronary syndromes. Resuscitation 2015; 95: 264-277
• 13 O'Connor RE, Al Ali AS, Brady WJ et al. Part 9: Acute Coronary Syndromes: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2015; 132: S483-S500
• 14 Scholz KH, Maier SK, Jung J et al. Reduction in treatment times through formalized data feedback: results from a prospective multicenter study of ST-segment elevation myocardial infarction. JACC Cardiovasc Interv 2012; 5: 848-857