Post Resuscitation Care – Postreanimationsbehandlung

Nach primär erfolgreicher Reanimation hat die anschließende Behandlung einen entscheidenden Einfluss auf das Patientenoutcome: Nicht nur das Überleben betroffener Patienten kann durch eine optimierte Behandlung verbessert werden, sondern auch das für die Lebensqualität der Patienten entscheidende neurologische Outcome kann positiv beeinflusst werden. Das Management der Folgen eines in unterschiedlicher Ausprägung auftretenden Postreanimationssyndroms wird in der aktuellen Version der ERC-Leitlinie unter dem Kapitel „Postreanimationsbehandlung“ beleuchtet. Ein stufenweises Vorgehen nach einem Algorithmus gibt hierfür die notwendige Struktur.

Abstract

After successful resuscitation, further treatment has a decisive influence regarding patient outcome. Not only overall survival, but also the neurological outcome that is crucial for patients’ quality of life can be positively influenced by optimized post-cardiac arrest treatment. The management of various consequences of post-cardiac arrest syndrome is discussed in the current version of the ERC-guidelines in the chapter “post resuscitation care”. A step-by-step approach based on an algorithm provides the necessary structure. The immediate treatment and stabilization of patients after ROSC is followed by the diagnosis of the triggering pathology in order to initiate adequate therapy. During the subsequent intensive care treatment, the focus is on optimizing neurological recovery.

Schlüsselwörter

Postreanimationssyndrom - Temperaturmanagement - intensivmedizinisches Monitoring

Keywords

post resuscitation care - post-cardiac arrest syndrome - temperature management - intensive care monitoring

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