Sauerstoff in der Notfallmedizin: Nützlich? Schädlich? Überflüssig?

Zusammenfassung

Sauerstoff ist das mit Abstand am häufigsten eingesetzte Notfallmedikament und erfreut sich hoher Akzeptanz. Bei fast jeder Notfalltherapie wird Sauerstoff in z. T. hohen Dosen eingesetzt und besitzt nahezu keine akut sichtbaren Nebenwirkungen. In der jüngeren Vergangenheit erscheinen zunehmend Daten über mögliche negative Effekte einer Hyperoxie besonders nach erfolgreicher Reanimation sowie beim Myokardinfarkt. Für einen rationalen Einsatz von Sauerstoff müssen diese Daten im Kontext der präklinischen Arbeitssituation beachtet und bewertet werden.

Abstract

Oxygen is the most important emergency medication and widely spread in emergency medicine. In most emergencies any doses of oxygen are an essential part of treatment recommendations and obvious adverse effects only seldom can be observed during the emergency treatment. An increasing number of studies show hints to possible adverse effects of hyperoxia following cardiac arrest and in myocardial infarction. These results should be critically reviewed to discuss the best way of emergency treatment out in the field.

Schlüsselwörter

Sauerstoff - Wiederbelebung - Myokardinfarkt

Keywords

oxygen - resuscitation - myocardial infarction

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