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Notfall + Rettungsmedizin
Erschienen in:

01.05.2010 | Leitthema

Mechanische Reanimationsgeräte

verfasst von: Prof. Dr. M. Fischer, M. Ihli, M. Messelken

Erschienen in: Notfall + Rettungsmedizin | Ausgabe 3/2010

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Zusammenfassung

Die Basismaßnahmen – Thoraxkompression und Beatmung – sind die Kernmaßnahmen der Reanimation und entscheidend für Erfolg und Misserfolg. Auch professionelle Helfer sind nicht immer in der Lage, die notwendige Qualität der Maßnahmen zu garantieren. Insofern wurden schon viele Geräte für die mechanische Reanimation entwickelt, um die Thoraxkompression und den daraus resultierenden passiven Notkreislauf zu optimieren. Im vorliegenden Artikel werden die in Deutschland derzeit verfügbaren mechanischen Reanimationssysteme vorgestellt und erläutert (ACD-CPR, ANIMAX®, LUCAS™ und AutoPulse®). Eine generelle Empfehlung zum Einsatz von mechanischen Reanimationsgeräten kann anhand der derzeitigen Datenlage nicht gegeben werden. Die Ergebnisse der aktuell laufenden, prospektiv randomisierten Untersuchungen sollten abgewartet werden, bis weitere Schlüsse gezogen werden können. Fallserien und kleinere Studien zeigen, dass in Einzelfällen (z. B. bei Hypothermie, Lungenembolie sowie Transport oder im Falle von koronarer Intervention bei fortbestehendem Herz-Kreislauf-Stillstand) ausgewählte Patienten von diesen Geräten (LUCAS™ und AutoPulse®) profitieren könnten.
Vorheriger Artikel Kardiopulmonale Reanimation (CPR) – Techniken und Geräte
Nächster Artikel Defibrillatoren
Literatur
1.
Gräsner JT, Meybohm P, Fischer M et al (2009) A national resuscitation registry of out-of-hospital cardiac arrest in Germany-A pilot study. Resuscitation 80: 199–203CrossRefPubMed
2.
Gräsner J-T, Messelken M, Scholz J, Fischer M (2006) Das Reanimationsregister der DGAI. Anasthesiol Intensivmed 47:630–631
3.
Atwood C, Eisenberg MS, Herlitz J, Rea TD (2005) Incidence of EMS-treated out-of-hospital cardiac arrest in Europe. Resuscitation 67:75–80CrossRefPubMed
4.
Yakaitis RW, Ewy GA, Otto CW et al (1980) Influence of time and therapy on ventricular defibrillation in dogs. Crit Care Med 8:157–163CrossRefPubMed
5.
Palmer BS, Hadziahmetovic M, Veci T, Angelos MG (2004) Global ischemic duration and reperfusion function in the isolated perfused rat heart. Resuscitation 62:97–106CrossRefPubMed
6.
Handley AJ, Koster R, Monsieurs K et al (2005) European resuscitation council guidelines for resuscitation 2005 section 2. Adult basic life support and use of automated external defibrillators. Resuscitation 67(Suppl 1):7–23CrossRef
7.
(n a) (2005) American heart association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation 112:IV1–IV203
8.
Wik L, Kramer-Johansen J, Myklebust H et al (2005) Quality of cardiopulmonary resuscitation during out-of-hospital cardiac arrest. JAMA 293:299–304CrossRefPubMed
9.
Abella BS, Sandbo N, Vassilatos P et al (2005) Chest compression rates during cardiopulmonary resuscitation are suboptimal: a prospective study during in-hospital cardiac arrest. Circulation 111:428–434CrossRefPubMed
10.
Pernat A, Weil MH, Sun S, Tang W (2003) Stroke volumes and end-tidal carbon dioxide generated by precordial compression during ventricular fibrillation. Crit Care Med 31:1819–1823CrossRefPubMed
11.
Bartlett RL, Stewart NJ Jr, Raymond J et al (1984) Comparative study of three methods of resuscitation: closed-chest, open- chest manual and direct mechanical ventricular assistance. Ann Emerg Med 13:773–777CrossRefPubMed
12.
Fischer M, Dahmen A, Standop J et al (2002) Effects of hypertonic saline on myocardial blood flow in a porcine model of prolonged cardiac arrest. Resuscitation 54:269–280CrossRefPubMed
13.
Halperin H, Berger R, Chandra N et al (2000) Cardiopulmonary resuscitation with a hydraulic-pneumatic band. Crit Care Med 28(suppl):N203–N206CrossRefPubMed
14.
Halperin HR, Tsitlik JE, Gelfand M et al (1993) A preliminary study of cardiopulmonary resuscitation by circumferential compression of the chest with use of a pneumatic vest. N Engl J Med 329:762–768CrossRefPubMed
15.
Halperin HR, Guerci AD, Chandra N et al (1986) Vest inflation without simultaneous ventilation during cardiac arrest in dogs: improved survival from prolonged cardiopulmonary resuscitation. Circulation 74:1407–1415PubMed
16.
Mauer DK, Nolan J, Plaisance P et al (1999) Effect of active compression-decompression resuscitation (ACD-CPR) on survival: a combined analysis using individual patient data. Resuscitation 41:249–256CrossRefPubMed
17.
Skogvoll E, Wik L (1999) Active compression-decompression cardiopulmonary resuscitation: a population-based, prospective randomised clinical trial in out-of-hospital cardiac arrest. Resuscitation 42:163–172CrossRefPubMed
18.
Klintschar M, Darok M, Radner H (1998) Massive injury to the heart after attempted active compression-decompression cardiopulmonary resuscitation. Int J Legal Med 111:93–96CrossRefPubMed
19.
Plaisance P, Adnet F, Vicaut E et al (1997) Benefit of active compression-decompression cardiopulmonary resuscitation as a prehospital advanced cardiac life support: a randomized multicenter study. Circulation 95:955–961PubMed
20.
Panzer W, Bretthauer M, Klingler H et al (1996) ACD versus standard CPR in a prehospital setting. Resuscitation 33:117–124CrossRefPubMed
21.
Mauer D, Schneider T, Dick W et al (1996) Active compression-decompression resuscitation: a prospective, randomized study in a two-tiered EMS system with physicians in the field. Resuscitation 33:125–134CrossRefPubMed
22.
Stiell IG, Hebert PC, Wells GA et al (1996) The Ontario trial of active compression-decompression cardiopulmonary resuscitation for in-hospital and prehospital cardiac arrest. JAMA 275:1417–1423CrossRefPubMed
23.
Luiz T, Ellinger K, Denz C (1996) Active compression-decompression cardiopulmonary resuscitation does not improve survival in patients with prehospital cardiac arrest in a physician-manned emergency medical system. J Cardiothorac Vasc Anesth 10:178–186CrossRefPubMed
24.
Schwab TM, Callaham ML, Madsen CD, Utecht TA (1995) A randomized clinical trial of active compression-decompression CPR vs standard CPR in out-of-hospital cardiac arrest in two cities. JAMA 273:1261–1268CrossRefPubMed
25.
Cohen T, Goldner B, Maccaro P et al (1993) A comparison of active compression-decompression cardiopulmonary resuscitation with standard cardiopulmonary resuscitation for cardiac arrests occurring in the hospital. N Engl J Med 329:1918–1921CrossRefPubMed
26.
Plaisance P, Lurie KG, Vicaut E et al (2004) Evaluation of an impedance threshold device in patients receiving active compression-decompression cardiopulmonary resuscitation for out of hospital cardiac arrest. Resuscitation 61:265–271CrossRefPubMed
27.
Wolcke BB, Mauer DK, Schoefmann MF et al (2003) Comparison of standard cardiopulmonary resuscitation versus the combination of active compression-decompression cardiopulmonary resuscitation and an inspiratory impedance threshold device for out-of-hospital cardiac arrest. Circulation 108:2201–2205CrossRefPubMed
28.
Pfeiffer TE, Klaus (2009) Vergleich von Thoraxkompressionen einer manuellen kardiopulmonalen Reanimation mit einer Reanimation mithilfe des mechanischen Gerätes ANIMAX am Simulator. Dissertation Ruprecht-Karls-Universität Heidelberg
29.
Plappert T, Behrendt I, Schmitt C, Greim CA (2008) Mechanical device enables single first-responders to be as effective as trained BLS-Teams. EUSEM Abstract
30.
Axelsson C, Nestin J, Svensson L et al (2006) Clinical consequences of the introduction of mechanical chest compression in the EMS system for treatment of out-of-hospital cardiac arrest-A pilot study. Resuscitation 71:47–55CrossRefPubMed
31.
Smekal D, Johansson J, Huzevka T, Rubertsson S (2009) No difference in autopsy detected injuries in cardiac arrest patients treated with manual chest compressions compared with mechanical compressions with the LUCAS device – a pilot study. Resuscitation 80:1104–1107CrossRefPubMed
32.
Larsen AI, Hjornevik AS, Ellingsen CL, Nilsen DW (2007) Cardiac arrest with continuous mechanical chest compression during percutaneous coronary intervention. A report on the use of the LUCAS device. Resuscitation 75:454–459CrossRefPubMed
33.
Steen S, Liao Q, Pierre L et al (2002) Evaluation of LUCAS, a new device for automatic mechanical compression and active decompression resuscitation. Resuscitation 55:285–299CrossRefPubMed
34.
Wagner H, Terkelsen CJ, Friberg H et al (2010) Cardiac arrest in the catheterisation laboratory: A 5-year experience of using mechanical chest compressions to facilitate PCI during prolonged resuscitation efforts. Resuscitation 81:383–387CrossRefPubMed
35.
Bonnemeier H, Olivecrona G, Simonis G et al (2009) Automated continuous chest compression for in-hospital cardiopulmonary resuscitation of patients with pulseless electrical activity: a report of five cases. Int J Cardiol 136:e39–e50CrossRefPubMed
36.
Steen S, Liao Q, Pierre L et al (2004) Continuous intratracheal insufflation of oxygen improves the efficacy of mechanical chest compression-active decompression CPR. Resuscitation 62:219–227CrossRefPubMed
37.
Deakin CD, O’Neill JF, Tabor T (2007) Does compression-only cardiopulmonary resuscitation generate adequate passive ventilation during cardiac arrest? Resuscitation 75:53–59CrossRefPubMed
38.
Casner M, Andersen D, Isaacs SM (2005) The impact of a new CPR assist device on rate of return of spontaneous circulation in out-of-hospital cardiac arrest. Prehosp Emerg Care 9:61–67CrossRefPubMed
39.
Halperin HR, Paradis N, Ornato JP et al (2004) Cardiopulmonary resuscitation with a novel chest compression device in a porcine model of cardiac arrest: improved hemodynamics and mechanisms. J Am Coll Cardiol 44:2214–2220CrossRefPubMed
40.
Timerman S, Cardoso LF, Ramires JA, Halperin H (2004) Improved hemodynamic performance with a novel chest compression device during treatment of in-hospital cardiac arrest. Resuscitation 61:273–280CrossRefPubMed
41.
Ong ME, Ornato JP, Edwards DP et al (2006) Use of an automated, load-distributing band chest compression device for out-of-hospital cardiac arrest resuscitation. JAMA 295:2629–2637CrossRefPubMed
42.
Hallstrom A, Rea TD, Sayre MR et al (2006) Manual chest compression vs use of an automated chest compression device during resuscitation following out-of-hospital cardiac arrest: a randomized trial. JAMA 295:2620–2628CrossRefPubMed
43.
Risom M, Jorgensen H, Rasmussen LS, Sorensen AM (2009) Resuscitation, prolonged cardiac arrest and an automated chest compression device. J Emerg Med
44.
Morozumi J, Sakurai E, Matsuno N et al (2009) Successful kidney transplantation from donation after cardiac death using a load-distributing-band chest compression device during long warm ischemic time. Resuscitation 80:278–280CrossRefPubMed
45.
Schewe JC, Heister U, Hoeft A, Krep H (2008) Emergency physician and autopulse – a good duo in preclinical emergency services?: case example and report on experience. Anaesthesist 57:582–588CrossRefPubMed
46.
Krep H, Mamier M, Breil M et al (2007) Out-of-hospital cardiopulmonary resuscitation with the autopulse system: a prospective observational study with a new load-distributing band chest compression device. Resuscitation 73:86–95CrossRefPubMed
47.
Hoke RS, Chamberlain D (2004) Skeletal chest injuries secondary to cardiopulmonary resuscitation. Resuscitation 63:327–338CrossRefPubMed
48.
Adams HA, Schmitz CS, Block G, Schlichting C (1995) Intra-abdominal bleeding after myocardial infarction with cardiopulmonary resuscitation and thrombolytic therapy. Anaesthesist 44:585–589CrossRefPubMed
49.
Kern KB, Carter AB, Showen RL et al (1986) CPR-induced trauma: comparison of three manual methods in an experimental model. Ann Emerg Med 15:674–679CrossRefPubMed
50.
Nolan JP, Deakin CD, Soar J et al (2005) European resuscitation council guidelines for resuscitation 2005 section 4. Adult advanced life support. Resuscitation 67(Suppl 1):S39–S86CrossRefPubMed
51.
Rabl W, Baubin M, Broinger G, Scheithauer R (1996) Serious complications from active compression-decompression cardiopulmonary resuscitation. Int J Legal Med 109:84–89CrossRefPubMed
52.
Wind J, Bekkers SC, Hooren LJ van, Heurn LW van (2009) Extensive injury after use of a mechanical cardiopulmonary resuscitation device. Am J Emerg Med 27:1017 e1–e2CrossRefPubMed
53.
Hart AP, Azar VJ, Hart KR, Stephens BG (2005) Autopsy artifact created by the revivant autopulse resuscitation device. J Forensic Sci 50:164–168PubMed
54.
Wik L, Hansen TB, Fylling F et al (2003) Delaying defibrillation to give basic cardiopulmonary resuscitation to patients with out-of-hospital ventricular fibrillation: a randomized trial. JAMA 289:1389–1395CrossRefPubMed
55.
Deakin CD, Nolan JP (2005) European resuscitation council guidelines for resuscitation 2005 section 3. Electrical therapies: Automated external defibrillators, defibrillation, cardioversion and pacing. Resuscitation 67(Suppl 1):25–37CrossRef
56.
Cohen TJ, Tucker KJ, Lurie KG et al (1992) Active compression-decompression. A new method of cardiopulmonary resuscitation. Cardiopulmonary resuscitation working group. JAMA 267:2916–2923CrossRefPubMed
57.
Lindner KH, Pfenninger EG, Lurie KG et al (1993) Effects of active compression-decompression resuscitation on myocardial and cerebral blood flow in pigs. Circulation 88:1254–1263PubMed
58.
Orliaguet GA, Carli PA, Rozenberg A et al (1995) End-tidal carbon dioxide during out-of-hospital cardiac arrest resuscitation: comparison of active compression-decompression and standard CPR. Ann Emerg Med 25:48–51CrossRefPubMed
59.
Chang MW, Coffeen P, Lurie KG et al (1994) Active compression-decompression CPR improves vital organ perfusion in a dog model of ventricular fibrillation. Chest 106:1250–1259CrossRefPubMed
60.
Shultz JJ, Coffeen P, Sweeney M et al (1994) Evaluation of standard and active compression-decompression CPR in an acute human model of ventricular fibrillation. Circulation 89:684–693PubMed
61.
Lurie KG, Shultz JJ, Callaham ML et al (1994) Evaluation of active compression-decompression CPR in victims of out-of- hospital cardiac arrest. JAMA 271:1405–1411CrossRefPubMed
62.
Axelsson C, Karlsson T, Axelsson AB, Herlitz J (2009) Mechanical active compression-decompression cardiopulmonary resuscitation (ACD-CPR) versus manual CPR according to pressure of end tidal carbon dioxide (P(ET)CO2) during CPR in out-of-hospital cardiac arrest (OHCA). Resuscitation 80:1099–1103CrossRefPubMed
63.
Shultz JJ, Mianulli MJ, Gisch TM et al (1995) Comparison of exertion required to perform standard and active compression-decompression cardiopulmonary resuscitation. Resuscitation 29:23–31CrossRefPubMed
64.
Iwami T, Nichol G, Hiraide A et al (2009) Continuous improvements in „chain of survival“ increased survival after out-of-hospital cardiac arrests: a large-scale population-based study. Circulation 119:728–734CrossRefPubMed
65.
Steinmetz J, Barnung S, Nielsen SL et al (2008) Improved survival after an out-of-hospital cardiac arrest using new guidelines. Acta Anaesthesiol Scand 52:908–913PubMedCrossRef
66.
Werling M, Thoren AB, Axelsson C, Herlitz J (2007) Treatment and outcome in post-resuscitation care after out-of-hospital cardiac arrest when a modern therapeutic approach was introduced. Resuscitation 73: 40–45CrossRefPubMed
67.
Abella BS, Edelson DP, Kim S et al (2007) CPR quality improvement during in-hospital cardiac arrest using a real-time audiovisual feedback system. Resuscitation 73:54–61CrossRefPubMed
68.
Sunde K, Pytte M, Jacobsen D et al (2007) Implementation of a standardised treatment protocol for post resuscitation care after out-of-hospital cardiac arrest. Resuscitation 73:29–39CrossRefPubMed
69.
Olasveengen TM, Sunde K, Brunborg C et al (2009) Intravenous drug administration during out-of-hospital cardiac arrest: a randomized trial. JAMA 302:2222–2229CrossRefPubMed
70.
Nolan JP, Soar J (2008) Post resuscitation care – time for a care bundle? Resuscitation 76:161–162CrossRefPubMed
71.
Nolan JP, Neumar RW, Adrie C et al (2009) Post-cardiac arrest syndrome: Epidemiology, pathophysiology, treatment and prognostication: A scientific statement from the International Liaison Committee on Resuscitation; the American Heart Association Emergency Cardiovascular Care Committee; the Council on Cardiovascular Surgery and Anesthesia; the Council on Cardiopulmonary, Perioperative and Critical Care; the Council on Clinical Cardiology; the Council on Stroke (Part 1). Int Emerg Nurs 17:203–225CrossRefPubMed
72.
Fischer M, Böttiger BW, Popov-Cenic S, Hossmann KA (1996) Thrombolysis using plasminogen activator and heparin reduces cerebral no-reflow after resuscitation from cardiac arrest: an experimental study in the cat. Intensive Care Med 22:1214–1223CrossRefPubMed
73.
Fischer M, Hossmann KA (1996) Volume expansion during cardiopulmonary resuscitation reduces cerebral no-reflow. Resuscitation 32:227–240CrossRefPubMed
74.
Fischer M, Hossmann KA (1995) No-reflow after cardiac arrest. Intensive Care Med 21:132–141CrossRefPubMed
75.
Gesundheitsberichtserstattung des Bundes; URL: http://​www.​gbe-bund.​de
Metadaten
Titel
Mechanische Reanimationsgeräte
verfasst von
Prof. Dr. M. Fischer
M. Ihli
M. Messelken
Publikationsdatum
01.05.2010
Verlag
Springer-Verlag
Erschienen in
Notfall + Rettungsmedizin / Ausgabe 3/2010
Print ISSN: 1434-6222
Elektronische ISSN: 1436-0578
DOI
https://doi.org/10.1007/s10049-009-1277-z

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