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Notarzt und AutoPulse – ein gutes Duo im präklinischen Rettungsdienst?

Fallbeispiel und Erfahrungsbericht

Emergency physician and AutoPulse – a good duo in preclinical emergency services?

Case example and report on experience

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Zusammenfassung

Das Überleben nach einem Herz-Kreislauf-Stillstand bleibt trotz erheblicher Bemühungen zur Verbesserung der kardiopulmonalen Reanimation (CPR) gering. Die jüngsten Änderungen der Internationalen Reanimationsrichtlinien 2005 betonen die Vermeidung von Unterbrechungen der Thoraxkompressionen. So wurden in der Vergangenheit auch verschiedene Reanimationsassistenzgeräte mit dem Ziel entwickelt, effektive und kontinuierliche Thoraxkompressionen zu erreichen. Eine dieser Entwicklungen stellt das AutoPulse-System dar. Ausgehend von dem Fallbeispiel eines 66-jährigen Patienten wird über den mehr als 3-jährigen Routineeinsatz des AutoPulse-Systems im Rettungsdienst der Stadt Bonn berichtet. Der AutoPulse stellt dieser Erfahrung nach eine sinnvolle Erweiterung und Bereicherung im Rahmen der Effektivitätsverbesserung der CPR dar.

Abstract

Survival rates after cardiac arrest remain poor despite substantial efforts to advance the cardiopulmonary resuscitation algorithm in the last decades. Recent changes in the resuscitation guidelines in 2005 focused on minimizing interruptions during chest compressions. The aim to provide optimal chest compressions led to the development of automated mechanical chest compression devices, one of which is the AutoPulse resuscitation system. A case of successful use of the AutoPulse system in a 66-year-old patient with sudden cardiac arrest is presented and a review is given of more than 3 years experience in the routine use of this mechanical device for CPR in the emergency medical system in Bonn. Based on this experience, the AutoPulse system is considered to be a safe and effective technical advancement that under certain CPR conditions can be a helpful tool and provide an increased quality of chest compressions.

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Interessenkonflikt

Der korrespondierende Autor hat in den letzten 12 Monaten Vorträge auf Fortbildungsveranstaltungen gehalten, die von der Fa. Zoll Medical Deutschland unterstützt wurden. Privatdozent Dr. H. Krep erhielt in den letzten 2 Jahren Honorare für Vorträge von der Firma Zoll Medical Deutschland. Darüber hinaus bestehen keine Verbindungen mit einer Firma, deren Produkt in dem Artikel genannt ist, oder einer Firma, die ein Konkurrenzprodukt vertreibt.

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Authors and Affiliations

  1. Klinik und Poliklinik für Anästhesiologie und Operative Intensivmedizin, Universitätsklinikum,Rheinische Friedrich-Wilhelms-Universität, Sigmund-Freud-Straße 25, 53105, Bonn, Deutschland

    J.-C. Schewe, U. Heister & A. Hoeft

  2. Amt für Feuerwehr und Rettungsdienst der Bundesstadt Bonn, Bonn, Deutschland

    U. Heister

  3. Klinik für Anästhesiologie und Operative Intensivmedizin, Klinikum der Universität zu Köln, Köln, Deutschland

    H. Krep

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  1. J.-C. Schewe
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  2. U. Heister
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  3. A. Hoeft
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  4. H. Krep
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Correspondence to J.-C. Schewe.

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Schewe, JC., Heister, U., Hoeft, A. et al. Notarzt und AutoPulse – ein gutes Duo im präklinischen Rettungsdienst?. Anaesthesist 57, 582–588 (2008). https://doi.org/10.1007/s00101-008-1376-0

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