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Mechanische Reanimationsgeräte

Mechanical resuscitation machines

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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.

Abstract

Basic life support (BLS), compression and breathing, are the key measures of resuscitation and of paramount importance for survival after cardiac arrest. Even professional rescuers are not able to provide the necessary BLS quality in all patients. Therefore, many mechanical cardiopulmonary resuscitation (CPR) devices were developed in the last decades to optimize compression and organ blood flow during CPR. In this review article CPR devices available in Germany are presented and discussed (ACD-CPR, ANIMAX®, LUCAS™ and AutoPulse®). Concerning current trials and publications a general recommendation for the use of these mechanical CPR devices cannot be given. The results of ongoing randomized clinical trials must be considered before further conclusions can be made. However, a conclusive number of case series and small studies clearly demonstrated that patients and rescuers will benefit from LUCAS™ and AutoPulse® CPR if BLS measures must be performed for a long period, i. e. in the case of pulmonary embolism, hypothermia, or CPR during transportation and coronary intervention.

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  1. Klinik für Anästhesiologie, Operative Intensivmedizin, Notfallmedizin und Schmerztherapie, Klinik am Eichert, Eicherstr. 3, 73035, Göppingen, Deutschland

    M. Fischer, M. Ihli & M. Messelken

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  1. M. Fischer
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Correspondence to M. Fischer.

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Fischer, M., Ihli, M. & Messelken, M. Mechanische Reanimationsgeräte. Notfall Rettungsmed 13, 189–196 (2010). https://doi.org/10.1007/s10049-009-1277-z

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