Hyperbare Oxygenierung bei Kohlenmonoxidintoxikation

ZusammenfassungBei einer Familienfeier kommt es zu einer akzidentellen Kohlenmonoxidintoxikation der gesamten Familie. Betroffen sind 7 Erwachsene und 4 Kinder. Beschrieben werden mögliche Gefahrenstellen, die Pathophysiologie und die Symptome einer Kohlenmonoxidintoxikation im Allgemeinen, wie auch in der Schwangerschaft. Was muss der ersteintreffende Notarzt beachten? Welche Gefahren drohen, wie sieht die Therapie aus und was ist organisatorisch zu bedenken?

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Cardiopulmonary resuscitation during hyperbaric oxygen therapy: a comprehensive review and recommendations for practice

Schmitz,

Liebold,

Hinkelbein

et al. 2023

Scand J Trauma Resusc Emerg Med

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Background Cardiopulmonary resuscitation (CPR) during hyperbaric oxygen therapy (HBOT) presents unique challenges due to limited access to patients in cardiac arrest (CA) and the distinct physiological conditions present during hyperbaric therapy. Despite these challenges, guidelines specifically addressing CPR during HBOT are lacking. This review aims to consolidate the available evidence and offer recommendations for clinical practice in this context. Materials and methods A comprehensive literature search was conducted in PubMed, EMBASE, Cochrane Library, and CINAHL using the search string: “(pressure chamber OR decompression OR hyperbaric) AND (cardiac arrest OR cardiopulmonary resuscitation OR advanced life support OR ALS OR life support OR chest compression OR ventricular fibrillation OR heart arrest OR heart massage OR resuscitation)”. Additionally, relevant publications and book chapters not identified through this search were included. Results The search yielded 10,223 publications, with 41 deemed relevant to the topic. Among these, 18 articles (primarily case reports) described CPR or defibrillation in 22 patients undergoing HBOT. The remaining 23 articles provided information or recommendations pertaining to CPR during HBOT. Given the unique physiological factors during HBOT, the limitations of current resuscitation guidelines are discussed. Conclusions CPR in the context of HBOT is a rare, yet critical event requiring special considerations. Existing guidelines should be adapted to address these unique circumstances and integrated into regular training for HBOT practitioners. This review serves as a valuable contribution to the literature on “CPR under special circumstances”.

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Hyperbare Oxygenierung bei Kohlenmonoxidintoxikation

Cited by 3 publications

References 10 publications

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Akzidentelle Kohlenmonoxidintoxikation bei einer Familienfeier

Cardiopulmonary resuscitation during hyperbaric oxygen therapy: a comprehensive review and recommendations for practice

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