Zusammenfassung
Es wird über die erfolgreiche Reanimation eines Jugendlichen mithilfe des präkordialen Faustschlags bei beobachteter Asystolie während einer orthopädischen Operation berichtet. Der Patient konnte 10 Tage nach dem Vorfall ohne neurologisches Defizit aus dem Krankenhaus entlassen werden.
Abstract
The case of 16-year-old, ASA I classified patient who suffered cardiac arrest during orthopedic surgery is reported. Return of spontaneous circulation was achieved with a precordial thump. The patient was discharged from hospital without any neurological deficits 10 days after the event.
Literatur
Andresen D (2005) Epidemiologie des akuten Herz-Kreislaufstillstandes. Herzschrittmacherther Elektrophysiol 16:73–77
Auroy Y, Narchi P, Messiah A et al (1997) Serious complications related to regional anesthesia: results of a prospective survey in France. Anesthesiology 87:479–486
Australian Resuscitation Council (2006) Adult advanced life support: Australian Resuscitation Council Guidelines 2006. Emerg Med Australas 18:227–356
Deakin CD, Nolan JP (2005) European Resuscitation Council Guidelines for Resuscitation. Resuscitation 67:25–37
ECC Committee, Subcommittees and Task Forces of the American Heart Association (2005) 2005 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 112 [Suppl 24]:IV1–203
Kohl P, King AM, Boulin C (2005) Anti-arrhythmic effects of acute mechanical stimulation. In: Kohl P, Sachs F, Franz M (Hrsg) Cardiac mechano-electric feedback an arrhythmias: from pipette to patient. Elseviers Saunders, Philadelphia, pp 304–314
Lovstad RZ, Granhus G, Hetland S (2000) Bradycardia and asystolic cardiac arrest during spinal anesthesia: a report of five cases. Acta Anaesthesiol Scand 44:48–52
Mackey DC, Carpenter RL, Thompson GE et al (1989) Bradycardia and asystole during spinal anesthesia: a report of three cases without morbidity. Anesthesiology 70:866–868
Noordin S, McEwen JA, Kragh JF et al (2009) Surgical tourniquets in orthopaedics. J Bone Joint Surg Am 91:2958–2967
Pellis T, Kette F, Lovisa D et al (2009) Utility of pre-cordial thump for treatment of out of hospital cardiac arrest: a prospective study. Resuscitation 80:17–23
Pellis T, Kohl P (2010) Extracorporeal cardiac mechanical stimulation: precordial thump and precordial percussion. Br Med Bull 93:161–177
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Küstermann, J., Tannert, A., Roewer, N. et al. Reanimation durch präkordialen Faustschlag. Anaesthesist 59, 714–716 (2010). https://doi.org/10.1007/s00101-010-1738-2
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DOI: https://doi.org/10.1007/s00101-010-1738-2