Zusammenfassung
Die Datenlage zur Wirksamkeit der therapeutischen Hypothermie in verschiedenen Patientengruppen ist heterogen. Während der Nutzen in manchen Kollektiven belegt ist, beruhen Empfehlungen zum Einsatz der Hypothermietherapie in anderen Gruppen auf weniger robusten Daten und Analogieschlüssen. Der vorliegende Beitrag gibt eine Übersicht über den aktuellen Kenntnisstand des Temperaturmanagements in allen Altersgruppen und empfiehlt bei Kindern jenseits der Neonatalperiode nach einem Atem-Kreislauf-Stillstand oder schwerem Schädel-Hirn-Trauma ein aktiv kontrolliertes Temperaturmanagement, mit dem primären Ziel der strikten Normothermie (36,0–36,5 °C Körperkerntemperatur) für 72 Stunden.
Abstract
The available data on the effectiveness of therapeutic hypothermia in different patient groups are heterogeneous. Although the benefits have been proven for some collectives, recommendations for the use of hypothermia treatment in other groups are based on less robust data and conclusions by analogy. This article gives a review of the current evidence of temperature management in all age groups and based on this state of knowledge, recommends active temperature management with the primary aim of strict normothermia (36–36.5 °C) for 72 hours after cardiopulmonary arrest or severe traumatic brain injury for children beyond the neonatal period.
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Danksagung
Wir möchten uns bei Herrn Dr. Hemmen Sabir für die kritische Durchsicht der Therapieempfehlung herzlich bedanken.
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S. Brenner, C. Eich, G. Rellensmann, M. U. Schuhmann, T. Nicolai und F. Hoffmann geben an, dass kein Interessenkonflikt besteht.
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Brenner, S., Eich, C., Rellensmann, G. et al. Empfehlung zum Temperaturmanagement nach Atem-Kreislauf-Stillstand und schwerem Schädel-Hirn-Trauma im Kindesalter jenseits der Neonatalperiode. Anaesthesist 66, 128–133 (2017). https://doi.org/10.1007/s00101-016-0256-2
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DOI: https://doi.org/10.1007/s00101-016-0256-2
Schlüsselwörter
- Atem-Kreislauf-Stillstand
- Schädel-Hirn-Trauma
- Perinatale Asphyxie
- Postreanimations-Behandlung
- Temperaturmanagement