Therapieempfehlungen in der Reanimation von Kindern

The general management and steps of cardiopulmonary cerebral resuscitation are the same for infants, children and adults: Airway management; Breathing, Cardiac compressions and Drugs to restart circulation and maintain cerebral and myocardial oxygen supply. However, priorities and techniques differ somewhat because of variations in size, physiology and cause of circulatory arrest. In pharmacological support there are several new aspects: The immediate correction of acidosis is not necessary in CPR and iatrogenic alkalosis has deleterious effects. Beta-receptor stimulators and calcium should not be used furthermore in CPR after cardiac arrest. Epinephrine was and is still the drug of choice in resuscitation. Drugs for cerebral resuscitation are still in a state of development.