Eich, Christoph Bernhard

[["dc.bibliographiccitation.firstpage","105"],["dc.bibliographiccitation.issue","2"],["dc.bibliographiccitation.journal","Notfall + Rettungsmedizin"],["dc.bibliographiccitation.lastpage","112"],["dc.bibliographiccitation.volume","11"],["dc.contributor.author","Roessler, M."],["dc.contributor.author","Lott, C."],["dc.contributor.author","Timmermann, Arnd"],["dc.contributor.author","Russo, Sebastian Giuseppe"],["dc.contributor.author","Graf, Bernhard Martin"],["dc.contributor.author","Eich, Christoph B."],["dc.date.accessioned","2018-11-07T11:17:59Z"],["dc.date.available","2018-11-07T11:17:59Z"],["dc.date.issued","2008"],["dc.description.abstract","November 28(th) 2005 the revised guidelines for resuscitation have been published by the European Resuscitation Council (ERC). Subsequently the modifications and innovations not only had to be passed on to lay persons and professionals but also as soon as possible to medical students. With commencement of the new regulations for the license to practice medicine (Approbationsordnung fur Arzte) on October 1(st) 2003, Emergency Medicine is an independent cross-section subject within the curriculum for a medical degree since summer-semester 2004. With this the structural prerequisites for teaching cardiopulmonary resuscitation according to the guidelines already had been established. Thereby it already has been possible to adapt the content of teaching with the summer-semester 2006. This article describes what methods are feasible to teach cardiopulmonary resuscitation according to the ERC guidelines 2005, how they can be examined and what efforts are necessary for realization."],["dc.identifier.doi","10.1007/s10049-008-1023-y"],["dc.identifier.isi","000254513100007"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/54940"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.relation.issn","1434-6222"],["dc.title","Implementation of the resuscitation guidelines 2005 in student education"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","53"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","Der Anaesthesist"],["dc.bibliographiccitation.lastpage","62"],["dc.bibliographiccitation.volume","56"],["dc.contributor.author","Timmermann, Arnd"],["dc.contributor.author","Eich, Christoph B."],["dc.contributor.author","Russo, Sebastian Giuseppe"],["dc.contributor.author","Barwing, Juergen"],["dc.contributor.author","Hirn, Attila"],["dc.contributor.author","Rode, H."],["dc.contributor.author","Heuer, J. F."],["dc.contributor.author","Heise, Daniel"],["dc.contributor.author","Nickel, E."],["dc.contributor.author","Klockgether-Radke, Adelbert"],["dc.contributor.author","Graf, Bernhard Martin"],["dc.date.accessioned","2018-11-07T11:05:52Z"],["dc.date.available","2018-11-07T11:05:52Z"],["dc.date.issued","2007"],["dc.description.abstract","Since 1st October 2003 the new German \"Approbationsordnung fur Arzte\" (Medical Licensing Regulations) requires an increasing amount of small group teaching sessions and encourages a multidisciplinary and more practical approach to the related topics. In 2004 the German Society of Anaesthesiology and Intensive Care Medicine has provided almost all anaesthesia faculties of German Universities with equipment for full-scale simulation. This article describes methods for a simulation-based medical education training programm. Basic requirements for a successful training programm using full scale simulators are the provision of an adequate logistical and material infrastructure, teacher attendance of train-the-trainer courses, implementation in the medical curriculum and an instructor-student ratio of 1:3, equivalent to that for bedside teaching. If these requirements were fulfilled, medical students scored the simulation scenarios \"induction of anaesthesia\", \"acute pulmonary embolism\", \"acute management of a multiple trauma patient\" and \"postoperative hypotension\" as 1.5, 1.6, 1.5 and 1.5, respectively, on a scale of 1-6. These scores were better than those given for other segments of the curriculum."],["dc.identifier.doi","10.1007/s00101-006-1107-3"],["dc.identifier.isi","000243767000007"],["dc.identifier.pmid","17077933"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/52169"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.relation.issn","0003-2417"],["dc.title","Teaching and simulation. Methods, demands, evaluation and visions"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","888"],["dc.bibliographiccitation.issue","8"],["dc.bibliographiccitation.journal","Resuscitation"],["dc.bibliographiccitation.lastpage","892"],["dc.bibliographiccitation.volume","80"],["dc.contributor.author","Eich, Christoph B."],["dc.contributor.author","Russo, Sebastian Giuseppe"],["dc.contributor.author","Heuer, J. F."],["dc.contributor.author","Timmermann, Arnd"],["dc.contributor.author","Gentkow, Uta"],["dc.contributor.author","Quintel, Michael"],["dc.contributor.author","Roessler, Markus"],["dc.date.accessioned","2018-11-07T08:27:33Z"],["dc.date.available","2018-11-07T08:27:33Z"],["dc.date.issued","2009"],["dc.description.abstract","Background: In Germany, as in many other countries, for the vast majority of cases, critical out-of-hospital (OOH) paediatric emergencies are attended by non-specialised emergency physicians (EPs). As it is assumed that this may lead to deficient service we aimed to gather robust data on the characteristics of OOH paediatric emergencies. Methods: We retrospectively evaluated all OOH paediatric emergencies (0-14years) within a 9-year period and attended by physician-staffed ground- or helicopter-based emergency medical service (EMS or HEMS) teams from our centre. Results: We identified 2271 paediatric emergencies, making up 6.3% of all cases (HEMS 8.5%). NACA scores IV-VII were assigned in 27.3% (HEMS 32.0%). The leading diagnosis groups were age dependent: respiratory disorders (infants 34.5%, toddlers 21.8%, school children 15.0%), convulsions (17.2%, 43.2%, and 16.0%, respectively), and trauma (16.0%, 19.5%, and 44.4%, respectively). Endotracheal intubation was performed in 4.2% (HEMS 7.6%) and intraosseous canulation in 0.7% (HEMS 1.0%) of children. Cardiopulmonary resuscitation (CPR) was commenced in 2.3% (HEMS 3.4%). Thoracocentesis, chest drain insertion and defibrillation were rarities. HEMS physicians attended a particularly high fraction of drowning (80.0%). head injury (73.9%) and SIDS (60.0%) cases, whereas 75.6% of all respiratory emergencies were attended by ground-based EPs. Conclusions: Our data suggest that EPs need to be particularly confident with the care of children suffering respiratory disorders, convulsions, and trauma. The incidence of severe paediatric OOH emergencies requiring advanced interventions is higher in HEMS-attended cases. However, well-developed skills in airway management, CPR, and intraosseous canulation in children are essential for all EPs. (C) 2009 Elsevier Ireland Ltd. All rights reserved."],["dc.identifier.doi","10.1016/j.resuscitation.2009.05.008"],["dc.identifier.isi","000268862100010"],["dc.identifier.pmid","19520484"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/6223"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/16228"],["dc.notes.intern","Merged from goescholar"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Elsevier Ireland Ltd"],["dc.relation.issn","0300-9572"],["dc.rights","Goescholar"],["dc.rights.uri","https://goescholar.uni-goettingen.de/licenses"],["dc.title","Characteristics of out-of-hospital paediatric emergencies attended by ambulance- and helicopter-based emergency physicians"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","1371"],["dc.bibliographiccitation.issue","12"],["dc.bibliographiccitation.journal","Resuscitation"],["dc.bibliographiccitation.lastpage","1377"],["dc.bibliographiccitation.volume","80"],["dc.contributor.author","Eich, Christoph B."],["dc.contributor.author","Roessler, Markus"],["dc.contributor.author","Nemeth, Marcus"],["dc.contributor.author","Russo, Sebastian Giuseppe"],["dc.contributor.author","Heuer, J. F."],["dc.contributor.author","Timmermann, Arnd"],["dc.date.accessioned","2018-11-07T11:21:46Z"],["dc.date.available","2018-11-07T11:21:46Z"],["dc.date.issued","2009"],["dc.description.abstract","Aim: To collect data regarding prehospital paediatric tracheal intubation by emergency physicians skilled in advanced airway management. Methods: A prospective 8-year observational study of a single emergency physician-staffed emergency medical service. Self-reporting by emergency physicians of all children aged 0-14 years who had prehospital tracheal intubation and were attended by either anaesthesia-trained emergency physicians (group 1) or by a mixture of anaesthesia and non-anaesthesia-trained emergency physicians (group 2). Results: Eighty-two out of 2040 children (4.0%) had prehospital tracheal intubation (58 in group 1). The most common diagnoses were trauma (50%; in school children, 73.0%), convulsions (13.4%) and SIDS (12.2%: in infants, 58.8%). The overall tracheal intubation success rate was 57 out of 58 attempts (98.3%). Compared to older children, infants had a higher number of Cormack-Lehane scores of 3 or 4, \"difficult to intubate\" status (both 3 Out of 13; 23.1%) and a lower first attempt Success Fate for tracheal intubation (p = 0.04). Among all 82 children 71 (86.6%) survived to hospital admission and 63 (76.8%) to discharge. Of the 63 survivors, 54 (85.7%) demonstrated a favourable OF Unchanged neurological outcome (PCPC 1-3). The survival and neurological outcomes of infants were inferior compared to older children (p < 0.001). On average an emergency physician performed one prehospital tracheal intubation in 3 years in a child and one in 13 years in an infant. Conclusions: Anaesthesia-trained emergency physicians working in our system report high success rates for prehospital tracheal intubation in children. Survival and neurological Outcomes were considerably better than reported in previous Studies. (C) 2009 Elsevier Ireland Ltd. All rights reserved."],["dc.identifier.doi","10.1016/j.resuscitation.2009.09.004"],["dc.identifier.isi","000273575400010"],["dc.identifier.pmid","19804939"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/55856"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Elsevier Ireland Ltd"],["dc.relation.issn","0300-9572"],["dc.title","Characteristics and outcome of prehospital paediatric tracheal intubation attended by anaesthesia-trained emergency physicians"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","876"],["dc.bibliographiccitation.issue","9"],["dc.bibliographiccitation.journal","Der Anaesthesist"],["dc.bibliographiccitation.lastpage","883"],["dc.bibliographiccitation.volume","58"],["dc.contributor.author","Eich, Christoph B."],["dc.contributor.author","Roessler, M."],["dc.contributor.author","Timmermann, Arnd"],["dc.contributor.author","Heuer, J. F."],["dc.contributor.author","Gentkow, Uta"],["dc.contributor.author","Albrecht, B."],["dc.contributor.author","Russo, Sebastian Giuseppe"],["dc.date.accessioned","2018-11-07T11:24:30Z"],["dc.date.available","2018-11-07T11:24:30Z"],["dc.date.issued","2009"],["dc.description.abstract","Out-of-hospital (OOH) pediatric emergencies have a relatively low prevalence. In Germany the vast majority of cases are attended by non-specialized emergency physicians (EPs) for whom these are not routine procedures. This may lead to insecurity and fear. However, it is unknown how EPs perceive and assess pediatric emergencies and how they could be better prepared for them. All active EPs (n=50) of the Department of Anaesthesiology, Emergency and Intensive Care Medicine at the University Medical Centre of Gottingen were presented with a structured questionnaire in order to evaluate their perception and assessment of OOH pediatric emergencies. The 43 participating EPs made highly detailed statements on the expected characteristics of OOH pediatric emergencies. Their confidence level grew with the children's age (p < 0.03) and with their own experience (p < 0.01). The EPs felt particular deficits in the fields of cardiopulmonary resuscitation (n=18) and trauma management (n=8). The preferred educational strategies included simulator-based training (n=24) as well as more exposure to pediatric intensive care and pediatric anesthesia (n=12). Despite their own limited experience EPs can realistically assess the incidence and severity of pediatric emergencies. They felt the greatest deficits were in the care of infrequent but life-threatening emergencies. Three educational groups can be differentiated: knowledge and skills to be gained with children in hospital, clinical experience from adult care also applicable in children and rare diagnoses and interventions to be trained with manikins or simulators."],["dc.identifier.doi","10.1007/s00101-009-1603-3"],["dc.identifier.isi","000270439100003"],["dc.identifier.pmid","19693447"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/56420"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.relation.issn","0003-2417"],["dc.title","Out-of-hospital pediatric emergencies. Perception and assessment by emergency physicians"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","286"],["dc.bibliographiccitation.issue","2"],["dc.bibliographiccitation.journal","BJA British Journal of Anaesthesia"],["dc.bibliographiccitation.lastpage","291"],["dc.bibliographiccitation.volume","99"],["dc.contributor.author","Timmermann, Arnd"],["dc.contributor.author","Russo, Sebastian Giuseppe"],["dc.contributor.author","Rosenblatt, William H."],["dc.contributor.author","Eich, Christoph B."],["dc.contributor.author","Barwing, Juergen"],["dc.contributor.author","Roessler, M."],["dc.contributor.author","Graf, Bernhard Martin"],["dc.date.accessioned","2018-11-07T10:59:48Z"],["dc.date.available","2018-11-07T10:59:48Z"],["dc.date.issued","2007"],["dc.description.abstract","Background. Out-of-hospital airway management is a critical skill, demanding expert knowledge and experience. The intubating laryngeal mask airway (ILMA) is a ventilatory and intubating device which may be of value in this arena. We evaluated the ILMA for out-of-hospital management of the difficult airway. Methods. Twenty-one anaesthesia-trained emergency physicians (EPs) completed a training programme and used the ILMA in patients with difficult-to-manage airways. Indications for use of the ILMA included patients with difficult laryngoscopy, multiple intubation attempts, limited access to the patient's head, presence of pharyngo-laryngeal trauma; and gastric fluids or bleeding obscuring the view of the vocal cords. Results. During the study period, 146 of 2513 patients underwent tracheal intubation or alternate rescue airway insertion. In 135 patients, laryngoscopy was performed and Cormack-Lehane view was recorded as grade I in 72 (53.3%), II in 45 (33.3%), III in 10 (7.4%), and IV in 8 (5.9%). EPs encountered I I patients (7.5%) with difficult-to-manage airways. ILMA insertion and ventilation was possible in 10 patients in the first and one patient in the second attempt. ILMA-guided tracheal intubation was successful in all patients, in 10 after the first and in I after two attempts. Conclusions. In this study, ventilation and intubation with ILMA was successful in all patients with difficult-to-manage airways. Our data support the use of the ILMA as rescue device for out-of-hospital airway management by staff who have appropriate airway skills and have received appropriate training."],["dc.identifier.doi","10.1093/bja/aem136"],["dc.identifier.isi","000248683000022"],["dc.identifier.pmid","17584849"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/50781"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Oxford Univ Press"],["dc.relation.issn","0007-0912"],["dc.title","Intubating laryngeal mask airway for difficult out-of-hospital airway management: A prospective evaluation"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","70"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","Der Anaesthesist"],["dc.bibliographiccitation.lastpage","80"],["dc.bibliographiccitation.volume","57"],["dc.contributor.author","Russo, Sebastian Giuseppe"],["dc.contributor.author","Eich, Christoph B."],["dc.contributor.author","Roessler, M."],["dc.contributor.author","Graf, Bernhard Martin"],["dc.contributor.author","Quintel, M."],["dc.contributor.author","Timmermann, Arnd"],["dc.date.accessioned","2018-11-07T11:19:20Z"],["dc.date.available","2018-11-07T11:19:20Z"],["dc.date.issued","2008"],["dc.description.abstract","Severe clinical incidents occur in up to 10% of all non-intensive care unit (ICU) patients, which have an estimated mortality of 5-8%. As in the prehospital setting, early clinical warning signs can be identified in the majority of cases. Studies suggest that introduction of an in-hospital medical emergency team (MET) which responds to objective criteria of physiological deterioration, may effectively reduce the incidence of in-hospital cardiac arrests as well as unanticipated or readmissions to the ICU. According to this concept, METs would evaluate and treat non-ICU patients at risk at an early stage before a potentially fatal deterioration of cardiorespiratory parameters occurs. This article reviews available data on preventive in-hospital intensive care medicine and reflects on the circumstances for an implementation of METs in Germany, Austria and Switzerland."],["dc.identifier.doi","10.1007/s00101-007-1271-0"],["dc.identifier.isi","000252689900010"],["dc.identifier.pmid","17960348"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/55251"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.relation.issn","0003-2417"],["dc.title","Medical emergency teams. Current situation and perspectives of preventive in-hospital intensive care medicine"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","179"],["dc.bibliographiccitation.issue","2"],["dc.bibliographiccitation.journal","Der Anaesthesist"],["dc.bibliographiccitation.lastpage","184"],["dc.bibliographiccitation.volume","55"],["dc.contributor.author","Eich, Christoph B."],["dc.contributor.author","Russo, Sebastian Giuseppe"],["dc.contributor.author","Timmermann, Arnd"],["dc.contributor.author","Nickel, E. A."],["dc.contributor.author","Graf, Bernhard Martin"],["dc.date.accessioned","2018-11-07T10:19:55Z"],["dc.date.available","2018-11-07T10:19:55Z"],["dc.date.issued","2006"],["dc.description.abstract","Anaesthesia and emergency medical care for infants and toddlers is often associated with high clinical demands and specific challenges. Nevertheless, a significant proportion of interventions is performed by anaesthetists; and emergency physicians with no specialised paediatric training and little experience in the management of anaesthetic incidents and emergencies specific to these age groups. Extensive studies have demonstrated a close inverse correlation between the level of specialisation and perioperative morbidity and mortality. However, clinical circumstances and the relatively small number of paediatric cases at many institutions often hinder the establishment of improved training concepts. Recently, high-fidelity infant simulators have become available, which permit authentic exposure to a large spectrum of scenarios in paediatric anaesthesia and emergency medicine. A multimodular concept of training, including such simulator-based techniques, may relieve the widespread shortage in clinical experience, and hence greatly facilitate improvement of quality of care and patient safety."],["dc.identifier.doi","10.1007/s00101-005-0952-9"],["dc.identifier.isi","000236706000010"],["dc.identifier.pmid","16308710"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/41769"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.relation.issn","0003-2417"],["dc.title","New perspectives for simulator-based training in paediatric anaesthesia and emergency medicine"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","179"],["dc.bibliographiccitation.issue","2"],["dc.bibliographiccitation.journal","Resuscitation"],["dc.bibliographiccitation.lastpage","185"],["dc.bibliographiccitation.volume","70"],["dc.contributor.author","Timmermann, Arnd"],["dc.contributor.author","Eich, Christoph B."],["dc.contributor.author","Russo, Sebastian Giuseppe"],["dc.contributor.author","Natge, Ulrich"],["dc.contributor.author","Braeuer, Anselm"],["dc.contributor.author","Rosenblatt, William H."],["dc.contributor.author","Braun, Ulrich"],["dc.date.accessioned","2018-11-07T09:31:13Z"],["dc.date.available","2018-11-07T09:31:13Z"],["dc.date.issued","2006"],["dc.description.abstract","Study objective: To determine the characteristics of prehospital tracheal intubation and the incidence of difficult-to-manage airways in out-of-hospital patients managed by emergency ,medicine physicans with anesthesia training. Methods: In a prospective study, conducted over a 4-year period, we evaluated all airway interventions performed by anaesthesia-trained emergency physicians. Results: One thousand, one hundred and six out of 16 559 patients (6.8%) required tracheal intubation. Orotracheal intubation was attempted in 982, laryngoscopic aided nasotracheal intubation in 64 and blind nasotracheal intubation in 90 of the cases. Two techniques were used in 30 patients. Failure rates were 2.4, 8.1 and 25.6%, respectively. A Combitube (TM) or LMA (TM) was used in 2.0%. In one case of failed Combitube insertion successful needle cricothyrotomy was performed. In patients undergoing direct laryngoscopy, Cormack-Lehane laryngeal grade views I-IV were seen in 52.0, 28.8, 12.6 and 6.6% of cases, respectively. A difficult to manage airway (DMA) was reported in 14.8%, multiple intubation attempts in 4.3% and failed intubation in 2.0% of all cases. Grouping patients based on clinical presentation revealed a significantly higher incidence of DMA in trauma patients (18.6%) and during cardiopulmonary resuscitation (16.7%) than in the remaining patient group (9.8%). Intubation failed significantly more often in trauma (3.9%) than in the remaining patient group (1.1%). Conclusion: When compared to studies on laryngoscopy performed in the operating room, this study demonstrated a higher incidence of difficult and failed laryngoscopy, DAM, and high laryngeal grade views when patients were managed in a prehospital setting by anaesthesia trained physicians. (c) 2006 Elsevier Ireland Ltd. All rights reserved."],["dc.identifier.doi","10.1016/j.resuscitation.2006.01.010"],["dc.identifier.isi","000240488800004"],["dc.identifier.pmid","16828956"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/31491"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Elsevier Ireland Ltd"],["dc.relation.issn","0300-9572"],["dc.title","Prehospital airway management: A prospective evaluation of anaesthesia trained emergency physicians"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","42"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","Resuscitation"],["dc.bibliographiccitation.lastpage","52"],["dc.bibliographiccitation.volume","75"],["dc.contributor.author","Eich, Christoph B."],["dc.contributor.author","Brauer, Anselm"],["dc.contributor.author","Timmermann, Arnd"],["dc.contributor.author","Schwarz, Stephan K. W."],["dc.contributor.author","Russo, Sebastian Giuseppe"],["dc.contributor.author","Neubert, Karin"],["dc.contributor.author","Graf, Bernhard Martin"],["dc.contributor.author","Aieksic, Ivan"],["dc.date.accessioned","2018-11-07T10:58:24Z"],["dc.date.available","2018-11-07T10:58:24Z"],["dc.date.issued","2007"],["dc.description.abstract","Background: In 2003, the International Liaison Committee on Resuscitation (ILCOR) published the \"Utstein Style for Drowning\" (USFD) to advance knowledge on the epidemiology, treatment, and outcome prediction after drowning. Applying the USFD and evaluating its data template for outcome analysis, we report here on the largest study published thus far of drowned children (age 0-14) who underwent attempted resuscitation on cardiopulmonary bypass (CPB). Methods: We conducted a retrospective review of all drowned children admitted to Gottingen University Hospital between 1/1987 and 12/2005 in sustained cardiopulmonary arrest and resuscitation with CPB. We correlated eight outcome-affecting USFD variables and four additional variables not included in the USFD with potential impact on outcome to four outcome groups: survival, non-survival, survival with full recovery, and failed resuscitation. Results: Out of 12 children (aged 22 months to 7.5 years), 5 survived to hospital discharge and 7 died in hospital. Two survivors recovered fully and three remained in a vegetative state. In two patients, resuscitation on CPB failed. Both children who fully recovered, compared to the 10 others, had relatively tow serum K+ concentrations (2.6 and 3.7mmol/l versus 5.8 +/- 3.8mmol/l [mean +/- S.D.; n = 10]), a relatively slow rewarming speed (1.9 and 1.2 degrees C/h versus 3.4 +/- 1.8 degrees C/h), were female (all three girls survived), received early basic Life support (BLS) and showed idioventricular bradycardia. Both children with failed resuscitation had severe hyperkalaemia (11.7 and 13.3 mmol/l versus 10 others, 4.0 +/- 1.5 mmol/l), were relatively rapidly rewarmed (6.9 and 4.0 degrees C/h versus 10 others, 2.61 +/- 1.32 degrees C/h), mate, and in asystole. We identified no outcome trends for age, pH, or water and core temperatures. Conclusions: Most variables relevant for outcome in drowned children can be documented with the use of the USFD. Additional variables not included in the USFD that have emerged from this study and may predict outcome include serum K+ concentration, rewarming speed, and initial cardiac rhythm. (c) 2007 Elsevier Ireland Ltd. All rights reserved."],["dc.identifier.doi","10.1016/j.resuscitation.2007.03.013"],["dc.identifier.isi","000250265300007"],["dc.identifier.pmid","17499417"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/50469"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Elsevier Ireland Ltd"],["dc.relation.issn","0300-9572"],["dc.title","Outcome of 12 drowned children with attempted resuscitation on cardiopulmonary bypass: An analysis of variables based on the \"Utstein Style for Drowning\""],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]