{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T23:17:34Z","timestamp":1782947854418,"version":"3.54.5"},"reference-count":60,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Tierarztl Prax Ausg K Kleintiere Heimtiere"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Entscheidend f\u00fcr die Chancen einer Reanimation ist die Qualit\u00e4t der Thoraxkompression. Bisher gibt es dazu wenig veterin\u00e4rmedizinische Evidenz. Der Einfluss der Position des Reanimierenden auf die Reanimationsqualit\u00e4t sollte untersucht und so die effektivste Variante ermittelt werden.<\/jats:p>\n                  <jats:p>An einem realit\u00e4tsnahen Thoraxmodell mit \u201eintrakorporalem\u201c Druckaufnehmer f\u00fchrten 30 Probanden in 3 Szenarien (Reihenfolge randomisiert) jeweils 5 min Thoraxkompressionen durch: in Szenario 1 knieend neben dem Modell, in Szenario 2 und 3 am Tisch stehend ohne (Szenario 2) bzw. je nach Pr\u00e4ferenz mit ein oder 2 Trittstufen (Szenario 3). Kompressionsdruck und Frequenz wurden gemessen, Parameter des Kraftverlustes berechnet, demographische Daten und die Selbsteinsch\u00e4tzung hinsichtlich der Kompressionsqualit\u00e4t erfragt. Die statistische Auswertung erfolgte mit nicht-parametrischen Verfahren, das Signifikanzniveau betrug p&lt;0,05.<\/jats:p>\n                  <jats:p>Dreiundvierzig der 90 Durchl\u00e4ufe (48%) wurden vor Ablauf der 5 min vom Probanden beendet, in Szenario 2 nach 107 s (\u00b176) signifikant (p=0,009) fr\u00fcher als in den Szenarien 1 (165\u00b155 s) und 3 (122\u00b166 S) (p=0,047). In Szenario 2 wurden mit 54,8\u2009mmHg (Median, IQR\u200938,9\u201372,9) signifikant niedrigere Kompressionsdr\u00fccke erreicht als in Szenario\u20091 mit 64,8\u2009mmHg (IQR\u200948,5\u201383,6) und in Szenario 3 mit 73,7\u2009mmHg (IQR\u200955,2\u201394,3). Die signifikant unterschiedlichen mittleren Kompressionsfrequenzen ergaben in Szenario\u20091 eher eine Unter-, in Szenario 3 eine \u00dcberschreitung der Empfehlung (100\u2013120\/min). Der Abfall des Kompressionsdruckes unter seinen Median (Ma\u00df f\u00fcr die Ersch\u00f6pfung) trat in Szenario\u20091 nach 90\u2009s (\u00b128), in den Szenarien 2 und 3 nach 70\u2009s (\u00b145) bzw. 94\u2009s (\u00b149) auf. Zwischen selbstgesch\u00e4tzter Ersch\u00f6pfung und Kompressionsqualit\u00e4t und den gemessenen Parametern bestand keine bzw. nur eine schwache Korrelation.<\/jats:p>\n                  <jats:p>Kompressionen an einem Behandlungstisch ohne Trittstufe stehend sind weniger effektiv als mit Tritterh\u00f6hung oder auf dem Boden kniend. Der deutliche Verlust der Kompressionsqualit\u00e4t nach 2 bis 3 min und das Unverm\u00f6gen, die eigene Ersch\u00f6pfung einzusch\u00e4tzen, unterst\u00fctzen die aktuellen Empfehlungen eines Wechsels des Komprimierenden nach 2 min.<\/jats:p>\n                  <jats:p>Die Studie untermauert die Empfehlungen der RECOVER-Leitlinie.<\/jats:p>","DOI":"10.1055\/a-2854-5177","type":"journal-article","created":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T22:30:31Z","timestamp":1782945031000},"page":"147-163","source":"Crossref","is-referenced-by-count":0,"title":["Untersuchung von Einflussfaktoren auf die Qualit\u00e4t der Thoraxkompression beim Hund mit Hilfe eines realit\u00e4tsnahen Thoraxmodells"],"prefix":"10.1055","volume":"54","author":[{"given":"Jacob","family":"Schubert","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Kleintiere, Veterin\u00e4rmedizinische Fakult\u00e4t, Universit\u00e4t Leipzig"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michaele","family":"Alef","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Kleintiere, Veterin\u00e4rmedizinische Fakult\u00e4t, Universit\u00e4t Leipzig"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,7,1]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"102","DOI":"10.1111\/j.1476-4431.2012.00757.x","article-title":"RECOVER evidence and knowledge gap analysis on veterinary CPR. 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