Reanimación cardiopulmonar. Soporte vital básico y avanzado

  1. M. Gómez Antúnez 1
  2. C. López González Cobos 2
  3. M.V. Villalba García 1
  4. A. Muiño Miguez 1
  1. 1 Servicio de Medicina Interna. Hospital General Universitario Gregorio Marañón.
  2. 2 Servicio de Medicina Interna. Hospital General Universitario Gregorio
Revue:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Année de publication: 2015

Titre de la publication: Urgencias: Urgencias cardiovascualares. Reanimación cardiopulmonar

Serie: 11

Número: 87

Pages: 5185-5194

Type: Article

DOI: 10.1016/J.MED.2015.09.011 DIALNET GOOGLE SCHOLAR

D'autres publications dans: Medicine: Programa de Formación Médica Continuada Acreditado

Résumé

The sequence of cardiopulmonary resuscitation is CAB, starting chest compressions before ventilation. Cardiopulmonary resuscitation should apply high quality compression with a frequency of 100 to 120 compressions per minute and a depth of at least 5 cm, allowing full chest expansion, minimizing disruption of compressions and avoiding excessive ventilation. The automated external defibrillator should be used as soon as it becomes available. The foundation of successful advanced cardiovascular support is based on a high quality of cardiopulmonary resuscitation and ventricular fibrillation and pulseless ventricular tachycardia rapid defibrillation within minutes after the collapse. Understanding the importance of diagnosing and treating the possible underlying causes, considering therefore rule the “H” and “T” is fundamental to the management of all cardiac arrest rhythms, especially mentioning the cases of pulseless electrical activity. Once the patient reaches the spontaneous movement must “immediately” begin the post resuscitation care, optimizing the long-term survival with good neurological outcome.

Références bibliographiques

  • Hasselqvist-Ax I, Riva G, Herlitz J, Hollenberg J, Nordberg P, Ringh M, et al. Early cardiopulmonary resucitation in out-of-hospi-tal cardiac arrest. N Engl J Med. 2015;372(24):2307-15.
  • Girotra S, Nallamothu BK, Spertus JA, Li Y, Krumholz HM, Chan PS. Trends in survival after in-hospital cardiac arrest. N Engl J Med. 2012;367:1912-20.
  • American Heart Association. 2010 American Heart Associa-tion Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2010;122:S639-S933.
  • European Resuscitation Council Guidelines for Resuscitation 2010. Resuscitation. 2010;81:1219-451.
  • Meaney PA, Bobrow BJ, Mancini ME, Christenson J, de Caen AR, Bhanji F, et al. Cardiopulmonary resuscitation quality: impro-ving cardiac resuscitation outcomes both inside and outside the hospital. A consensus statement from the American Heart Associa-tion. Circulation. 2013;128(4):417-35.
  • Donnino MW, Salciccioli JD, Howell MD, Cocchi MN, Giberson B, Berg K, et al. Time to administration of epinephrine and outcome after in-hospital cardiac arrest with non-shockable rhythms: retros-pective analysis of large in-hospital data registry. BMJ. 2014: 348:g3028.
  • Jabre P, Belpomme V, Azoulay E, Jacob L, Bertrand L, Lapostolle F, et al. Family presence during cardiopulmonary resuscitation. N Engl J Med. 2013;368:1008-18.
La source de données: Dialnet