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Pulmonary cardiopulmonary resuscitation

Raffo Escalante-Kanashiro

Universidad de La Sabana

Andrea Carolina Romero Garzón

Cuarto semestre

Acta Med Per 27(4) 2010

Guides for Cardiopulmonary Resuscitation

Have a cardiac arrest care as soon as possible, perform CPR starting with compressions and optimize CPR techniques

CBA Algorithm

The frequency

Reduce the discharge times

Compressions Airway Ventilation.

has been modified to at least 100 / min and the depth of compressions in adults at least 5 cm.

times in defibrillation and restart the compressions immediately

Does not respond, does not breathe

Call the attention line

Request an AED

Begin compressions

Pediatric life support

Adult life support

start with 30 compressions or with 15 compressions, instead of 2 ventilations.

The depth of the compressions is 4 cm. in infants and 5 cm. In the kids

If a pulse is not detected within 10 seconds, CPR should be initiated.

If DEA is used, you must have the discharge for pediatric doses

capnography registration is recommended

The use of atropine is not recommended for the treatment of pulse-free electrical activity

The algorithm for the ACLS / ACLS has been simplified to emphasize high-quality CPR

Key initial and subsequent objectives of post-cardiac care

Improvement of cardiopulmonary function and perfusion of vital organs.

Transfer to the appropriate hospital or intensive care unit that has a post-treatment treatment system.

Diagnosis and treatment of ACS and other reversible causes.

Temperature control to optimize neurological recovery.

Anticipation, treatment and prevention of multi-organ dysfunction, avoid hyperventilation and hyperoxia

asthma, anaphylaxis, pregnancy, morbid obesity, pulmonary embolism, electrolyte imbalance, ingestion of toxic substances, trauma, accidental hypothermia, avalanche, drowning, electric shock / range of rays, percutaneous coronary intervention, cardiac tamponade and cardiac surgery.

Strengthen team and leadership performance during CPR. These changes are designed to simplify training, emphasizing practicing early CPR and high quality in cardiac arrest.

Fritz E. Gempeler R

Fritz E, Gempeler R. Reanimación cardiopulmonar más allá de la técnica. Rev Colomb Anestesiol.

2015;43:142–146.

Cardiopulmonary resuscitation beyond the

technique

Scientific societies must generate a rational analysis of the indication of the RCP,

extraordinary medical intervention at prevent premature death.

the effectiveness of CPR continues to be very low, and only a small percentage of the people who present a cardiac arrest (PC) manage to survive and be discharged of the hospital.

Historical evolution of Resuscitation Cardiopulmonary

Created by the anesthesiologist Peter Saffar and his collaborators in the 1960s with the aim of treating PCs seen in the operating rooms

quickly expanded not only among doctors but also among the general population

Success of cardiopulmonary resuscitation

60%, only between 6.5% and 24% of patients who present PC in the hospital come out alive

76 and 93.5% in whose If CPR was not successful, it was an extension of the patient's death process.

Why is resuscitation generalized? cardiopulmonary?

the patient has the right to have the opportunity to survive

RCP went from being an intervention aimed at patients with reversible causes of CP to being an intervention of indiscriminate application

Risk factor

Dependent factors of the doctor

Patient factors

Ear of a demand

medical-legal problems

fear of therapeutic failure

Difficult discernment between the limits of surrendering or continuing.

cultural, religious and ethnic factors, ignorance of the success of the RCP and your risks

Bioethical approach of Cardiopulmonary Resuscitation

It matters because some patients want to be revived because of the small possibility of survival, but the great most do not want to take the risk in their quality of life, Ask yourself how far events that threaten the life of a patient must be treated leads to multiple controversies

Our profession could gradually improve the quality of life of the people to prolong sumuerte, running the risk of becoming in technicians who perform interventions and turn on machines without taking into account the objective of our profession, the patient