Kardiocerebralno oživljanje

dejstva in perspektive

Dejan Kupnik (Author), Miljenko Križmarić (Author)

Abstract

Cardiopulmonary resuscitation in the prehospital setting still has to cope with poor lay-rescuer knowledge of resuscitation techniques, low public availability of automated external dei brillators, many detrimental interruptions of chest compressions during lay and professional resuscitation ef orts and suboptimal postresuscitation care. h erefore the survival of patients at er cardiac arrest remains poor. To address those l aws, cardiopulmonary resuscitation guidelines of 2005 are targeted at improving cardiopulmonary resuscitation by achieving adequate depth, number, and minimalinterruptions of chest compressions per minute, and avoiding hyperventilation. But a combination of chest compressions and rescue breathingis still the mainstay of resuscitation ofin primary and secondary cardiac arrest despite dif erent pathophysiological causes. In the last two decades a concept of cardiocerebral resuscitation emerged, and according to research it is equal to or even better than standard cardiopulmonary resuscitation in terms of patients' prognosis at er successful resuscitation of sudden or primary unexpected cardiac arrest. Cardiocerebral resuscitation of patients with primary cardiac arrest consists of layrescuer uninterrupted chest compressions without rescue breathing in the first minutes of resuscitation, advanced life support techniques that do not interrupt chest compressions and thus maintain their positive hemodynamic ef ects. If professional rescuers arrive at the scene within 4 to 5 minutes after primary cardiac arrest, dei brillation should be attempted prior to resuscitation techiques, but if professional help arrives later than 4 to 5 minutes after primary cardiac arrest, two minutes of resuscitation techniques should be performed prior to the first defibrillation. Post-resuscitation care includes mild induced hypothermia, coronarography and percutaneous coronary intervention.

Keywords

kardiocerebralno oživljanje;kardiopulmonalno oživljanje;prekatna fibrilacija;neprekinjena zunanja masaža srca;predbolnišnično okolje;

Data

Language:	Slovenian
Year of publishing:	2009
Typology:	1.02 - Review Article
Organization:	UM FZV - Faculty of Health Sciences
UDC:	616.1
COBISS:	26494681
ISSN:	1318-0347
Parent publication:	Zdravniški vestnik
Views:	2847
Downloads:	187
Average score:	0 (0 votes)
Metadata:

Other data

Secondary language:	English
Secondary title:	Cardiocerebral resuscitation
Secondary abstract:	Cardiopulmonary resuscitation in the prehospital setting still has to cope with poor lay-rescuer knowledge of resuscitation techniques, low public availability of automated external dei brillators, many detrimental interruptions of chest compressions during lay and professional resuscitation ef orts and suboptimal postresuscitation care. h erefore the survival of patients at er cardiac arrest remains poor. To address those l aws, cardiopulmonary resuscitation guidelines of 2005 are targeted at improving cardiopulmonary resuscitation by achieving adequate depth, number, and minimalinterruptions of chest compressions per minute, and avoiding hyperventilation. But a combination of chest compressions and rescue breathingis still the mainstay of resuscitation ofin primary and secondary cardiac arrest despite dif erent pathophysiological causes. In the last two decades a concept of cardiocerebral resuscitation emerged, and according to research it is equal to or even better than standard cardiopulmonary resuscitation in terms of patients' prognosis at er successful resuscitation of sudden or primary unexpected cardiac arrest. Cardiocerebral resuscitation of patients with primary cardiac arrest consists of layrescuer uninterrupted chest compressions without rescue breathing in the first minutes of resuscitation, advanced life support techniques that do not interrupt chest compressions and thus maintain their positive hemodynamic ef ects. If professional rescuers arrive at the scene within 4 to 5 minutes after primary cardiac arrest, dei brillation should be attempted prior to resuscitation techiques, but if professional help arrives later than 4 to 5 minutes after primary cardiac arrest, two minutes of resuscitation techniques should be performed prior to the first defibrillation. Post-resuscitation care includes mild induced hypothermia, coronarography and percutaneous coronary intervention.
Secondary keywords:	Resuscitation Orders;Ventricular Fibrillation;Heart Massage;Heart Arrest;Cardiopulmonary Resuscitation;Respiration, Artificial;Emergencies;Oživljanje, navodila;Srce, masaža;Srce, zastoj;Kardiopulmonalno oživljanje;Prekatna fibrilacija;Dihanje umetno;Urgentna stanja;
URN:	URN:SI:UM:
Type (COBISS):	Scientific work
Pages:	str. 744-754
Volume:	ǂLetn. ǂ78
Issue:	ǂšt. ǂ12
Chronology:	december 2009
ID:	9594771