Kardiocerebralno oživljanje

dejstva in perspektive

Dejan Kupnik (Avtor), Miljenko Križmarić (Avtor)

Povzetek

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.

Ključne besede

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

Podatki

Jezik:	Slovenski jezik
Leto izida:	2009
Tipologija:	1.02 - Pregledni znanstveni članek
Organizacija:	UM FZV - Fakulteta za zdravstvene vede
UDK:	616.1
COBISS:	26494681
ISSN:	1318-0347
Matična publikacija:	Zdravniški vestnik
Št. ogledov:	2847
Št. prenosov:	187
Ocena:	0 (0 glasov)
Metapodatki:

Ostali podatki

Sekundarni jezik:	Angleški jezik
Sekundarni naslov:	Cardiocerebral resuscitation
Sekundarni povzetek:	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.
Sekundarne ključne besede:	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:
Vrsta dela (COBISS):	Znanstveno delo
Strani:	str. 744-754
Letnik:	ǂLetn. ǂ78
Zvezek:	ǂšt. ǂ12
Čas izdaje:	december 2009
ID:	9594771