Punto de vistaTendencias en resucitación cardiopulmonarTrends in Cardiopulmonary Resuscitation
Section snippets
INTRODUCCIÓN
La resucitación tras una parada cardíaca continúa siendo un desafío formidable. Sólo en los Estados Unidos entre 400.000 y 460.000 personas sufren cada año un episodio de parada cardíaca1, que supera el millón de afectados si se suman las ocurridas en los países de la Unión Europea2; en España la incidencia de paradas cardíacas extrahospitalarias de todas las causas supera los 50.000 casos anuales3., 4.. Sin embargo, menos del 10% de estos individuos son resucitados con éxito y regresan a sus
PREVENCIÓN DE LA PARADA CARDÍACA
La prevención de la parada cardíaca afrontando los procesos con gran riesgo de producirla tiene el mayor potencial para reducir su incidencia. Un ejemplo excelente es el de la enfermedad coronaria, en la que la modificación del estilo de vida y el empleo de tratamientos que alteran la evolución de los procesos patológicos pueden tener un profundo impacto pronóstico. Sin embargo, la prevención a la que hacemos referencia en este capítulo es la relacionada con el reconocimiento precoz por el
Fundamentos
Cuando fallan los esfuerzos para evitar la parada cardíaca, los reanimadores se enfrentan al formidable reto de intentar restaurar la vida. En las paradas cardíacas presenciadas un tratamiento rápido de la causa desencadenante (p. ej., desfibrilación eléctrica de la FV o ventilación de la asfixia) puede ser absolutamente efectivo y restablecer con éxito la actividad cardíaca con mínima o ninguna intervención adicional. Sin embargo, en los casos en que la resucitación se inicia tras intervalos
AVANCES TECNOLÓGICOS
La tecnología desempeñará, probablemente, un papel cada vez más prominente durante la resucitación cardíaca, no sólo por la posibilidad de nuevos y más efectivos dispositivos, sino también por incorporar datos en tiempo real capaces de mejorar el proceso de toma de decisiones. Por ejemplo, los DEA no son sólo cajas de desfibrilación, además de sus capacidades iniciales de reconocer arritmias desfibrilables e indicar a los socorristas el momento de la descarga mediante señales acústicas, los DEA
HIPOTERMIA
La hipotermia es una forma muy efectiva de reducir los requerimientos metabólicos y habitualmente se emplea en los quirófanos durante la cirugía cardíaca con circulación extracorpórea y otras intervenciones que requieren interrupción del flujo sanguíneo. La hipotermia permite a los tejidos resistir mayores intervalos sin oxígeno o flujo sanguíneo mediante la disminución de los requerimientos energéticos. Cuando una parada cardíaca ocurre en presencia de hipotermia, son posibles buenos
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Cited by (15)
Using a Mobile Phone Application Versus Telephone Assistance During Cardiopulmonary Resuscitation: A Randomized Comparative Study
2020, Journal of Emergency NursingCitation Excerpt :Out-of-hospital cardiac arrest is an important public health issue because there are approximately 420,000 cases in the United States and 275,000 cases in Europe annually, of which 29,000 patients survive if bystanders immediately begin cardiopulmonary resuscitation (CPR).1,2 In Spain, this figure is situated at approximately 50,000.3 Guided assistance for bystanders who perform CPR is usually given via telephone operator support, also known as dispatcher-assisted CPR, and has shown an improvement in survival rates of cardiac arrest.4-7
Design and validation of a tool for the evaluation of the quality of Cardiopulmonary Resuscitation: SIEVCA-CPR 2.0®
2018, Intensive and Critical Care NursingCitation Excerpt :Cardio Pulmonary Arrest (CPA) is one of the leading causes of death in Europe (Nolan et al., 2015), with an incidence of out-of-hospital cardio pulmonary resuscitation (CPR) in Spain of more than 50,000 cases per year; less than 10% of the cases of CPR survive without neurological seqaulae (Gazmuri and Alvarez-Fernández, 2009).
Survival from in-hospital cardiac arrest
2011, Medicina ClinicaCardiac arrest due to accidental hypothermia and prolonged cardiopulmonary resuscitation
2010, Medicina Intensiva