Care of Patient Resuscitated from Cardiac Arrest* Abordagem do Paciente Reanimado, Pós-Parada Cardiorrespiratória
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چکیده
BACKGROUND AND OBJECTIVES: Out-of-hospital cardiac arrest is a major cause of death with survival rates as low as 5% to 35%. A large number of patients who survive resuscitation will face significant neurological damage, as a result of the ischemia that occurs both during cardiac arrest and reperfusion. However understanding of the mechanisms responsible for brain damage has not resulted in prognostic improvement. Therapeutic hypothermia after resuscitation may be a valid option associated to reduction of neurological damage. The purpose of this study was to review scientific evidence related to a therapy for patients resuscitated from cardiac arrest. CONTENTS: Description and analysis of the main risk factors associated with neurological damage after resuscitation from cardiac arrest as well as prognostic criteria was carried out. A non-systematic search was conducted in the PubMed data base for papers on a therapeutic approach for patients resuscitated from cardiac arrest. Bibliographic references of reviewed papers were also analyzed. Practical rules were drafted for such an approach. Care of Patient Resuscitated from Cardiac Arrest*
منابع مشابه
Mild therapeutic hypothermia after cardiac arrest: mechanisms of action and protocol development Hipotermia terapêutica em pacientes pós-parada cardiorrespiratória: mecanismos de ação e desenvolvimento de protocolo assistencial
Cardiac arrest (CA) is a medical emergency defined as sudden and unexpected cessation of vital functions, characterized by absence of heart beats, respiratory movements and unresponsiveness to stimuli.(1) Nevertheless the development of reanimation maneuvers, mortality of cardiac arrest patients remains high.(2,3) Cardiac arrest produces sudden brain blood flow cessation, causing neuronal ische...
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The study aimed to analyze the available evidence in the literature on nursing care in the hospital post-cardiac surgery. Data were collected from electronic databases LILACS, SciELO, MEDLINE, via DeCS thoracic surgery, hospital, nursing care, in the period 2001 to 2011. Ten articles were selected that showed the need to develop a plan of nursing discharge focusing on prevention of complication...
متن کاملCare of patient resuscitated from cardiac arrest.
BACKGROUND AND OBJECTIVES Out-of-hospital cardiac arrest is a major cause of death with survival rates as low as 5% to 35%. A large number of patients who survive resuscitation will face significant neurological damage, as a result of the ischemia that occurs both during cardiac arrest and reperfusion. However understanding of the mechanisms responsible for brain damage has not resulted in prog...
متن کاملPrehospital induction of mild hypothermia with cold normal saline for cardiac arrest: more harm than good?
Methods Objective: To determine whether prehospital cooling improves outcomes after resuscitation from cardiac arrest in patients with ventricular fibrillation (VF) and without VF. Design: A randomized clinical trial that assigned adults with prehospital cardiac arrest to standard care with or without prehospital cooling. Patient follow-up was completed by May 1, 2013. Nearly all of the patient...
متن کاملRegional systems of care for out-of-hospital cardiac arrest: A policy statement from the American Heart Association.
Out-of-hospital cardiac arrest continues to be an important public health problem, with large and important regional variations in outcomes. Survival rates vary widely among patients treated with out-of-hospital cardiac arrest by emergency medical services and among patients transported to the hospital after return of spontaneous circulation. Most regions lack a well-coordinated approach to pos...
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