scholarly journals Point-of-care ultrasound in cardiorespiratory arrest (POCUS-CA): narrative review article

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Diana Ávila-Reyes ◽  
Andrés O. Acevedo-Cardona ◽  
José F. Gómez-González ◽  
David R. Echeverry-Piedrahita ◽  
Mateo Aguirre-Flórez ◽  
...  
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Multidisciplinary Approach ◽  
Point Of Care ◽  
Narrative Review ◽  
Point Of Care Ultrasound ◽  
Review Of The Literature ◽  
Cardiorespiratory Arrest ◽  
Emergency Department Setting ◽  
Favorable Clinical Outcome

AbstractThe POCUS-CA (Point-of-care ultrasound in cardiac arrest) is a diagnostic tool in the Intensive Care Unit and Emergency Department setting. The literature indicates that in the patient in a cardiorespiratory arrest it can provide information of the etiology of the arrest in patients with non-defibrillable rhythms, assess the quality of compressions during cardiopulmonary resuscitation (CPR), and define prognosis of survival according to specific findings and, thus, assist the clinician in decision-making during resuscitation. This narrative review of the literature aims to expose the usefulness of ultrasound in the setting of cardiorespiratory arrest as a tool that allows making a rapid diagnosis and making decisions about reversible causes of this entity. More studies are needed to support the evidence to make ultrasound part of the resuscitation algorithms. Teamwork during cardiopulmonary resuscitation and the inclusion of ultrasound in a multidisciplinary approach is important to achieve a favorable clinical outcome.

scholarly journals Dificuldades enfrentadas na assistência de enfermagem à parada cardiorrespiratória em APH móvel: uma revisão narrativa da literatura

2020 ◽  
Vol 10 (32) ◽  
pp. 281-287
Author(s):  
Juliana De Oliveira Pires ◽  
Thaís Pereira Alberto ◽  
Amanda Souza Negreiros ◽  
Alice Mendes de Oliveira ◽  
Karla Natyara Novais Borges ◽  
...  
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Hospital Care ◽  
Quality Care ◽  
Narrative Review ◽  
Cardiorespiratory Arrest ◽  
Leadership And Management ◽  
Adequate Care ◽  
Review Study ◽  
Nursing Professionals

O estudo se desenvolveu com o intuito de investigar as dificuldades enfrentadas pelos profissionais de enfermagem no atendimento pré-hospitalar móvel à parada cardiorrespiratória. Trata-se de um estudo de revisão narrativa, que foi conduzido após o levantamento de publicações, restringidas ao período de 2008 a 2018. A pesquisa foi realizada com a plataforma proporcionada pela Biblioteca Virtual em Saúde (BVS) por meio dos principais descritores: equipe de enfermagem, parada cardiorrespiratória e reanimação cardiopulmonar. A participação dos profissionais de enfermagem, na assistência ao paciente vítima de PCR, é importante, porque estes possuem o papel de liderança e de gerenciamento frente ao atendimento de emergência, mas se o desconhecimento e a inexperiência estiverem presentes, torna-se problemático oferecer um cuidado de qualidade. Ressaltamos a importância do profissional de estar preparado para oferecer um atendimento adequado aos pacientes em ambiente extra-hospitalar, por meio do SAMU, conduz a entender que haja mais o desenvolvimento da educação em saúde, sendo promovida pelos enfermeiros em suas respectivas instituições de trabalho, para diminuir essa falta de preparo da equipe e melhorar a qualidade assistencial.Descritores: Enfermagem, Parada Cardiorrespiratória, Reanimação Cardiopulmonar. Difficulties faced by nursing professionals in cardiorespiratory arrest: a narrative review of the literatureAbstract: The study was developed with the purpose of investigating the difficulties faced by nursing professionals in the mobile pre-hospital care to the cardiorespiratory arrest. It is a narrative review study that was conducted after the publication of publications, restricted to the period from 2008 to 2018. The research was carried out using the platform provided by the Virtual Health Library (VHL) through the main descriptors: nursing, cardiorespiratory arrest and cardiopulmonary resuscitation. The participation of nursing professionals in the care of patients with CRA is important because they have a leadership and management role in relation to emergency care, but if the lack of knowledge and inexperience are present, it is problematic to offer a quality care. We emphasize the importance of being prepared to offer adequate care to patients in out-of-hospital settings, through the SAMU, leads to understanding that there is more development of health education, being promoted by nurses in their respective institutions, to reduce this lack of preparation of the team and improve the quality of care.Descriptors: Nursing, Cardiorespiratory Arrest, Cardiopulmonary Resuscitation. Dificultades enfrentadas por los profesionales de enfermería en la parada cardiorrespiratoria: una revisión narrativa de la literaturaResumen: El estudio se desarrolló con el propósito de investigar las dificultades enfrentadas por los profesionales de enfermería en la atención prehospitalaria móvil a la parada cardiorrespiratoria. Se trata de un estudio de revisión narrativa, que fue conducido después del levantamiento de publicaciones, restringidas al período de 2008 a 2018. La investigación fue realizada con la plataforma proporcionada por la Biblioteca Virtual en Salud (BVS) por medio de los principales descriptores: equipo de enfermería, parada cardiorrespiratoria y reanimación cardiopulmonar. La participación de los profesionales de enfermería, en la asistencia al paciente víctima de PCR, es importante, porque éstos poseen el papel de liderazgo y de gestión frente a la atención de emergencia, pero si el desconocimiento y la inexperiencia están presentes, se vuelve problemático ofrecer un producto cuidado de calidad. Enfatizamos la importancia del profesional de estar preparado para ofrecer una atención adecuada a los pacientes en ambiente extrahospitalario, a través del SAMU, conduce a entender que el desarrollo de la educación en salud, siendo promovido por los enfermeros en sus respectivas instituciones de trabajo, para disminuir esa falta de preparación del equipo y mejorar la calidad asistencial.Descriptores: Enfermería, Parada Cardiorrespiratoria, Reanimación Cardiopulmonar.

scholarly journals Multi-organ point-of-care ultrasound for COVID-19 (PoCUS4COVID): international expert consensus

Critical Care ◽  
2020 ◽  
Vol 24 (1) ◽  
Author(s):  
Arif Hussain ◽  
Gabriele Via ◽  
Lawrence Melniker ◽  
Alberto Goffi ◽  
Guido Tavazzi ◽  
...  
Keyword(s):  
Lung Ultrasound ◽  
Expert Panel ◽  
Point Of Care ◽  
Expert Consensus ◽  
Future Research ◽  
Point Of Care Ultrasound ◽  
The Past ◽  
Modified Delphi ◽  
Grade Methodology

AbstractCOVID-19 has caused great devastation in the past year. Multi-organ point-of-care ultrasound (PoCUS) including lung ultrasound (LUS) and focused cardiac ultrasound (FoCUS) as a clinical adjunct has played a significant role in triaging, diagnosis and medical management of COVID-19 patients. The expert panel from 27 countries and 6 continents with considerable experience of direct application of PoCUS on COVID-19 patients presents evidence-based consensus using GRADE methodology for the quality of evidence and an expedited, modified-Delphi process for the strength of expert consensus. The use of ultrasound is suggested in many clinical situations related to respiratory, cardiovascular and thromboembolic aspects of COVID-19, comparing well with other imaging modalities. The limitations due to insufficient data are highlighted as opportunities for future research.

Does stress influence the performance of cardiopulmonary resuscitation? A narrative review of the literature

2020 ◽  
Author(s):  
Alessia Vincent ◽  
Norbert K. Semmer ◽  
Christoph Becker ◽  
Katharina Beck ◽  
Franziska Tschan ◽  
...  
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Narrative Review ◽  
Review Of The Literature ◽  
Stress Influence

scholarly journals Ultrasound in critical care

2020 ◽  
Author(s):  
Saima Rashid ◽  
Muhammad Faisal Khan ◽  
Rajkumar Rajendram
Keyword(s):  
Critical Care ◽  
Intensive Care ◽  
21St Century ◽  
Potential Role ◽  
Point Of Care ◽  
Narrative Review ◽  
Point Of Care Ultrasound ◽  
The 1950S

Ultrasound (US) was introduced in the 1950s and since then its use has increased exponentially. This has been facilitated by significant improvement in the probe technology, increasing access to portable machines and better understanding of lung, heart, abdominal and vascular US. Use of critical care US (CCUS) is now extremely common. It is important for frontline physicians who must make appropriate and timely decisions within seconds. It is safe, convenient and readily available in many centers. The concept of point of care ultrasound (POCUS) differs from US screening by a radiologist or sonographer. It is, rapid focused and goal-orientated. Despite its major limitation, e.g. operator dependence, bedside CCUS can be used for an ever-increasing range of indications. This narrative review will describe the potential role of CCUS as the replacement for the stethoscope in the 21st century and the limitations which must be overcome to achieve this. Received: 3 Nov 2018Reviewed & Accepted: 10 Nov 2018 Citation: Rashid S, Khan MF, Rajendram R. Ultrasound in critical care. Anaesth Pain & Intensive Care 2018;22 Suppl 1:S160-S163

scholarly journals Current role of imaging in COVID-19 infection with recent recommendations of point of care ultrasound in the contagion: a narrative review

2020 ◽  
Vol 8 (17) ◽  
pp. 1094-1094
Author(s):  
Darshan Gandhi ◽  
Nitin Jain ◽  
Kanika Khanna ◽  
Shuo Li ◽  
Love Patel ◽  
...  
Keyword(s):  
Point Of Care ◽  
Narrative Review ◽  
Point Of Care Ultrasound ◽  
Current Role

scholarly journals Return of spontaneous circulation in patients with out-of-hospital cardiac arrest caused by pulmonary embolism using early point-of-care ultrasound and timely thrombolytic agent application: Two case reports

2020 ◽  
pp. 102490792096413
Author(s):  
Su Yeong Pyo ◽  
Gwan Jin Park ◽  
Sang Chul Kim ◽  
Hoon Kim ◽  
Suk Woo Lee ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Cardiac Arrest ◽  
Cardiopulmonary Resuscitation ◽  
Acute Pulmonary Embolism ◽  
Thrombolytic Agent ◽  
Point Of Care ◽  
Fibrinolytic Therapy ◽  
Spontaneous Circulation ◽  
Point Of Care Ultrasound ◽  
Hospital Cardiac Arrest

Introduction: Acute pulmonary embolism is a confirmed cause of up to 5% of out-of-hospital cardiac arrest and 5%–13% of unexplained cardiac arrest in patients. However, the true incidence may be much higher, as pulmonary embolism is often clinically underdiagnosed. Thrombolytic therapy is a recognized therapy for pulmonary embolism–associated cardiac arrest but is not routinely recommended during cardiopulmonary resuscitation. Therefore, clinicians should attempt to identify patients with suspected pulmonary embolism. Many point-of care ultrasound protocols suggest diagnosis of pulmonary embolism for cardiac arrest patients. Case presentation: We describe two male patients (60 years and 66 years, respectively) who presented to the emergency department with cardiac arrest within a period of 1 week. With administration of point-of care ultrasound during the ongoing cardiopulmonary resuscitation in both patients, fibrinolytic therapy was initiated under suspicion of cardiac arrest caused by pulmonary embolism. Both patients had return of spontaneous circulation; however, only the second patient, who received fibrinolytic therapy relatively early, was discharged with a good outcome. In this report, we discussed how to diagnose and manage patients with cardiac arrest–associated pulmonary embolism with the help of point-of care ultrasound. We also discuss the different clinical outcomes of the two patients based on the experience of the clinicians and the timing of thrombolytic agent application. Conclusions: If acute pulmonary embolism is suspected in patients with out-of-hospital cardiac arrest, we recommend prompt point-of care ultrasound examination. Point-of care ultrasound may help identify patients with pulmonary embolism during cardiopulmonary resuscitation, leading to immediate treatment, although the clinical outcomes may vary.

scholarly journals Reply to: Point-of-care ultrasound during advanced cardiopulmonary resuscitation: Rule of art have to be respected!

Resuscitation ◽  
2018 ◽  
Vol 122 ◽  
pp. e3
Author(s):  
Michael Allison ◽  
Michael E. Winters ◽  
On behalf of Maite A. Huis in 't Veld ◽  
David S. Bostick ◽  
Michael Witting ◽  
...  
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Point Of Care ◽  
Point Of Care Ultrasound
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