scholarly journals Importância do enfermeiro frente a implementação do protocolo de RCP

2019 ◽  
Vol 9 (28) ◽  
pp. 3-8
Author(s):  
Claudenice Ferreira dos Santos ◽  
Fabio Machado Coutinho ◽  
Hildebrando Franco dos Santos ◽  
Jéssica Silva Souza ◽  
Josely Bruce dos Santos ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Heart Arrest ◽  
Temporal Analysis ◽  
Early Defibrillation ◽  
Chest Compressions ◽  
Cardiorespiratory Arrest ◽  
Emergency Situations ◽  
Critical Elements ◽  
Effective Care

A assistência em situações emergenciais como a parada cardiorrespiratória, ocasionou o surgimento de diversos serviços de saúde no atendimento a essas vítimas. O atendimento eficaz na RCP contribui para a sobrevida. Cerca de 54 a 74% dos ritmos de PCR são por fibrilação átrio ventricular, na qual o tratamento é a desfibrilação associado as compressões cardíacas. O papel do enfermeiro está relacionado à articulação, integração da equipe em uma inter-relação nas diversas situações no PCR. O objetivo desta pesquisa foi identificar a importância do papel do enfermeiro na implementação das mudanças do protocolo de reanimação no adulto. A metodologia está baseada na análise temporal dos protocolos de RCP considerando a primeira diretriz. O qual foi possível afirmar que os elementos iniciais e críticos da RCP são compressões torácicas e desfibrilação precoce, no qual sinalizamos a importância do papel do enfermeiro frente as modificações e implementação destas mudanças.Descritores: Reanimação Cardiopulmonar, Parada Cardíaca, Tamponamento Cardíaco. Importance of the nurse against the implementation of the CPR protocolAbstract: Assistance in emergency situations such as cardiorespiratory arrest, led to the appearance of several health services in the care of these victims. Effective care in CPR contributes to survival. About 54 to 74% of the CRP rhythms are ventricular atrial fibrillation, in which the treatment is defibrillation associated with cardiac compressions. The role of the nurse is related to the articulation, integration of the team in an interrelationship in the diverse situations in the RCP. The objective of this research was to identify the importance of the role of nurses in the implementation of adult resuscitation protocol changes. The methodology is based on the temporal analysis of the CPR protocols considering the first guideline. It was possible to affirm that the initial and critical elements of CPR are chest compressions and early defibrillation, in which we signal the importance of the role of the nurse in face of the modifications and implementation of these changes.Descritores: Cardiopulmonary Resucitation, Heart Arrest, Cardiac Tamponade. Importancia de las enfermeras contra la implementación del protocolo de RCPResumen: La asistencia en situaciones de emergencia, como el paro cardiopulmonar, ha llevado a la aparición de diversos servicios de salud en la atención de estas víctimas. La atención eficaz de la RCP contribuye a la supervivencia. Alrededor del 54 al 74% de las tasas de PCR se deben a la fibrilación auricular ventricular, en la cual el tratamiento es la desfibrilación asociada con las compresiones cardíacas. El papel de la enfermera está relacionado con la articulación, la integración del equipo en una interrelación en las diversas situaciones en la PCR. El objetivo de esta investigación fue identificar la importancia del papel de la enfermera en la implementación de cambios en el protocolo de reanimación en adultos. La metodología se basa en el análisis temporal de los protocolos de RCP considerando la primera directriz. Fue posible afirmar que los elementos iniciales y críticos de la RCP son las compresiones torácicas y la desfibrilación temprana, en las que señalamos la importancia del papel de la enfermera frente a los cambios y la implementación de estos cambios.Descriptores: Reanimación Cardiopulmonar, Paro Cardíaco, Taponamiento Cardíaco.

Sikap Pemberitaan Media dalam Memperkuat Penegakan Hukum Kasus-Kasus Korupsi

Jurnal Hukum ◽  
2014 ◽  
Vol 30 (2) ◽  
pp. 1420
Author(s):  
Amir Machmud NS
Keyword(s):  
Law Enforcement ◽  
Agenda Setting ◽  
Deterrent Effect ◽  
The Public ◽  
Emergency Situations ◽  
Critical Elements ◽  
Constitutional State ◽  
State Administration ◽  
The Press

AbstractIt is recognized, corruption is an extraordinary crime, which is typically done by extraordinary people, with extraordinary consequences, it requires law enforcement with an outstanding attitude. The reality, in Indonesia, the existence of regular legal institutions such as the police and the prosecutor is not enough to fight corruption, so that agencies with extra power KPK needed in emergency situations like this. The role of the public critical elements to oversee law enforcement, building atmosphere deterrent effect, among others, can also be performed by the press, to function as a conduit of information, education, and social control. Freedom of the press that guaranteed by Law No. 40 of 1999 on the Press is the power to control the state administration that is transparent and accountable as the implementation of a democratic constitutional state. Media have the power to play the role of control through agenda setting and agenda-oriented framing escort so that law enforcement about corruption runs on the track.Keywords: corruption, extraordinary crime, determination, the role of the press, policy news.AbstrakDisadari, korupsi merupakan kejahatan luar biasa, yang lazimnya dilakukan oleh orang-orang luar biasa, dengan akibat-akibat yang luar biasa, maka membutuhkan penegakan hukum dengan sikap yang luar biasa. Realitasnya, di Indonesia, keberadaan lembaga-lembaga hukum reguler seperti kepolisian dan kejaksaan tidak cukup untuk memerangi korupsi, sehingga lembaga dengan kekuatan ekstra Komisi Pemberantasan Korupsi dibutuhkan dalam kondisi darurat seperti ini. Peran elemen-elemen kritis publik untuk mengawal penegakan hukum, membangun atmosfer efek jera, antara lain juga bisa dilakukan oleh pers, dengan fungsi sebagai pemberi informasi, pendidikan, dan kontrol sosial. Kemerdekaan pers yang dijamin oleh Undang-Undang Nomor 40 Tahun 199 tentang Pers merupakan kekuatan untuk mengontrol penyelenggaraan negara yang transparan dan akuntabel sebagai implementasi negara hukum yang demokratis. Media punya kekuatan untuk memainkan peran kontrol melalui agenda setting dan agenda framing yang berorientasi mengawal agar penegakan hukum terhadap tindak pidana korupsi berjalan dalam treknya.Kata kunci: korupsi, kejahatan luar biasa, determinasi, peran pers, kebijakan pemberitaan.

The role of angiotensin in electrophysiological gap junction remodeling in human atrial fibrillation

2004 ◽  
Vol 52 (S 1) ◽  
Author(s):  
S Dhein ◽  
A Boldt ◽  
J Garbade ◽  
L Polontchouk ◽  
U Wetzel ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Gap Junction ◽  
Human Atrial Fibrillation

The Role of HbA1c on Mortality in Patients with Medical History of Ischemic Stroke and Paroxysmal Atrial Fibrillation

Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 2406-PUB
Author(s):  
KONSTANTINA KANELLOPOULOU ◽  
IOANNIS L. MATSOUKIS ◽  
ASIMINA GANOTOPOULOU ◽  
THEODORA ATHANASOPOULOU ◽  
CHRYSOULA TRIANTAFILLOPOULOU ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Ischemic Stroke ◽  
Medical History ◽  
Paroxysmal Atrial Fibrillation ◽  
History Of

Inflammatory Biomarkers in Atrial Fibrillation

2019 ◽  
Vol 26 (5) ◽  
pp. 837-854 ◽  
Author(s):  
Effimia Zacharia ◽  
Nikolaos Papageorgiou ◽  
Adam Ioannou ◽  
Gerasimos Siasos ◽  
Spyridon Papaioannou ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Plasma Levels ◽  
Large Scale ◽  
Inflammatory Biomarkers ◽  
Inflammatory Pathways ◽  
Inflammatory State ◽  
Anti Inflammatory ◽  
Underlying Mechanisms

During the last few years, a significant number of studies have attempted to clarify the underlying mechanisms that lead to the presentation of atrial fibrillation (AF). Inflammation is a key component of the pathophysiological processes that lead to the development of AF; the amplification of inflammatory pathways triggers AF, and, in tandem, AF increases the inflammatory state. Indeed, the plasma levels of several inflammatory biomarkers are elevated in patients with AF. In addition, the levels of specific inflammatory biomarkers may provide information regarding to the AF duration. Several small studies have assessed the role of anti-inflammatory treatment in atrial fibrillation but the results have been contradictory. Large-scale studies are needed to evaluate the role of inflammation in AF and whether anti-inflammatory medications should be routinely administered to patients with AF.

Redox State in Atrial Fibrillation Pathogenesis and Relevant Therapeutic Approaches

2019 ◽  
Vol 26 (5) ◽  
pp. 765-779 ◽  
Author(s):  
Alexios S. Antonopoulos ◽  
Athina Goliopoulou ◽  
Evangelos Oikonomou ◽  
Sotiris Tsalamandris ◽  
Georgios-Angelos Papamikroulis ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Clinical Studies ◽  
Redox State ◽  
Redox Balance ◽  
Therapeutic Approaches ◽  
Critical Determinant ◽  
Electrophysiological Properties ◽  
Antioxidant Agents ◽  
Clinical Benefits

Background: Myocardial redox state is a critical determinant of atrial biology, regulating cardiomyocyte apoptosis, ion channel function, and cardiac hypertrophy/fibrosis and function. Nevertheless, it remains unclear whether the targeting of atrial redox state is a rational therapeutic strategy for atrial fibrillation prevention. Objective: To review the role of atrial redox state and anti-oxidant therapies in atrial fibrillation. Method: Published literature in Medline was searched for experimental and clinical evidence linking myocardial redox state with atrial fibrillation pathogenesis as well as studies looking into the role of redoxtargeting therapies in the prevention of atrial fibrillation. Results: Data from animal models have shown that altered myocardial nitroso-redox balance and NADPH oxidases activity are causally involved in the pathogenesis of atrial fibrillation. Similarly experimental animal data supports that increased reactive oxygen / nitrogen species formation in the atrial tissue is associated with altered electrophysiological properties of atrial myocytes and electrical remodeling, favoring atrial fibrillation development. In humans, randomized clinical studies using redox-related therapeutic approaches (e.g. statins or antioxidant agents) have not documented any benefits in the prevention of atrial fibrillation development (mainly post-operative atrial fibrillation risk). Conclusion: Despite strong experimental and translational data supporting the role of atrial redox state in atrial fibrillation pathogenesis, such mechanistic evidence has not been translated to clinical benefits in atrial fibrillation risk in randomized clinical studies using redox-related therapies.

The Role of Atrial Fibrosis Detected by Delayed - Enhancement MRI in Atrial Fibrillation Ablation

2020 ◽  
Vol 16 (2) ◽  
pp. 135-144 ◽  
Author(s):  
Zsuzsanna Kis ◽  
Astrid Amanda Hendriks ◽  
Taulant Muka ◽  
Wichor M. Bramer ◽  
Istvan Kovacs ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Imaging Modality ◽  
Final Analysis ◽  
Atrial Fibrosis ◽  
Atrial Wall ◽  
Af Ablation ◽  
Left Atrial Wall ◽  
Cmr Imaging

Introduction: Atrial Fibrillation (AF) is associated with remodeling of the atrial tissue, which leads to fibrosis that can contribute to the initiation and maintenance of AF. Delayed- Enhanced Cardiac Magnetic Resonance (DE-CMR) imaging for atrial wall fibrosis detection was used in several studies to guide AF ablation. The aim of present study was to systematically review the literature on the role of atrial fibrosis detected by DE-CMR imaging on AF ablation outcome. Methods: Eight bibliographic electronic databases were searched to identify all published relevant studies until 21st of March, 2016. Search of the scientific literature was performed for studies describing DE-CMR imaging on atrial fibrosis in AF patients underwent Pulmonary Vein Isolation (PVI). Results: Of the 763 citations reviewed for eligibility, 5 articles (enrolling a total of 1040 patients) were included into the final analysis. The overall recurrence of AF ranged from 24.4 - 40.9% with median follow-up of 324 to 540 days after PVI. With less than 5-10% fibrosis in the atrial wall there was a maximum of 10% recurrence of AF after ablation. With more than 35% fibrosis in the atrial wall there was 86% recurrence of AF after ablation. Conclusion: Our analysis suggests that more extensive left atrial wall fibrosis prior ablation predicts the higher arrhythmia recurrence rate after PVI. The DE-CMR imaging modality seems to be a useful method for identifying the ideal candidate for catheter ablation. Our findings encourage wider usage of DE-CMR in distinct AF patients in a pre-ablation setting.

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