scholarly journals Parada cardíaca perioperatória: Epidemiologia e mortalidade / Perioperatory heart arrest: Epidemiology and mortality

2021 ◽  
Vol 7 (11) ◽  
pp. 104671-104674
Author(s):  
Maria Eduarda Borges Vitor ◽  
Ana Júlia Carvalho ◽  
Benedito Vicente da Silva Filho ◽  
Fernanda Arruda Cunha ◽  
Gabriel dos Santos Braga ◽  
...  
Keyword(s):  
Cardiology ◽  
1999 ◽  
Vol 91 (1) ◽  
pp. 31-40 ◽  
Author(s):  
Charles Kennergren ◽  
Vittorio Mantovani ◽  
Peter Lönnroth ◽  
Britta Nyström ◽  
Eva Berglin ◽  
...  

1989 ◽  
Vol 12 (10) ◽  
pp. 668-672 ◽  
Author(s):  
T.I. Přistoupil ◽  
M. Vrána ◽  
J. Havlíčková ◽  
M. Kramlová

The addition of stroma-free hemoglobin solution to a standard St. Thomas Hospital cardioplegic solution significantly protected the heart from ischemic damage compared to the effect of the same solution without added hemoglobin. An experimental model of rat heart cardioplegia and transplantation comprising heart arrest for three hours at 20°C was used. The number of hearts performing strong contractions after cardioplegia with iso-oncotic oxyhemoglobin prior to transplantation was close to the results with histidine-buffered cardioplegic solution according to Bretschneider. Comparative biochemical model experiments in vitro confirmed that the positive effect of oxyhemoglobin was due predominantly to its buffering capacity. The role of oxygen transport to tissues by hemoglobin was limited only to the first minutes of cardioplegia since neither recirculation nor reoxygenation took place in the present experimental setting.


Circulation ◽  
2008 ◽  
Vol 118 (suppl_18) ◽  
Author(s):  
Mitesh V Badiwala ◽  
Danny Ramzy ◽  
Laura C Tumiati ◽  
Elissa D Tepperman ◽  
Rohit Sheshgiri ◽  
...  

Objective: Hypertonic saline (HTS) has been previously demonstrated to have immune modulatory and vascular protective effects. We assessed the effect of donor pretreatment with HTS on allograft myocardial function in a porcine model of orthotopic heart transplantation. We hypothesized that HTS infusion prior to donor heart arrest and storage would limit ischemia-reperfusion injury and improve myocardial performance following transplantation. Methods: Orthotopic transplants were performed after 6 hours of ischemic allograft storage. Donor pigs were randomly assigned to pretreatment with (n = 7) or without (n = 6) HTS (4.5 ml/kg of 7.5% NaCl) administered 1 hour prior to donor heart arrest. Left ventricular performance was determined after caval occlusion using a Millar micromanometer and conductance catheter. Hemodynamic measurements were obtained using a Swan-Ganz catheter. Results: Administration of hypertonic saline increased serum sodium level from 138 ± 2 mmol/L to 154 ± 4 mmol/L, which normalized to 144 ± 3 mmol/L 1 hour post-infusion. Weaning from CPB and LV performance after transplantation was improved after donor HTS treatment. Successful weaning from CPB was significantly greater in HTS treated hearts (6/7 versus 1/6, p < 0.05). Preload recruitable stroke work post-transplantation was improved compared to control (88 ± 21% versus 35 ± 8% of baseline, p < 0.01). Similarly, maximal elastance was improved compared to control (85 ± 17% versus 42 ± 12% of baseline, p = 0.03). No significant differences in post-transplant central venous, pulmonary artery or pulmonary capillary wedge pressures were observed between groups. However, post-transplant systolic blood pressure was significantly higher in the donor HTS group (60 ± 9 mmHg versus 35 ± 6 mmHg, p = 0.04). Conculsions: Donor HTS pretreatment attenuates post-transplant cardiac allograft myocardial function and improves post-transplant systemic hemodynamic function. HTS may be a novel organ donor intervention to prevent primary graft dysfunction. Further clinical evaluation of this simple and potentially cost-effective intervention is warranted.


2006 ◽  
Vol 95 (6) ◽  
pp. 316-318 ◽  
Author(s):  
Ralf Zahn ◽  
Stephan Achenbach ◽  
Dieter Ropers ◽  
Johannes Schwab ◽  
Matthias Baumgärtel ◽  
...  

1987 ◽  
Vol 19 (5) ◽  
pp. 329-336 ◽  
Author(s):  
O.I.. Pisarenko ◽  
I.M. Studneva ◽  
V.F. Portnoy ◽  
A.D. Arapov ◽  
A.M. Korostylev

2008 ◽  
Vol 16 (6) ◽  
pp. 1060-1062 ◽  
Author(s):  
Maria Celia Barcellos Dalri ◽  
Izilda Esmenia Muglia Araújo ◽  
Renata Cristina de Campos Pereira Silveira ◽  
Silvia Rita Marin da Silva Canini ◽  
Regilene Molina Zacareli Cyrillo

Cardiopulmonary arrest (CPA) poses a severe threat to life; cardiopulmonary resuscitation (CPR) represents a challenge for research and assessment by nurses and their team. This study presents the most recent international recommendations for care in case of cardiopulmonary heart arrest, based on the 2005 Guidelines by the American Heart Association (AHA). These CPR guidelines are based on a large-scale review process, organized by the International Liaison Committee on Resuscitation (ILCOR). High-quality basic and advanced CPR maneuvers can save lives.


1981 ◽  
Vol 9 (3) ◽  
pp. 238
Author(s):  
Fernando Avello ◽  
Juan Gómez-Arnau ◽  
Antonio Criado ◽  
María V. Martinez ◽  
María G. Aguilar ◽  
...  
Keyword(s):  

2018 ◽  
Vol 12 (11) ◽  
pp. 3147
Author(s):  
Eliane Laranjeira Saraiva ◽  
Henrique Mateus Fernandes ◽  
Cristina Silva Sousa

RESUMOObjetivo: apresentar a atuação de um time de enfermeiros especialistas na assistência ao paciente submetido à ECMO-VA pós-parada cardíaca. Método: trata-se de estudo qualitativo, descritivo, retrospectivo, na modalidade do estudo de caso, realizado em um hospital filantrópico. Compôs-se a amostra por uma jovem de 18 anos, em que se analisou o prontuário médico e o resultado se apresentou em forma de relato. Resultados: ressalta-se que o estabelecimento de um time bem estruturado, com atuação do enfermeiro na assistência integral contribuíram para evolução do quadro clínico do paciente pós parada cardiorrespiratória resulta em sua recuperação e alta hospitalar. Informa-se que time atuou de forma contínua desde a canulação até a sua retirada, para o cuidado da paciente em ECMO. Conclusão: salienta-se que a atuação do time foi indispensável para um cuidado especializado e um desfecho favorável na assistência à paciente durante todo o seu período em suporte circulatório. Descritores: Oxigenação por Membrana Extracorpórea; Cuidados de Enfermagem; Parada Cardíaca; Reanimação Cardiopulmonar; Avaliação de Resultados da Assistência ao Paciente; Relatos de Casos.ABSTRACT Objective: to present the work of a team of specialist nurses in the care of patients submitted to ECMO-VA after cardiac arrest. Method: this is a qualitative, descriptive, retrospective study, in the modality of the case study, carried out in a philanthropic hospital. The sample was composed by an 18-year-old girl, who analyzed the medical record and the result was presented in the form of a report. Results: it is emphasized that the establishment of a well-structured team with a nurse's role in the integral care contributed to the evolution of the clinical picture of the patient after cardiorespiratory arrest results in their recovery and hospital discharge. It is reported that the team worked continuously from cannulation until its withdrawal, to the care of the patient in ECMO. Conclusion: it should be noted that the team's performance was indispensable for specialized care and a favorable outcome in patient care throughout their period of circulatory support. Descriptors: Extracorporeal Membrane Oxygenation; Nursing Care; Heart Arrest; Cardiopulmonary Resuscitation; Patient Outcome Assessment; Case Reports.RESUMEN Objetivo: presentar la actuación de un equipo de enfermeros especialistas en la asistencia al paciente sometido a la ECMO-VA post-parada cardiaca. Método: se trata de un estudio cualitativo, descriptivo, retrospectivo, en la modalidad del estudio de caso, realizado en un hospital filantrópico. Se compuso la muestra por una joven de 18 años, en la que se analizó el prontuario médico y el resultado se presentó en forma de relato. Resultados: se resalta que el establecimiento de un equipo bien estructurado, con actuación del enfermero en la asistencia integral, contribuyó para la evolución del cuadro clínico del paciente pos paro cardiorrespiratorio resulta en su recuperación y alta hospitalaria. Se informa que el equipo actuó de forma continua desde la canulación hasta su retirada, para el cuidado de la paciente en ECMO. Conclusión: se destaca que la actuación del equipo fue indispensable para un cuidado especializado y un desenlace favorable en la asistencia al paciente durante todo su período en soporte circulatorio. Descriptores: Oxigenación por Membrana Extracorporea; Atención de Enfermería; Paro Cardíaco; Reanimación Cardiopulmonar; Evaluación del Resultado de la Atención al Paciente; Informes de Casos.


Sign in / Sign up

Export Citation Format

Share Document