scholarly journals Evolução histórica da ressuscitação cardiopulmonar: estudo de revisão

2009 ◽  
Vol 3 (3) ◽  
pp. 709
Author(s):  
Erika Azevedo Massimo ◽  
Daclé Vilma Carvalho ◽  
Talline Arêdes Hang-Costa ◽  
Danilo Ulisses Oliveira

ABSTRACTObjective: this review aimed to describe the historical development of cardiopulmonary resuscitation, following the history of this therapeutic modality. Method: the methodology consists of a review of the databases Medline and Lilacs looking for articles published in the last 20 years about the history and establishment of cardiopulmonary resuscitation as a therapeutic option for reversal of cardiorespiratory arrest. Results: there are historical antecedents of cardiopulmonary resuscitation from the Biblical era until the establishment of the committee of the American Heart Association. As this committee, currently, a reference in teaching and research in cardiopulmonary resuscitation in the world, its investment allowed from 2000, the development of a global consensus of resuscitation guidelines that generated international attention only on the cardiopulmonary resuscitation. Conclusion: it was noted that over the years the techniques of PCR produced an impact on modern society to the point of generating new expectations facing life and death, revealing is essential that the healthcare professional who understands your technical and scientific competence for a parade heart can make a difference between life and death of a patient. Descriptors: history; cardiopulmonary resuscitation; stop heart attack.RESUMOObjetivo: esta revisão teve como objetivo descrever a evolução histórica da ressuscitação cardiopulmonar, acompanhando o percurso histórico dessa modalidade terapêutica. Método: a metodologia consiste em uma revisão bibliográfica aos bancos de dados Medline e Lilacs buscando artigos publicados nos últimos 20 anos sobre a história e o estabelecimento da ressuscitação cardiopulmonar como possibilidade terapêutica para reversão da parada cardiorrespiratória. Resultados: destacam-se os antecedentes históricos da ressuscitação cardiopulmonar desde a época bíblica até a criação do comitê da American Heart Association. Sendo este comitê, atualmente, referência no ensino e pesquisa em ressuscitação cardiopulmonar no mundo, seu investimento possibilitou a partir do ano 2000, o desenvolvimento de um consenso mundial de ressuscitação que gerou diretrizes internacionais únicas sobre o atendimento a ressuscitação cardiopulmonar. Conclusão: notou-se que ao longo dos anos as técnicas de RCP produziram um impacto na sociedade moderna a ponto de gerar novas expectativas frente a vida e a morte, revelando ser fundamental que o profissional de saúde compreenda que sua competência técnico-científica em relação a uma parada cardíaca pode fazer diferença entre a vida e a morte de um paciente. Descritores: história; ressuscitação cardiopulmonar; parada cardíaca. RESUMENObjetivo: Esta revisión tiene por objeto describir el desarrollo histórico de la reanimación cardiopulmonar, a raíz de la historia de esta modalidad terapéutica. Método: la metodología consiste en una revisión de las bases de datos Medline y Lilacs en busca de los artículos publicados en los últimos 20 años sobre la historia y el establecimiento de la resucitación cardiopulmonar como una opción terapéutica para la inversión de paro cardiorrespiratorio. Resultados: hay antecedentes históricos de la reanimación cardiopulmonar de la época bíblica hasta la creación de la comisión de la Asociación Americana del Corazón. En esta comisión, en la actualidad, una referencia en la enseñanza y la investigación en la resucitación cardiopulmonar en el mundo, permite su inversión a partir de 2000, el desarrollo de un consenso mundial de que la reanimación directrices sólo genera la atención internacional sobre la reanimación cardiopulmonar. Conclusión: se observó que en los últimos años las técnicas de PCR produce un impacto en la sociedad moderna hasta el punto de generar nuevas expectativas frente a la vida y la muerte, revelando es esencial que el profesional de la salud que comprende a su competencia técnica y científica para un desfile corazón puede hacer una diferencia entre la vida y la muerte de un paciente. Descriptores: historia; resucitación cardiopulmonar; parada cardíaca.

2015 ◽  
Vol 2015 ◽  
pp. 1-5
Author(s):  
Ahmad Jaafar ◽  
Mohammad Abdulwahab ◽  
Eman Al-Hashemi

Background and Objectives. The quality of cardiopulmonary resuscitation (CPR) is an important factor in determining its overall outcome. This study aims to test the association between rescuers’ gender, Body Mass Index (BMI), and the accuracy of chest compressions (CC) as well as ventilation, according to American Heart Association (AHA) 2010 resuscitation guidelines. Methods. The study included 72 participants of both genders. All the participants received CPR training according to AHA 2010 resuscitation guidelines. One week later, an assessment of their CPR was carried out. Moreover, the weight and height of the participants were measured in order to calculate their BMI. Results. Our analysis showed no significant association between gender and the CC depth (P=0.53) as well as between gender and ventilation (P=0.42). Females were significantly faster than males in CC (P=0.000). Regarding BMI, participants with a BMI less than the mean BMI of the study sample tended to perform CC with the correct depth (P=0.045) and to finish CC faster than those with a BMI more than the mean (P=0.000). On the other hand, no significant association was found between BMI and ventilation (P=0.187). Conclusion. CPR can be influenced by factors such as gender and BMI, as such the individual rescuer and CPR training programs should take these into account in order to maximize victims’ outcome.


Circulation ◽  
2008 ◽  
Vol 118 (suppl_18) ◽  
Author(s):  
Joseph L Sullivan ◽  
Robert G Walker ◽  
Isabelle L Banville ◽  
Thomas D Rea ◽  
Fred W Chapman

Background : Pauses in cardiopulmonary resuscitation (CPR) for Automatic External Defibrillator (AED) ECG analysis may adversely affect cardiac arrest resuscitation. Thus, approaches that analyze the ECG rhythm during CPR may improve outcomes. We developed and tested an Analysis During CPR (ADC) algorithm to determine if it would meet the American Heart Association recommended 90% sensitivity for coarse (>0.2 mV peak-peak) ventricular fibrillation (VF) and 95% specificity for non-shockable rhythms. Methods : Defibrillator ECG and impedance recordings from 162 patients were retrospectively gathered from 3 EMS systems. 1047 15-second CPR-artifacted segments (274 coarse VF + 773 non-shockable) were identified for analysis; their artifact and rhythm distributions reflect those found in the 162 patients. Each CPR artifacted segment was paired with an adjacent segment free of CPR artifact for reference. Independent reviewers manually annotated and verified Shock/No-Shock rhythm designations blinded to the ADC determination. The ADC algorithm automatically classified each segment into categories of Shock/No Shock/Pause CPR For Clean Analysis, where the last category is segments recognized by the ADC as too noisy for accurate Shock/No Shock determination. In those situations the device would revert to the current approach of a CPR pause for AED rhythm analysis. Results : Of the 1047 CPR-artifacted segments, the ADC recommended to “Pause CPR For Clean Analysis” in 10% (n=109), including 4.4% of VF segments (12/274) and 12% (97/773) of non-shockable segments. Of the 938 remaining segments, the ADC correctly identified VF in 97% (sensitivity: 255/262) and correctly identified nonshockable rhythms in 96% (specificity: 650/676). Corresponding positive and negative predictive values were 91% and 99% respectively. Conclusions : The ADC is the first algorithm for automated ECG rhythm analysis during ongoing CPR that has been demonstrated to meet the existing AHA sensitivity and specificity recommendations designed for traditional rhythm analysis during hands-off pauses. Incorporation of this algorithm into an AED may eliminate about 90% of analysis pauses without compromising analysis accuracy and in turn may improve the likelihood of resuscitation.


PEDIATRICS ◽  
2020 ◽  
Vol 147 (Supplement 1) ◽  
pp. e2020038505E ◽  
Author(s):  
Khalid Aziz ◽  
Chair; Henry C. Lee ◽  
Marilyn B. Escobedo ◽  
Amber V. Hoover ◽  
Beena D. Kamath-Rayne ◽  
...  

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