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Title:Kardiocerebralno oživljanje : dejstva in perspektive
Authors:ID Kupnik, Dejan (Author)
ID Križmarić, Miljenko (Author)
Files:.pdf Zdravniski_vestnik_2009_Kupnik,_Krizmaric_Kardiocerebralno_ozivljanje_dejstva_in_perspektive.pdf (115,24 KB)
MD5: 4C98645D5B9D50F398C9B6CA5A8A05CA
 
URL http://vestnik.szd.si/index.php/ZdravVest/article/view/410
 
Language:Slovenian
Work type:Scientific work
Typology:1.02 - Review Article
Organization:FZV - Faculty of Health Sciences
Abstract:Na področju kardiopulmonalnega oživljanja v zunajbolnišničnem okolju se še vedno ubadamo s slabim znanjem laikov o postopkih oživljanja, dostopnost avtomatskih defibrilatorjev je slaba, med oživljanjem je preveč motenj, ki skrajšujejo čas kakovostnega izvajanja zunanje masaže srca in poreanimacijska oskrba še vedno ni optimalna. Zaradi vsega tega ostaja preživetje bolnikov po za- stoju srca slabo. Poudarki zadnjih smernic kardiopulmonalnega oživljanja iz leta 2005 so zato usmerjeni v izboljšanje kakovosti oživljanja, in sicer na doseganje zadostne- ga števila stisov zunanje masaže na minuto, doseganje ustrezne globine stisov, na minimalno prekinjanje zunanje masaže srca in izogibanje hiperventilaciji. A zunanja masaža srca in umetno dihanje sta še vedno osnova začetnih postopkov oživljanja tako pri primarnem kot sekundarnem zastoju srca kljub različnim patofiziološkim vzrokom. To je v zadnjih dveh desetletjih privedlo do razvoja koncepta kardiocerebralnega oživljanja, ki se je v raziskavah pokazal kot enakovreden ali celo boljši pri preživetju bolnikov po primarnem zastoju srca v primerjavi s standardnim kardiopulmonalnim oživljanjem. Kardiocerebralno oživljanje bolnikov s primarnim zastojem srca, ki se je zgodil pred očividci, obsega neprekinjeno zunanjo masažo srca brez umetnega dihanja s strani očividcev v prvih minutah oživljanja, dodatne postopke oživljanja, ki ne prekinjajo zunanje masaže srca in tako ne motijo njenega pozitivnega hemodinamskega učinka, dveminutni ciklus oživljanja pred defibrilacijo, če strokovna pomoč pride po štirih do petih minutah od nastopa zastoja srca, oziroma takojšnja defibrilacija pred postopki oživljanja, če strokovna pomoč pride znotraj štirih do petih minut od nastopa zastoja srca. Poreanimacijska oskrba bolnikov po primarnem srčnem zastoju obsega še blago inducirano hipotermijo, koronarografijo in morebitno perkutano koronarno intervencijo.
Keywords:kardiocerebralno oživljanje, kardiopulmonalno oživljanje, prekatna fibrilacija, neprekinjena zunanja masaža srca, predbolnišnično okolje
Publication status:Published
Publication version:Version of Record
Year of publishing:2009
Number of pages:str. 744-754
Numbering:Letn. 78, št. 12
PID:20.500.12556/DKUM-65261 New window
ISSN:1318-0347
UDC:616.1
ISSN on article:1318-0347
COBISS.SI-ID:26494681 New window
NUK URN:URN:SI:UM:DK:MFKECGCF
Publication date in DKUM:27.03.2017
Views:3770
Downloads:243
Metadata:XML DC-XML DC-RDF
Categories:Misc.
:
KUPNIK, Dejan and KRIŽMARIĆ, Miljenko, 2009, Kardiocerebralno oživljanje : dejstva in perspektive. Zdravniški vestnik. glasilo Slovenskega zdravniškega društva [online]. 2009. Vol. 78, no. 12, p. 744–754. [Accessed 29 March 2025]. Retrieved from: https://dk.um.si/IzpisGradiva.php?lang=eng&id=65261
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Record is a part of a journal

Title:Zdravniški vestnik. glasilo Slovenskega zdravniškega društva
Publisher:Slovensko zdravniško društvo
ISSN:1318-0347
COBISS.SI-ID:32893696 New window

Licences

License:CC BY-NC 4.0, Creative Commons Attribution-NonCommercial 4.0 International
Link:http://creativecommons.org/licenses/by-nc/4.0/
Description:A creative commons license that bans commercial use, but the users don’t have to license their derivative works on the same terms.
Licensing start date:27.03.2017

Secondary language

Language:English
Title:Cardiocerebral resuscitation : facts and prospects
Abstract:Cardiopulmonary resuscitation in the prehospital setting still has to cope with poor lay-rescuer knowledge of resuscitation techniques, low public availability of automated external dei brillators, many detrimental interruptions of chest compressions during lay and professional resuscitation ef orts and suboptimal postresuscitation care. h erefore the survival of patients at er cardiac arrest remains poor. To address those l aws, cardiopulmonary resuscitation guidelines of 2005 are targeted at improving cardiopulmonary resuscitation by achieving adequate depth, number, and minimalinterruptions of chest compressions per minute, and avoiding hyperventilation. But a combination of chest compressions and rescue breathingis still the mainstay of resuscitation ofin primary and secondary cardiac arrest despite dif erent pathophysiological causes. In the last two decades a concept of cardiocerebral resuscitation emerged, and according to research it is equal to or even better than standard cardiopulmonary resuscitation in terms of patients' prognosis at er successful resuscitation of sudden or primary unexpected cardiac arrest. Cardiocerebral resuscitation of patients with primary cardiac arrest consists of layrescuer uninterrupted chest compressions without rescue breathing in the first minutes of resuscitation, advanced life support techniques that do not interrupt chest compressions and thus maintain their positive hemodynamic ef ects. If professional rescuers arrive at the scene within 4 to 5 minutes after primary cardiac arrest, dei brillation should be attempted prior to resuscitation techiques, but if professional help arrives later than 4 to 5 minutes after primary cardiac arrest, two minutes of resuscitation techniques should be performed prior to the first defibrillation. Post-resuscitation care includes mild induced hypothermia, coronarography and percutaneous coronary intervention.
Keywords:cardiocerebral resuscitation, cardiopulmonary resuscitation, ventricular fibrillation, continuous chest compressions, prehospital setting


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