SciELO - Scientific Electronic Library Online

 
vol.34 número3Factores pronósticos de mortalidad en una cohorte de pacientes con parada cardiorrespiratoria hospitalariaUtilidad de la detección del aleteo nasal en la valoración de la gravedad de la disnea índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Articulo

Indicadores

Links relacionados

  • En proceso de indezaciónCitado por Google
  • No hay articulos similaresSimilares en SciELO
  • En proceso de indezaciónSimilares en Google

Compartir


Medicina Intensiva

versión impresa ISSN 0210-5691

Resumen

HERRERA, M. et al. Results of the first year of experience of the cardiopulmonary resuscitation program "Juan Ramón Jiménez" Hospital (Huelva). Med. Intensiva [online]. 2010, vol.34, n.3, pp.170-181. ISSN 0210-5691.

Objective: To present the results of the first year of the functioning of a Cardiopulmonary Resuscitation (CPR) Hospital Plan and to describe the characteristics of the patients with cardiopulmonary arrest (CPA) in hospital units with no monitoring facilities (HU). Design: An observational, prospective study in a cohort of patients who presented CPA during a one-year period. Setting: HU of a general hospital and as province reference. Patients and methods: Patients admitted to an HU from May 2007 to May 2008 with CPA and treated according to a specific hospital CPA Program, organized in order to: (a) decentralize the CPR through the training of the nurse as the first responder capable of performing immediate CPR and early defibrillation (DF) (less than 4min), (b) a specific phone number as hospital alarm of CPR and (c) maintenance of the CPR maneuvers by an early intervention Resuscitation Team (RT) (less than 8 min). Main variables of interest: Characteristics of patients, CPA episode and results according to the «Utstein style». Results: A total of 73 patients were included with activation of the CPA alarm, 8 of which were false alarms, with an average age of 70 years and 60% men. A total of 65% occurred in the medical area in patients with heart or respiratory failure, sepsis or septic shock. Initial heart rhythm of the patients attended was asystolic in 74% of the patients, ventricular fibrillation in 18% and electromechanical dissociation in 8%. The first attending person was the nurse in 79% of cases, CPR was always initiated in less than 1 min, DF in less than 2min (92%) and RT in less than 8min (96%). Fifty-five percent survived and 35% of the reanimated patients were discharged live from the hospital, 78% with good neurological outcomes. Conclusions: The CPR "Juan Ramón Jiménez" Hospital Program is an applicable and effective initiative in our setting.

Palabras clave : In-hospital cardiac arrest; Cardiopulmonary resuscitation; Cardiopulmonary resuscitation hospital plan; Utstein style.

        · resumen en Español     · texto en Español     · Español ( pdf )

 

Creative Commons License Todo el contenido de esta revista, excepto dónde está identificado, está bajo una Licencia Creative Commons