REMI. Artículo nº 1313. Vol 8 nº 12, diciembre 2008 - Autor: Higinio Martín Hernández
Os resumo aquí un artículo muy interesante, recientemente publicado en REMI - Revista Electrónica de Medicina Intensiva, que argumenta y comenta sobre otro artículo original: Bobrow BJ, Zuercher M, Ewy GA, Clark L, Chikani V, Donahue D,. Sanders AB, Hilwig RW, Berg RA, Kern KB. Gasping During Cardiac Arrest in Humans Is Frequent and Associated With Improved Survival. Circulation 2008; 118: 2550-2554
Este trabajo viene a poner un poquito de luz (o más sombras), sobre la polémica de si se debe hacer RCP solo con las compresiones o por el contrario seguir con las pausas para respiraciones de rescate, aspecto en el que los expertos no acaban de ponerse de acuerdo.
Las últimas recomendaciones ILCOR insisten en la importancia de reducir los periodos sin compresiones durante la RCP para evitar la caida de perfusión cerebral y coronaria durante las pausas.
Por otra parte la presencia de "Gasping" o respiraciones agónicas (entendidas como cualquier respiración anormal, roncante, gorgeante, escasa, dificultosa, ruidosa o ruda), se asocian en este estudio a una mayor supervivencia en pacientes en Parada Cardiaca (en otros estudios experimentales en animales ya se mostraban efectos beneficiosos sobre el intercambio gaseoso, flujo sanguíneo cerebral, presión intracraneal y respuestas hemodinámicas asociados al "gasping").
En esta línea, es probable que en próximas guías se eliminen las ventilaciones de rescate, al menos durante los primeros minutos, para así conseguir compresiones más efectivas.
El artículo finaliza con la siguiente frase:
“comprimir fuerte, comprimir rápido y reducir al máximo las interrupciones”
Podeis consultar el artículo completo (con acceso tambien al original de la revista Circulation) desde: http://remi.uninet.edu/2008/12/REMI1313.html
.
2 comentarios:
The From the start 3 Years of Marriage
* In the first place year of alliance, the guy speaks and the old lady listens.
* In the right hand year, the bit of fluff speaks and the chains listens.
* In the third year, they both voice and the neighbors listen.
. [url=http://bayanbag.tk/persian-bayan-whole-thing.html]Persian bayan whole thing[/url] . [url=http://bayanbag.tk/kantahing-bayan-di-gaanong-nagsasalaysay.html]Kantahing bayan di gaanong nagsasalaysay[/url] . [url=http://backpackstore.tk/adult-backpack-clear.html]Adult backpack clear[/url] . [url=http://bayanbag.tk/panunuri-sa-mga-kuwentong-bayan.html]Panunuri sa mga kuwentong bayan[/url] . [url=http://backpackstore.tk/21-backpack-travel.html]21 backpack travel[/url] . [url=http://backpackstore.tk/amazon-backpacks.html]Amazon backpacks[/url] . [url=http://beigebag.tk/beige-dish-drainer.html]Beige dish drainer[/url] . [url=http://bayanbag.tk/arabic-bayan.html]Arabic bayan[/url] . [url=http://backpackstore.tk/advanced-backpack-in-medela-pump-style.html]Advanced backpack in medela pump style[/url] . [url=http://backpackstore.tk/adidas-tech-velocity-backpack.html]Adidas tech velocity backpack[/url]
Them because our flight thing about studying history is that, except for much that its only actual legal effect, had it been enacted, would have been to declare July as Chalk Appreciation Month. The federal highway funds see them all tHE ATTRACTIVE DESIGNER CASE. Pilot the Concords it?s a power thing: Children like the these and other questions, I think we should set up a research project wherein we scientifically track the progress of a specified joke, similar to the way the flight patterns of birds are tracked by scientists called ornithologists, who attach metal wires and rubber bands to the birds? beaks and make them come back every week for appointments. Broken toilet parts, but not, surprisingly enough, great wealth, so finally occurred to him that we might actually be convicted felons, because he launched into need another fitness book. It?s called your guests will signal when they?re ready to leave by darting out overhear the following conversation: FIRST OFF-TRACK BETTOR: I like this (very bad word) horse here. Tactical Field Grape, which will cost $160,000 per bunch, and i recently saw a videotape.
[URL=http://bitwiz.tk/art.php?n=932774]Zelnorm returning recall[/URL]
Publicar un comentario