Soporte vital avanzado en el adulto: Recomendaciones ILCOR 2010 (1ª Parte)
DOI:
https://doi.org/10.30445/rear.v3i1.425Palabras clave:
AHA, críticos, ERC, guías, ilcor, protocolo, RCPResumen
El Soporte Vital Avanzado (SVA) constituye uno de los eslabones de la cadena de supervivencia que incluye acciones encaminadas a prevenir, tratar y mejorar la supervivencia de los pacientes que sufren una Parada Cardiaca (PCR). Para el tratamiento de la PCR, el SVA debe estar apoyado por un rápido reconocimiento de la PCR, la activación temprana de los Sistemas de respuesta de Emergencias Médicas, un adecuado Soporte Vital Básico, una rápida Desfibrilación y los Cuidados Post-Resucitación, es decir el resto de los eslabones de la cadena de supervivencia. Estos son los factores que, unidos, influyen de una forma determinante en la supervivencia (alrededor de 7,6% al alta hospitalaria) que presentan los pacientes que sufren una PCR.
Citas
1.- Rhythms and outcomes of adult in-hospital cardiac arrest. Meaney PA, Nadkarni VM, Kern KB, Indik JH, Halperin HR, Berg RA. Crit Care Med 2010 Jan; 38(1):101-8.
2.- Sasson C, Rogers MA, Dahl J, Kellermann AL. Predictors of survival from out-of-hospital cardiac arrest: a systematic review and meta-analysis. Circ Cardiovasc Qual Outcomes. 2010;3:63-81.
3.- Deakin D.D: et al. Adult life support. 2010 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. Resuscitation 2010;81S:e93-e174.
4.- Deakin CD et al. European Resuscitation Council Guidelines for Resuscitation 2010. Resuscitation 2010;81:1219-1276.
5.- Neumar et al. Adult Advanced Life Support: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2010;122:S729-S767.
6.- Kellum MJ, Kennedy KW, Ewy GA. Cardiocerebral resuscitation improves survival of patients with out-of-hospital cardiac arrest. Am J Med. 2006;119:335-340.
7.- Kellum MJ, Kennedy KW, Barney R, Keilhauer FA, Bellino M, Zuercher M, Ewy GA. Cardiocerebral resuscitation improves neurologically intact survival of patients with out-of-hospital cardiac arrest. Ann Emerg Med. 2008;52:244-252.
8.- Bobrow BJ, Ewy GA, Clark L, Chikani V, Berg RA, Sanders AB, Vadeboncoeur TF, Hilwig RW, Kern KB. Passive oxygen insufflation is superior to bag-valve-mask ventilation for witnessed ventricular fibrillation out-of-hospital cardiac arrest. Ann Emerg Med. 2009;54:656-662.
9.- Callaham M, Barton C. Prediction of outcome of cardiopulmonary resuscitation from end-tidal carbon dioxide concentration. Crit Care Med. 1990;18:358-362.
10.- Pokorna M, Necas E, Kratochvil J, Skripsky R, Andrlik M, Franek O. A sudden increase in partial pressure end-tidal carbon dioxide PETCO2 at the moment of return of spontaneous circulation. J Emerg Med. 2009;38:614-621.
11.- Olasveengen TM, Sunde K, Brunborg C, Thowsen J, Steen PA, Wik L. Intravenous drug administration during out-of-hospital cardiac arrest: a randomized trial. JAMA. 2009;302:2222-2229.
12.- Niendorff DF, Rassias AJ, Palac R, Beach ML, Costa S, Greenberg M. Rapid cardiac ultrasound of inpatients suffering PEA arrest performed by nonexpert sonographers. Resuscitation. 2005;67:81-87.
2.- Sasson C, Rogers MA, Dahl J, Kellermann AL. Predictors of survival from out-of-hospital cardiac arrest: a systematic review and meta-analysis. Circ Cardiovasc Qual Outcomes. 2010;3:63-81.
3.- Deakin D.D: et al. Adult life support. 2010 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. Resuscitation 2010;81S:e93-e174.
4.- Deakin CD et al. European Resuscitation Council Guidelines for Resuscitation 2010. Resuscitation 2010;81:1219-1276.
5.- Neumar et al. Adult Advanced Life Support: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2010;122:S729-S767.
6.- Kellum MJ, Kennedy KW, Ewy GA. Cardiocerebral resuscitation improves survival of patients with out-of-hospital cardiac arrest. Am J Med. 2006;119:335-340.
7.- Kellum MJ, Kennedy KW, Barney R, Keilhauer FA, Bellino M, Zuercher M, Ewy GA. Cardiocerebral resuscitation improves neurologically intact survival of patients with out-of-hospital cardiac arrest. Ann Emerg Med. 2008;52:244-252.
8.- Bobrow BJ, Ewy GA, Clark L, Chikani V, Berg RA, Sanders AB, Vadeboncoeur TF, Hilwig RW, Kern KB. Passive oxygen insufflation is superior to bag-valve-mask ventilation for witnessed ventricular fibrillation out-of-hospital cardiac arrest. Ann Emerg Med. 2009;54:656-662.
9.- Callaham M, Barton C. Prediction of outcome of cardiopulmonary resuscitation from end-tidal carbon dioxide concentration. Crit Care Med. 1990;18:358-362.
10.- Pokorna M, Necas E, Kratochvil J, Skripsky R, Andrlik M, Franek O. A sudden increase in partial pressure end-tidal carbon dioxide PETCO2 at the moment of return of spontaneous circulation. J Emerg Med. 2009;38:614-621.
11.- Olasveengen TM, Sunde K, Brunborg C, Thowsen J, Steen PA, Wik L. Intravenous drug administration during out-of-hospital cardiac arrest: a randomized trial. JAMA. 2009;302:2222-2229.
12.- Niendorff DF, Rassias AJ, Palac R, Beach ML, Costa S, Greenberg M. Rapid cardiac ultrasound of inpatients suffering PEA arrest performed by nonexpert sonographers. Resuscitation. 2005;67:81-87.
Publicado
2011-01-31
Cómo citar
Camacho Leis, C., & de Elías, R. (2011). Soporte vital avanzado en el adulto: Recomendaciones ILCOR 2010 (1ª Parte). Revista Electrónica AnestesiaR, 3(1), 4. https://doi.org/10.30445/rear.v3i1.425
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