Characteristics of Medical Care During in-hospital Cardiopulmonary-cerebral Resuscitation
<strong>Background:</strong> cardiopulmonary-cerebral resuscitation is the set of maneuvers to ensure oxygenation of organs when blood circulation stops. In-hospital cardiopulmonary-cerebral resuscitation is a life-saving intervention. <br /><strong>Objective:</strong>...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | Spanish |
| Published: |
Universidad de las Ciencias Médicas de Cienfuegos
2023-03-01
|
| Series: | Revista Finlay |
| Subjects: | |
| Online Access: | https://revfinlay.sld.cu/index.php/finlay/article/view/1233 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832577427610533888 |
|---|---|
| author | Viviana de la Concepción García Escudero Liset Fuentes Santana Víctor René Navarro Machado Aymara Marcia Hernández Cardoso Yanisleidys Chacón Blay Camilo Rodríguez Pérez |
| author_facet | Viviana de la Concepción García Escudero Liset Fuentes Santana Víctor René Navarro Machado Aymara Marcia Hernández Cardoso Yanisleidys Chacón Blay Camilo Rodríguez Pérez |
| author_sort | Viviana de la Concepción García Escudero |
| collection | DOAJ |
| description | <strong>Background:</strong> cardiopulmonary-cerebral resuscitation is the set of maneuvers to ensure oxygenation of organs when blood circulation stops. In-hospital cardiopulmonary-cerebral resuscitation is a life-saving intervention. <br /><strong>Objective:</strong> to characterize medical care during cardiopulmonary-cerebral resuscitation in patients with cardiac arrest at the Dr. Gustavo Aldereguía Lima University General Hospital in Cienfuegos. <br /><strong>Method:</strong> a descriptive, cross-sectional study was carried out in the five intensive care units of the Emergency Department, from January to June 2020. 152 patients who suffered cardiorespiratory arrest were studied. The variables related to the patient, the symptoms and signs presented by the patients prior to the PCR, as well as vital signs, were studied. <br /><strong>Results:</strong> the average age was 62.66 years, in 54.6% the male sex predominated. Arterial hypertension was the most frequent comorbidity with 60.5%. 32.9% had a length of stay prior to the event of more than 72 hours. In order of frequency, the most prevalent signs or symptoms prior to the PCR event were: bradycardia (32.2%); weak pulses (15.1%); unconsciousness (12.5%) and cyanosis with 10.5%. The service with the highest occurrence was the Clinical Intensive Care Unit. Asystole was the most common initial electrical rhythm (57.9%). In 100% of the cases, advanced airway management was performed with an endotracheal tube. Defibrillation was indicated in 42 patients where 15.1% of these received the first defibrillation in less than 5 minutes. The cause of suspension of resuscitation in 95 of the patients studied was death. <br /><strong>Conclusions:</strong> medical care in the face of cardiorespiratory arrest must continue to be improved, through the improvement of health personnel and the development of organizational actions towards the process of intrahospital cardiopulmonary-cerebral resuscitation. |
| format | Article |
| id | doaj-art-e480a3520d604865a705119bdc50e636 |
| institution | Kabale University |
| issn | 2221-2434 |
| language | Spanish |
| publishDate | 2023-03-01 |
| publisher | Universidad de las Ciencias Médicas de Cienfuegos |
| record_format | Article |
| series | Revista Finlay |
| spelling | doaj-art-e480a3520d604865a705119bdc50e6362025-01-30T21:22:02ZspaUniversidad de las Ciencias Médicas de CienfuegosRevista Finlay2221-24342023-03-011315366620Characteristics of Medical Care During in-hospital Cardiopulmonary-cerebral ResuscitationViviana de la Concepción García Escudero0Liset Fuentes Santana1Víctor René Navarro Machado2Aymara Marcia Hernández Cardoso3Yanisleidys Chacón Blay4Camilo Rodríguez Pérez5Hospital General Universitario Dr. Gustavo Aldereguía Lima. Cienfuegos.Dirección Municipal de Salud de Aguada. Cienfuegos.Universidad de Ciencias Médicas de Cienfuegos. Cienfuegos.Hospital General Universitario Dr. Gustavo Aldereguía Lima. Cienfuegos.Hospital General Universitario Dr. Gustavo Aldereguía Lima. Cienfuegos.Hospital General Universitario Dr. Gustavo Aldereguía Lima. Cienfuegos.<strong>Background:</strong> cardiopulmonary-cerebral resuscitation is the set of maneuvers to ensure oxygenation of organs when blood circulation stops. In-hospital cardiopulmonary-cerebral resuscitation is a life-saving intervention. <br /><strong>Objective:</strong> to characterize medical care during cardiopulmonary-cerebral resuscitation in patients with cardiac arrest at the Dr. Gustavo Aldereguía Lima University General Hospital in Cienfuegos. <br /><strong>Method:</strong> a descriptive, cross-sectional study was carried out in the five intensive care units of the Emergency Department, from January to June 2020. 152 patients who suffered cardiorespiratory arrest were studied. The variables related to the patient, the symptoms and signs presented by the patients prior to the PCR, as well as vital signs, were studied. <br /><strong>Results:</strong> the average age was 62.66 years, in 54.6% the male sex predominated. Arterial hypertension was the most frequent comorbidity with 60.5%. 32.9% had a length of stay prior to the event of more than 72 hours. In order of frequency, the most prevalent signs or symptoms prior to the PCR event were: bradycardia (32.2%); weak pulses (15.1%); unconsciousness (12.5%) and cyanosis with 10.5%. The service with the highest occurrence was the Clinical Intensive Care Unit. Asystole was the most common initial electrical rhythm (57.9%). In 100% of the cases, advanced airway management was performed with an endotracheal tube. Defibrillation was indicated in 42 patients where 15.1% of these received the first defibrillation in less than 5 minutes. The cause of suspension of resuscitation in 95 of the patients studied was death. <br /><strong>Conclusions:</strong> medical care in the face of cardiorespiratory arrest must continue to be improved, through the improvement of health personnel and the development of organizational actions towards the process of intrahospital cardiopulmonary-cerebral resuscitation.https://revfinlay.sld.cu/index.php/finlay/article/view/1233reanimación cardiopulmocerebralparo cardiorespiratoriopersonal sanitario |
| spellingShingle | Viviana de la Concepción García Escudero Liset Fuentes Santana Víctor René Navarro Machado Aymara Marcia Hernández Cardoso Yanisleidys Chacón Blay Camilo Rodríguez Pérez Characteristics of Medical Care During in-hospital Cardiopulmonary-cerebral Resuscitation Revista Finlay reanimación cardiopulmocerebral paro cardiorespiratorio personal sanitario |
| title | Characteristics of Medical Care During in-hospital Cardiopulmonary-cerebral Resuscitation |
| title_full | Characteristics of Medical Care During in-hospital Cardiopulmonary-cerebral Resuscitation |
| title_fullStr | Characteristics of Medical Care During in-hospital Cardiopulmonary-cerebral Resuscitation |
| title_full_unstemmed | Characteristics of Medical Care During in-hospital Cardiopulmonary-cerebral Resuscitation |
| title_short | Characteristics of Medical Care During in-hospital Cardiopulmonary-cerebral Resuscitation |
| title_sort | characteristics of medical care during in hospital cardiopulmonary cerebral resuscitation |
| topic | reanimación cardiopulmocerebral paro cardiorespiratorio personal sanitario |
| url | https://revfinlay.sld.cu/index.php/finlay/article/view/1233 |
| work_keys_str_mv | AT vivianadelaconcepciongarciaescudero characteristicsofmedicalcareduringinhospitalcardiopulmonarycerebralresuscitation AT lisetfuentessantana characteristicsofmedicalcareduringinhospitalcardiopulmonarycerebralresuscitation AT victorrenenavarromachado characteristicsofmedicalcareduringinhospitalcardiopulmonarycerebralresuscitation AT aymaramarciahernandezcardoso characteristicsofmedicalcareduringinhospitalcardiopulmonarycerebralresuscitation AT yanisleidyschaconblay characteristicsofmedicalcareduringinhospitalcardiopulmonarycerebralresuscitation AT camilorodriguezperez characteristicsofmedicalcareduringinhospitalcardiopulmonarycerebralresuscitation |