Medicina, Vol. 49 No. 4, 2013.
Stručni rad
Course of events and cardiopulmonary resuscitation outcomes in Clinical Hospital Centre Rijeka
Boban Dangubić
; Klinika za anesteziologiju i intenzivno liječenje, KBC Rijeka, Rijeka
Kristian Deša
; Klinika za anesteziologiju i intenzivno liječenje, KBC Rijeka, Rijeka
Vjekoslav Tomulić
; Klinika za internu medicinu, KBC Rijeka, Rijeka
Kazimir Juričić
; Klinika za anesteziologiju i intenzivno liječenje, KBC Rijeka, Rijeka
Janja Kuharić
; Klinika za anesteziologiju i intenzivno liječenje, KBC Rijeka, Rijeka
Alen Protić
; Klinika za anesteziologiju i intenzivno liječenje, KBC Rijeka, Rijeka
Sažetak
Objective: The outcome of cardiac arrest and cardiopulmonary resuscitation measures
depends on the implementation of the ERC guidelines as well as their timely enforcement.
The aim of the study was to determine differences in measures of cardiopulmonary resuscitation
(CPR) provided within different departments of Clinical Hospital Centre (KBC)
Rijeka. Patients and methods: Prospective analysis covered 63 patients who underwent CPR
following cardiac arrest in KBC Rijeka during 15-month study period (June 2011 to September
2012). Results: Return of spontaneous circulation was achieved in 23 patients (36 %), whereas
40 patients (64 %) had lethal outcome. Until the arrival of resuscitation team basic life support
(BLS) was provided to all patients (100 %). In most cases (79 %) initial rhythm was non-shockable
rhythm (asystole or pulseless electrical activity), while the rest (21 %) were shockable
rhythms (pulseless ventricular tachycardia or ventricular fibrilation). After the return of spontaneous
circulation 6 patients (26 %) had favorable neurological outcome (CPC-score 1 and 2)
while 17 patients (74 %) had significant neurological disorder (CPC-score 3,4 and 5). Discussion
and conclusion: In order to improve the outcome it is necessary to provide education in
basic and advanced life support for all medical personnel on hospital wards as well as Intensive
care units and Emergency medicine department. Rapid response team and the use of
‘track-and-trigger systems’ to detect the deteriorating patient should be organized together
with equipment and material normative standards at wards and departments with high risk of
cardiac arrest occurrence.
Ključne riječi
advanced life support; cardiac arrest; cardiopulmonary resuscitation; return of spontaneous circulation
Hrčak ID:
112540
URI
Datum izdavanja:
2.12.2013.
Posjeta: 2.911 *