Navegando por Palavras-chave "Cardiopulmonary arrest"

Agora exibindo 1 - 2 de 2
  • Imagem de Miniatura
    Item
    Acesso aberto (Open Access)
    Massagem cardíaca interna em cães: proposição de nova técnica para pericardiotomia de emergência tração - ligamentar
    (Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia, 2005-04-01) Aguiar, Eduardo Santiago Ventura De; Raiser, Alceu Gaspar; Schossler, João Eduardo Wallau [UNIFESP]; Oliveira, Ana Néri Christo De; Weiss, Marcelo; Sampaio, Diego Goulart; Pigatto, Juliana; Demori, Gustavo; Caríssimi, André Silva; Universidade Federal de Santa Maria; Universidade Federal de São Paulo (UNIFESP); SOBRADIPEC; Universidade de São Paulo (USP)
    PURPOSE: Describe a technique of emergency pericardiotomy, named as Ligament Traction (LT), to reduce the necessary time to begin the Internal Cardiac Massage. To perform the ICM an emergency toracotomy and pericardiotomy are necessary, both in remote time. The technique usually employed is the T pericardiotomy, whose execution depends on the apprehension of the pericardium with an Allis forceps. This apprehension is difficult and complicates the reanimation of the patient METHODS: Twenty canine corpses were divided into two groups: Group I - T pericardiotomy (n=10), and Group II - the LT technique (n=10). The LT consisted on the traction of the pericardiumphrenic ligament and the section of the pericardium next to its apex. The incision was elongated with the introduction of the fingers, also allowing the positioning of the heart in the hand of the operator and the immediate beginning of the ICM. RESULTS: Group I presented an execution period of 21.79 ± 0.88 second, and Group II of 8.58 ± 1.38, with p<0.0001 (highly expressive). CONCLUSION: The technique of pericardiotomy by Ligament Traction concur to outliving, because it avoids a larger time of cerebral ischemia, due to the early beginning of the circulation.
  • Imagem de Miniatura
    Item
    Acesso aberto (Open Access)
    Qualidade das anotações de enfermagem relacionadas à ressuscitação cardiopulmonar comparadas ao modelo Utstein
    (Escola Paulista de Enfermagem, Universidade Federal de São Paulo (UNIFESP), 2010-01-01) Fernandes, Ana Paula [UNIFESP]; Vancini, Cássia Regina [UNIFESP]; Cohrs, Frederico Molina [UNIFESP]; Moreira, Rita Simone Lopes [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    OBJECTIVE: To assess the quality of nursing records related to cardiopulmonary resuscitation, comparing them to the validated Utstein protocol, in a university hospital. METHODS: Retrospective, exploratory and descriptive study, with quantitative approach, performed by means of consultation records of patients that suffered cardiorespiratory arrest (CRA) followed by death. The data collection was carried out in the period of May 1st to June 30th, in 2009. RESULTS: Of the 144 medical records surveyed, 74 were dismissed for not having any recorded information on the items to be studied and, 70 constituted the study sample. In these there were no entries on: the immediate cause of CRA (92%); the interventions seeking to recover the cardiorespiratoy arrest (RCA) (71%); on the initial rate of CRA (59%); on the time of events (16%); on drugs used (50%); and, on the professionals involved in RCA (88%). CONCLUSIONS: The notes were scarce and often not realized. The use of the Utstein model favors the annotation sequence of events, avoiding data loss.