[Reporting on data from cardiopulmonary resuscitation].

Anestezjologia intensywna terapia Pub Date : 2010-07-01
Małgorzata Marmaj, Danuta Gierek, Józefa Dabek, Małgorzata Kuczera, Janusz Skowron
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Abstract

Background: In-hospital cardiac arrest is still associated with a high mortality rate, due to late recognition of life-threatening processes such as progressive hypotension, or cerebral ischemia.The aim of the study was to analyse some selected parameters influencing early results of in-hospital cardiopulmonary resuscitation.

Methods: We analysed cardiopulmonary resuscitation reports, prepared following in-hospital cardiac arrests, according to the Utstein templates. In each case, resuscitation was performed according to the recent ERC guidelines.

Results: Thirty-eight reports were analysed. 16% of cardiac arrests were caused by defibrillation-susceptible cardiac rhythms, and 84% were non-defibrillation-susceptible. Return of spontaneous circulation was achieved in 45% of cases: in 67% of defibrillation-susceptible cardiac rhythm arrests, and 40% of non-defibrillation-susceptible cardiac rhythm situations.

Conclusion: The mechanism of cardiac arrest determines the early chance of survival in in-hospital cardiac arrest.

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[心肺复苏数据报告]。
背景:由于对进行性低血压或脑缺血等危及生命的过程认识较晚,院内心脏骤停仍与高死亡率相关。本研究的目的是分析影响院内心肺复苏早期结果的一些选定参数。方法:我们根据Utstein模板分析院内心脏骤停后准备的心肺复苏报告。在每个病例中,复苏都是根据最近的ERC指南进行的。结果:对38例报告进行分析。16%的心脏骤停是由易除颤的心律引起的,84%是非易除颤的心律引起的。45%的病例实现了自发循环的恢复,67%的患者实现了心律骤停,40%的患者实现了心律非除颤。结论:心脏骤停的发生机制决定了院内心脏骤停的早期生存率。
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