KARDIOPULMONALNA REANIMACIJA U POLOŽAJU NA TRBUHU
Ključne reči:
srčani zastoj, kardiopulmonalna reanimacija, prono položaj
Sažetak
Stare i nove smernice o KPR-a pretpostavljaju da je pacijent u ležećem položaju na leđima, na tvrdoj i stabilnoj podlozi. Prono položaj obično se koristi u operacionoj sali i u jedinicama intenzivne nege . COVID-19 pacijenti se često zbrinjavaju u prono položaju. U slučaju srčanog zastoja potrebno je bez odlaganja započeti visokokvalitetne kompresije grudnog koša i defibrilaciju da bi se povećale šanse za preživljavanje pacijenata. Prema aktuelnim smernicama KPR treba započeti u zatečenom, prono položaju dok se ne steknu uslovi za okretanje pacijenta na leđa. Preporučuje se izvođenje kompresija sa rukama postavljenim preko tela u nivou T7/10 kičmenog stub uobičajenom dubinom i brzinom (5 do 6 cm, 2 kompresije u sekundi), a samolepljive elektrode za defibrilaciju se postavljaju u antero-posteriorni ili biaksilarni položaj. Sternalni kontrapritisak povećava efikasnost kompresija grudnog koša. Edukacija zdravstvenih radnika o tehnici KPR-a u prono položaju i njena primena kod odabranih pacijenata poboljšavaju preživljavanje.
Reference
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Cochrane Database of Systematic Reviews 2015, Issue 11. Art. No.: CD008095.
DOI: 10.1002/14651858.CD008095.pub2.
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Srpski časopis anestezija i intenzivna terapija. 2014; 36: 117-126
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14. Anđelić S, Emiš-Vandlik N, Bogunović S, Čolaković G, Kojić G, Nikolić T et al. Kratak vodič za prehospitalno zbrinjavanje akutne respiratorne insuficijencije. NČ UM Halo 194. 2018; 24(3): 216-225. DOI: 10.5937/Halo1803216A
15. Bamford P, Bentley A, Dean J, Whitmore D,and Wilson-Baig N. Guidance For: Prone Positioning in Adult Critical Care; 2019.
16. Bersot CDA, Pereira JEG, Aslanidis T. Cardiopulmonary resuscitation in prone position in critically ill patients with Sars-cov-2 infection. The Greek E-Journal of Perioperative Medicine 2020;19(b): 13-20.
17. Ludwin K, Szarpak L, Ruetzler K, Smereka J, Böttiger BW, Jaguszewski M, Filipiak KJ. Cardiopulmonary Resuscitation in the Prone Position: A Good Option for Patients With COVID-19. Anesth Analg. 2020 Sep; 131(3): e172-e173.
doi: 10.1213/ANE.0000000000005049. PMID: 32516166; PMCID: PMC7302098.
18. Čolakovic G, Andjelic S, Stefanovic I, Bogunovic S, Emis-Vandlik N, Stojanovic S. Assessment of basic life support skills among medical doctors and technicians in Belgrade emergency medical services. Signa vitae. 2018;14 (1), 38-42.DOI: 10.22514/SV141.052018.6
19. Cave DM, Gazmuri RJ, Otto CW, Nadkarni VM, Cheng A, Brooks SC, Daya M, Sutton RM, Branson R, Hazinski MF. Part 7: CPR techniques and devices: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2010;122(3):S720 –S728. PMID: 20956223
20. Brooks SC, Anderson ML, Bruder E, Daya MR, Gaffney A, Otto CW, Sınger AJ, Thıagarajan RR, Travers AH: Part 6: Alternative Techniques and Ancillary Devices for Cardiopulmonary Resuscitation: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation; 2015, 132:S436-43. DOI:10.1161/CIR.0000000000000260
21. Timerman S, Guimarães HP, Rodrigues RDR, Corrêa TD, Schubert DUC, Freitas AP, et al. Recommendations for Cardiopulmonary Resuscitation (CPR) of patients with suspected or confirmed COVID-19. Braz J Anesthesiol. 2020 Jun 13. doi: 10.1016/j.bjane.2020.06.007. Epub ahead of print. PMID: 32836520; PMCID: PMC7293473.
22. Zhan L, Yang LJ, Huang Y, He Q, Liu GJ. Continuous chest compression versus interrupted chest compression for cardiopulmonary resuscitation of non-asphyxial out-of-hospital cardiac arrest.Cochrane Database Syst Rev. 2017;3(3): CD010134.
doi: 10.1002/14651858.CD010134.pub2. PMID: 28349529; PMCID: PMC6464160.
2. Emiš-Vandlik N, Čolaković G, Petrović Glamočlija R, Anđelić S, Stefanović I. Značaj pravovremene dijagnoze i lečenja anafilakse. ABC – časopis urgentne medicine, 2014; 14 (1): 38.
3. Edelson DP, Sasson C, Chan PS, Atkins DL, Aziz K, Becker LB, et al. Interim Guidance for Basic and Advanced Life Support in Adults, Children, and Neonates With Suspected or Confirmed COVID-19. Circulation. 2020;141:e933–e943. DOI: 10.1161/CIRCULATIONAHA.120.047463
4. Kleinman ME, Brennan EE, Goldberger ZD, Swor RA, Terry M, Bobrow BJ, et al. Part 5: Adult Basic Life Support and Cardiopulmonary Resuscitation Quality, 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency CardiovascularCare.Circulation.2015;132:S414–S435 doi.org/10.1161/CIR.0000000000000259
5. Perkins GD, Handley AJ, Koster RW, Castréne M, Smytha MA, Olasveengeng T, et al. European Resuscitation Council Guidelines for Resuscitation 2015: Section 2. Adult basic life support and automated external defibrillation. Resuscitation. 2015;95:81-99. doi:10.1016/j.resuscitation.2015.07.015
6. Anđelić S, Ivančević N, Emiš-vandlik N, Bogunović S, Lešjanin N. Experience of Belgrade’s Emergency Medical Service in the implementation of cardiopulmonary resuscitation guidelines issued in 2010. Signa Vitae. 2013. 8(1);40-47., Nenad Ivančević, Nada Emiš-vandlik, Snežana Bogunović, Ninoslav Lešjanin. Experience of Belgrade’s Emergency Medical Service in the implementation of cardiopulmonary resuscitation guidelines issued in 2010. Signa Vitae. 2013. 8(1);40-47. DOI: 10.22514/SV81.052013.7
7. Anez C, Becerra-Bolaños Á, Vives-Lopez A, Rodríguez-Pérez A. Cardiopulmonary Resuscitation in the Prone Position in the Operating Room or in the Intensive Care Unit: A Systematic Review. Anesth Analg. 2021;132(2):285-292. doi: 10.1213/ANE.0000000000005289. PMID: 33086246; PMCID: PMC7785711.
8. Bloomfield R, Noble DW, Sudlow A. Prone position for acute respiratory failure in adults.
Cochrane Database of Systematic Reviews 2015, Issue 11. Art. No.: CD008095.
DOI: 10.1002/14651858.CD008095.pub2.
9. McGurk K, Riveros T, Johnson N, Dyer S. A primer on proning in the emergency department. Journal of the American College of Emergency Physicians Open 2020; 1(6): 1703 doi: 10.1002/emp2.12175
10. Nolan JP, Monsieurs KG, Bossaert L, Böttiger BW, Greif R, Lott C, Madar J, Olasveengen TM, Roehr CC, Semeraro F, Soar J, Van de Voorde P, Zideman DA, Perkins GD; European Resuscitation Council COVID-Guideline Writing Groups. European Resuscitation Council COVID-19 guidelines executive summary. Resuscitation. 2020;153:45-55. doi: 10.1016/j.resuscitation.2020.06.001. Epub 2020 Jun 7. PMID: 32525022; PMCID: PMC7276132.
11. Anđelić S, Čolaković G, Emiš-vandlik N, Đikić Anđelić I , Veličković N, Jeremić M et al. Prehospital detection of an acute myocardial infarction with ST segment elevation in a COVID-19 positive patient. NČ UM HALO 194. 2020; 26(2): 62-68. DOI: 10.5937/halo26-26665
12. Nešković V. Akutni respiratorni distres sindrom odraslih i mehanička ventilacija.
Srpski časopis anestezija i intenzivna terapija. 2014; 36: 117-126
13. Moscarelli A, Iozzo P, Ippolito M, Catalisano G, Gregoretti C, Giarratano A, Baldi E, Cortegiani A. Cardiopulmonary resuscitation in prone position: A scoping review. Am J Emerg Med. 2020 Nov;38(11):2416-2424. doi: 10.1016/j.ajem.2020.08.097. Epub 2020 Sep 10. PMID: 33046293; PMCID: PMC7481259.
14. Anđelić S, Emiš-Vandlik N, Bogunović S, Čolaković G, Kojić G, Nikolić T et al. Kratak vodič za prehospitalno zbrinjavanje akutne respiratorne insuficijencije. NČ UM Halo 194. 2018; 24(3): 216-225. DOI: 10.5937/Halo1803216A
15. Bamford P, Bentley A, Dean J, Whitmore D,and Wilson-Baig N. Guidance For: Prone Positioning in Adult Critical Care; 2019.
16. Bersot CDA, Pereira JEG, Aslanidis T. Cardiopulmonary resuscitation in prone position in critically ill patients with Sars-cov-2 infection. The Greek E-Journal of Perioperative Medicine 2020;19(b): 13-20.
17. Ludwin K, Szarpak L, Ruetzler K, Smereka J, Böttiger BW, Jaguszewski M, Filipiak KJ. Cardiopulmonary Resuscitation in the Prone Position: A Good Option for Patients With COVID-19. Anesth Analg. 2020 Sep; 131(3): e172-e173.
doi: 10.1213/ANE.0000000000005049. PMID: 32516166; PMCID: PMC7302098.
18. Čolakovic G, Andjelic S, Stefanovic I, Bogunovic S, Emis-Vandlik N, Stojanovic S. Assessment of basic life support skills among medical doctors and technicians in Belgrade emergency medical services. Signa vitae. 2018;14 (1), 38-42.DOI: 10.22514/SV141.052018.6
19. Cave DM, Gazmuri RJ, Otto CW, Nadkarni VM, Cheng A, Brooks SC, Daya M, Sutton RM, Branson R, Hazinski MF. Part 7: CPR techniques and devices: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2010;122(3):S720 –S728. PMID: 20956223
20. Brooks SC, Anderson ML, Bruder E, Daya MR, Gaffney A, Otto CW, Sınger AJ, Thıagarajan RR, Travers AH: Part 6: Alternative Techniques and Ancillary Devices for Cardiopulmonary Resuscitation: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation; 2015, 132:S436-43. DOI:10.1161/CIR.0000000000000260
21. Timerman S, Guimarães HP, Rodrigues RDR, Corrêa TD, Schubert DUC, Freitas AP, et al. Recommendations for Cardiopulmonary Resuscitation (CPR) of patients with suspected or confirmed COVID-19. Braz J Anesthesiol. 2020 Jun 13. doi: 10.1016/j.bjane.2020.06.007. Epub ahead of print. PMID: 32836520; PMCID: PMC7293473.
22. Zhan L, Yang LJ, Huang Y, He Q, Liu GJ. Continuous chest compression versus interrupted chest compression for cardiopulmonary resuscitation of non-asphyxial out-of-hospital cardiac arrest.Cochrane Database Syst Rev. 2017;3(3): CD010134.
doi: 10.1002/14651858.CD010134.pub2. PMID: 28349529; PMCID: PMC6464160.
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2021/04/27
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