Author/Editor		Kupnik, Dejan; Križmanić, Miljenko
Title		Kardiocerebralno oživljanje: dejstva in perspektive
Translated title		Cardiocerebral resuscitation: facts and prospects
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 78, št. 12
Publication year		2009
Volume		str. 744-54
Language		slo
Abstract		Cardiopulmonary resuscitation in the prehospital setting still has to cope with poor lay-rescuer knowledge of resuscitation techniques, low public availability of automated external dei brillators, many detrimental interruptions of chest compressions during lay and professional resuscitation ef orts and suboptimal postresuscitation care. h erefore the survival of patients at er cardiac arrest remains poor. To address those l aws, cardiopulmonary resuscitation guidelines of 2005 are targeted at improving cardiopulmonary resuscitation by achieving adequate depth, number, and minimal interruptions of chest compressions per minute, and avoiding hyperventilation. But a combination of chest compressions and rescue breathing is still the mainstay of resuscitation ofin primary and secondary cardiac arrest despite dif erent pathophysiological causes. In the last two decades a concept of cardiocerebral resuscitation emerged, and according to research it is equal to or even better than standard cardiopulmonary resuscitation in terms of patients' prognosis at er successful resuscitation of sudden or primary unexpected cardiac arrest. Cardiocerebral resuscitation of patients with primary cardiac arrest consists of layrescuer uninterrupted chest compressions without rescue breathing in the first minutes of resuscitation, advanced life support techniques that do not interrupt chest compressions and thus maintain their positive hemodynamic ef ects. If professional rescuers arrive at the scene within 4 to 5 minutes after primary cardiac arrest, dei brillation should be attempted prior to resuscitation techiques, but if professional help arrives later than 4 to 5 minutes after primary cardiac arrest, two minutes of resuscitation techniques should be performed prior to the first defibrillation. Post-resuscitation care includes mild induced hypothermia, coronarography and percutaneous coronary intervention.
Descriptors		RESUSCITATION ORDERS VENTRICULAR FIBRILLATION HEART MASSAGE HEART ARREST CARDIOPULMONARY RESUSCITATION RESPIRATION, ARTIFICIAL EMERGENCIES