Herrera-Elizalde RE, Núñez-Trejo PJ, Molina-Torres MC

Language: Spanish
References: 9
Page: 193-196
PDF size: 1110.29 Kb.

ABSTRACT

Cardiac arrest (CA) in the postoperative period after cardiac surgery requires a different approach to conventional Advanced Cardiovascular Life Support (ACLS), given the presence of tamponade, intrathoracic bleeding or epicardial pacemaker failure. The CALS/CSU-ALS program proposes specific maneuvers, such as triple shock in VF/VT, cautious use of adrenaline and emergent resternotomy before five minutes. In this context, Simulanest has proven to be a fundamental pillar for training, offering high-fidelity simulation scenarios that enhance the technical competencies and emotional regulation of the team in the face of these crises. This reinforces situational awareness and the execution of standardized protocols. Recent studies reveal that CSU-ALS certification reduces mortality (FTR-CA) in centers adopting this approach, thanks to rapid detection of mechanical causes and timely surgical intervention. Looking ahead, the integration of echocardiography and circulatory support (ECMO) will further consolidate the efficacy of CALS in the cardiac postoperative period.

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