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1998, Number 4

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Med Crit 1998; 12 (4)

Monitoring usefulness in the detection and management of cardiorespiratory arrest

Envila FR, Guadarrama QF, Yáñez LJJ, Franco GJ, Elizalde GJJ, Martínez SJ
Full text How to cite this article

Language: Spanish
References: 6
Page: 141-144
PDF size: 50.85 Kb.


Key words:

Electrocardiographic telemetry, pulse oximetry, monitoring, cardiac arrest, cardiopulmonary resucitation.

ABSTRACT

Objective. To compare the results of cardiopulmonary resucitation (CPR) between two departments with different technical resources.
Design. Case series.
Setting. An intensive care unit (ICU) and an internal medicine department (IMD) in a teaching hospital of Mexico City.
Patients. Thirteen ICU patients (mean age, 67 years) and seven IMD patients (mean age, 62 years).
Interventions. Electrocardiographic telemetry (ET) and pulse oxymetry in ICU patients (group A); IMD patients (group B) were not monitored.
Measurements and principal results. Survival was 38.4% in group A and 57.1% in group B. The mean age of survivors in both groups was 66 years and for non survivors 58 years (p ‹ 0.001). Neurological disability was 16% in group A and 50% in group B. RCP was established at 12 seconds in group A and 80 seconds in group B.
Conclusions. a) ET is a useful tool in the opportune detection of CRA. b) Age is not related to the CRA patient. c) The CPR success is not only the survival of the patient, but the neurological integrity as well.


REFERENCES

  1. Kouwenhoven WB, Jude JR, Knickerbocker GG. Closed’chest cardiac massage. JAMA 1960; 173: 1064-1067.

  2. Resenberg M, Wang C, Hoffman’Wilde S, Hickham D. Results of cardiopulmonary resuscitation failure to predict survival in two community hospitals. Arch Intern Med 1993; 153: 1370-1375.

  3. Tortolani AJ, Risucci DA, Powell SR, Dixon R. In-hospital cardiopulmonary resuscitation during asystole. Chest 1986; 96: 622-26.

  4. Hartz R, LoCicero JIII, Sanders. Clinical experience with portable cardiopulmonary bypass in cardiac arrest patients. Ann Thor Surg 1990; 50: 437-441.

  5. Levy RD, Rhoden WE, Shearer K. An audit of drug usage for In-hospital cardiopulmonary resuscitation. Eur Heart J 1992; 13: 1665-1668.

  6. Lantos JD, Berger AC, Zucker AR. Do-not-resuscitate orders in a children hospital. Crit Care Med 1993; 21: 52-55.




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Med Crit. 1998;12