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Revista Cubana de Medicina Intensiva y Emergencias

ISSN 1810-2352 (Print)
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2014, Number 4

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Rev Cub Med Int Emerg 2014; 13 (4)

Surviving the cardiorespiratory arrest during the childhood. In relation to case

González AJ, Brito BM, de la Garza AJE, Torre LL
Full text How to cite this article

Language: Spanish
References: 6
Page: 471-476
PDF size: 128.25 Kb.


Key words:

pediatric cardiopulmonary resuscitation, cardiac post arrest syndrome.

ABSTRACT

A study was conducted in a female patient who spent 89 days with a recurrence of 14 cardiac arrests, evolved for a year, where epidemiological variables were taken into account as well as general clinics, typical of the arrests and survival. The patient came up with respiratory failure and sepsis, and both led to tissue hypoxia. There were a total of 14 events, all of them occurred in severe bradycardia. Epinephrine was used in the 14 events ( 100%). 100% of the events were attended within the first minute arrest with advanced cardiopulmonary resuscitation maneuvers and most had a total time of resuscitation which did not exceed 8 minutes .The spontaneous circulation was achieved by systematic cardiac care and maintained with mechanical ventilation for 73 days. At discharge the patient survived with moderate brain impairment and with one year of physiotherapy and rehabilitation and support of a multidisciplinary team, the patient showed a slight brain defect.


REFERENCES

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  2. Lawrence H, Lorry R. Tratado de Pediatría. En: Nelson B, 18th Edición Elsevier: España. 2009; p.387-405.

  3. Cordoví L, Anuñez Y. Reanimación cardiopulmonar y cerebral.”En Anestesia y Reanimación”. La Habana. Editorial Ciencias Médicas. 2008.p.1-6.

  4. Solís A, Garza A, Uribe NT. Sobrevida al Paro Cardiorrespiratorio en la Unidad de Medicina Crítica Pediátrica. Revista de la Facultad de Salud Pública y Nutrición. 2011; 12(3):1-6.

  5. Robaina CE, Batista SY, Bargalló J, Núñez J. Parada cardiorrespiratoria [tesis].; La Habana; Unidad de Cuidados Intensivos Hospital Pediátrico Docente Juan Manuel Márquez,2005.

  6. Tormo C, Manrique I. Nuevas recomendaciones para el registro uniforme de datos en la reanimación cardiopulmonar avanzada. Estilo Utstein pediátrico. An Pediatric Esp. 2007; 66(1):55-61.




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Rev Cub Med Int Emerg. 2014;13