Avilés-Martínez KI, López-Enríquez A, García-Armenta MB, Pérez-Díaz CI, Jiménez-Pérez BA, Palacios-Márquez R, Montaño-Dorado CJ, Camacho-Rosales IE

Language: Spanish
References: 11
Page: 165-170
PDF size: 554.78 Kb.

ABSTRACT

Introduction. Cardiopulmonary resuscitation methods are a standard practice that is initiated in any patient that is diagnosed with cardiopulmonary arrest. There are high numbers of publications and reviews of the ethical aspects of cardiopulmonary resuscitation. Still clinicians in action are forced to face the question of initiating the maneuver or not. The objective of this study was to evaluate the characteristics needed to take the decision of initiating cardiorespiratory reanimation in children.
Material and Methods. Transversal study realized in an poll directed to professionals and students in health departments at an universitary hospital.
Results. 128 health professionals entered the poll: 41.4% were medical interns, 19.5% nurses, 31.3% medical residents, 7.8% medical specialists. All of them had at least one formal CPR curse training. 98.4% responded that their first action with a patient in cardiorespiratory arrest was to initiate CPR. The reasons were screened as to what criterion was used to take the decision to initiate CPR: 89% responded that the fact the arrest was witnessed was enough.
Discussion. Health professionals in the poll took the decision to initiate CPR on a child in cardiorespiratory arrest quickly and systematically. Every case of arrest is unique and there are no existing generalized criteria about when to imitate or stop CPR. The best criteria suggested to initiate CPR should include bases in scientific knowledge, bioethics and legal guidance and most importantly trying to preserve the patient’s dignity and the ability to commit to this decision. Team work is optimal with the health staff to optimize these decisions.

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