Tenorio-Gutiérrez W, Jimenez-Aguilar R, Tenorio-Gutiérrez E, Luna-Valdéz CM

Language: Spanish
References: 0
Page: 264-270
PDF size: 286.35 Kb.

ABSTRACT

Background: The incidence of post-surgical cardiac arrest, in patients who have undergone heart surgery, is 0.7-8%. The prognosis for advanced life support is relatively good in cardiovascular surgical units, which as of 2009 is recommended by the European Association for Cardio Thoracic Surgery and the Society of Thoracic Surgeons in 2017.
Clinical case: Patient with a diagnosis of yuxtaductal aortic coarctation, with aortic arch hypoplasia, who was admitted to pediatric intensive care after surgical correction with interposition of a prosthetic graft of Woven Dacron® in the affected site that, after 72 hours, went into cardiac arrest; The advanced life support protocol was initiated in cardiovascular surgical units which, unlike the universal advanced pediatric life support protocol recommended by the American Heart Association, interrupts all infusions, including inotropes, does not administer doses of adrenaline, and interrupts chest compressions to allow for re-esterotomy, thus avoiding wasting time on ineffective compressions.
Conclusions: The CSU-ALS protocol provides guidance specifically aimed at patients with post-surgical cardiac arrest, unlike the PALS protocol, which is recommended by the American Heart Association in a standardized way for all patients, especially when faced with undetected, unmonitored cardiac arrest.