Cardiocerebral and cardiopulmonary resuscitation – 2017 update

Gordon A. Ewy
Department of Medicine (Cardiology), University of Arizona College of Medicine, Tucson, AZ, USA
Acute Medicine & Surgery 2017; 4: 227–234 doi: 10.1002/ams2.281
• Paro cardiaco :

• Colapso cardiovascular:

Myerburg RJ, Castellanos A.: Cardiac Arrest and Sudden Cardiac Death. En: Braunwald: Heart Disease Textbook of Cardiovascular
Medicine. W.B. Saunders Company, 5e, 1998
Componentes REANIMACION CARDIOCEREBRAL

• A) COMUNITARIO:

• B) PRE HOSPITALARIO o de Servicios Médicos de Emergencia:

• C) HOSPITALARIO:
Primaria por Fibrilación Ventricular:

Secundario a Insuficiencia Respiratoria Severa: E

OJO:
Kleinman ME, Brennan EE, Goldberger ZD, et al.
Part 5: adult basic life support and cardiopulmonary resuscitation quality: 2015 American Heart Association Guidelines
Update for Cardiopulmonary Resuscitation and Emergency
Cardiovascular Care. Circulation. 2015;132:S414–S435
Standards and guidelines for cardiopulmonary resuscitation (CPR) and emergency cardiac care (ECC). JAMA.
1980;244:453–509.
 presenciado causas
precipitantes son casi siempre conocidas.

Sprung J, Warner ME, Contreras MG, et al.

Predictors of survival following cardiac arrest in patients undergoing noncardiac surgery: a study of 518,294 patients at a tertiary referral
center.
Anesthesiology. 2003;99:259–269.
 CAUSAS PARO CARDIACO PERIOPERATORIO

• IV.- Atribuibles al manejo anestésico (2%).

Irita K, Kawashima Y, Iwao Y, et al. Annual mortality and morbidity in operating rooms during 2002 and summary of
morbidity and mortality between 1999 and 2002 in Japan: a brief review. Masui 2004; 53: 320-335.
ETIOLOGIA DEL PARO CARDIACO PERIOPERATORIO
CAUSAS DE COLAPSO CARDIOVASCULAR EN SOP
Anesthesia advanced circulatory life support /J Can Anesth (2012) 59:586–603
PARO CARDIACO INTRAOPERATORIO

PRE ARRESTO
 PARO CARDIACO INTRAOPERATORIO

CAOS!!
IDENTIFICACION DEL PARO
Moitra, V et al. Anesthesia Advanced Circulatory Life Support. Can J Anesth/J Can Anesth (2012) 59:586-603.
CRISIS INTRAOPERATORIA
 DERECHA

• TTO

• TTO
Adhiyaman V, Adhiyaman S, Sundaram R. The Lazarus phenomenon. J R Soc Med 2007; 100: 552-7.
CONCLUSIONES