Ritmovi kardijalnog aresta nakon kardiokirurških operacija

master's thesis

• Title (english): Heart rhythm in cardiac arrest after cardiac surgery
• Author: Nikolina Šiško Antolic
• Mentor: Bojan Biočina (mentor)
• Committee member: Višnja Ivančan (predsjednik povjerenstva)
• Committee member: Hrvoje Gašparović (član povjerenstva)
• Committee member: Bojan Biočina (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Anaesthesiology, Resuscitation and Intensive Care in Surgical Specialities); Zagreb
• Defense date and country: 2018-09-12, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Anesthesiology and Reanimatology

Abstract

Rano prepoznavanje i pozivanje reanimacijskog tima, rana kardiopulmonalna reanimacija, rana defibrilacija, kao i postreanimacijska skrb važni su postupci u lancu preživljavanja. Za prepoznavanje i analizu srčanog ritma na elektrokardiogramu, potrebni su znanje i iskustvo. Poremećaji srčanog ritma povezani s kardijalnim arestom mogu se podijeliti u dvije skupine; na ritmove koji se defibriliraju (ventrikularna fibrilacija/ ventrikularna tahikardija bez pulsa) i ritmove koji se ne defibriliraju (asistolija/ električna aktivnost bez pulsa). Preživljenje poboljšavaju rana kardiopulmonalna reanimacija, neprekinuta i kvalitetna vanjska masaža srca i rana defibrilacija za ventrikularnu fibrilaciju i ventrikularnu tahikardiju bez pulsa. Prilikom defibrilacije važno je dobro postaviti elektrode preko kojih se isporučuje šok te izabrati odgovarajuću struju na bifaznom ili na monofaznom defibrilatoru. Osiguranje dišnog puta endotrahealnom intubacijom najsigurnija je metoda, a venski put osiguran preko centralnog venskog katetera predstavlja kraće vrijeme cirkulacije lijekova. U postupku liječenja razmisliti o mogućim reverzibilnim uzrocima kardijalnog aresta te primjeni lijekova tokom kardiopulmonalne reanimacije. Uvježbani tim koji provodi kardiopulmonalnu reanimaciju znati će pravovremeno odreagirati i pružiti kvalitetnu skrb. Glavnu ulogu u tome preuzima vođa tima koji rukovodi ostalim članovima tima zbog postizanja što boljeg ishoda za bolesnika. Neizostavni dio toga je kvalitetna oprema. Odluka o započinjanju reanimacije osjetljiva je i potencijalno uznemirujuća, a na to utječu broji čimbenici pa je važno da zdravstveni djelatnici razumiju načela te problematike.

Abstract (english)

Early recognition and recall of a resuscitation team, early cardiopulmonary resuscitation, early defibrillation, and postresuscitational care are important interventions in the survival chain. Knowledge and experience are required to recognize and analyze heart rhythm on an electrocardiogram. Heart rhythm disorders associated with cardiac arrests can be divided into two groups; defibrillated rhythms (ventricular fibrillation/ ventricular tachycardia without pulse) and rhythms that are not defibrillated (asystole/ electrical activity without pulse). Survival is improved by early cardiopulmonary resuscitation, uninterrupted and high quality external heart massage and early defibrillation for ventricular fibrillation and ventricular tachycardia without pulse. When defibrillating, it is important to set correctly the electrodes with which shock is delivered and to select the appropriate electric power on the two-phase or single-phase defibrillator. The ensuring of the respiratory tract through endotracheal intubation is the safest method, and the vein route secured via the central venous catheter is a shorter period of drug circulation. In the medical treatment process, consideration should be given to possible reversible causes of cardiac arrest and the use of drugs during cardiopulmonary resuscitation. A trained team of cardiopulmonary resuscitation will know how to respond promptly and provide quality care. The leading role is taken over by a team leader who leads the team's other members to achieve the best outcome for the patient. Unavoidable part of this is quality equipment. The decision to initiate resuscitation is sensitive and potentially disturbing, and this affects the number of factors, so it is important that health professionals understand the principles of this problem.

• Keywords: ventrikularna fibrilacija; ventikularna tahikardija bez pulsa; asistolija; električna aktivnost bez pulsa; kardiopulmonalna reanimacija
• Keywords (english): ventricular fibrillation; ventricular tachycardia without pulse; asystole; electrical activity without pulse; cardiopulmonary resuscitation
• Language: croatian
• URN:NBN: urn:nbn:hr:105:173426
• Study programme: Title: Studies in Nursing; Study programme type: university; Study level: graduate; Academic / professional title: magistar/magistra sestrinstva (magistar/magistra sestrinstva)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2019-02-27 11:07:41