ΚΑΡΔΙΟΑΝΑΠΝΕΥΣΤΙΚΗ ΑΝΑΖΩΟΓΟΝΗΣΗ- ΑΝΤΙΜΕΤΩΠΙΣΗ .pdf

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General Hospital of Ioannina Greece

ΚΑΡΔΙΟΑΝΑΠΝΕΥΣΤΙΚΗ ΑΝΑΖΩΟΓΟΝΗΣΗ- ΑΝΤΙΜΕΤΩΠΙΣΗ

Τσόλης Δ .Κωνσταντίνος
MSc PhD Νοσηλευτής
ΕΞΕΙΔΙΚΕΥΜΕΝΗ
ΚΑΡΔΙΟΑΝΑΠΝΕΥΣΤΙΚΗ
ΑΝΑΖΟΩΓΟΝΗΣΗ

European Resuscitation Council Guidelines for Resuscitation:
2017 update
Gavin D. Perkins
Correspondence information about the author Gavin D. Perkins
Email the author Gavin D. Perkins ,
Theresa M. Olasveengen, Ian Maconochie, Jasmeet Soar, JonathanWyllie, Robert Greif,
Andrew Lockey, Federico Semeraro, PatrickVan deVoorde, Carsten Lott, Koenraad G.
Monsieurs, Jerry P. Nolanon
behalf of the European Resuscitation Council1European Resuscitation Council, Emile
Vanderveldelaan 35, BE-2845, Niel, Belgium

ΟΡΙΣΜΟΙ
 Ως καρδιοαναπνευστική ανακοπή ορίζεται: η αιφνίδια διακοπή της
κυκλοφορίας, της αναπνοής ή και των δύο, με αποτέλεσμα την ανεπαρκή
παροχή οξυγονωμένου αίματος στα ζωτικά όργανα και κυτταρικό θάνατο
 Καρδιοαναπνευστική αναζωογόνηση ( ΚΑΡΠΑ) είναι: η αλληλουχία
των ενεργειών που αποσκοπούν στην επαναφορά του πάσχοντος στη
ζωή.
 BLS : Basic Life Support
 Διατήρηση της βατότητας του αεραγωγού και υποστήριξη της αναπνοής
και της κυκλοφορίας χωρίς την χρησιμοποίηση οποιουδήποτε ειδικού
εξοπλισμού
 ALS: Advance Life Support
 υποστήριξη κυκλοφορικού
 (απινιδισμός- iv γραμμές-φάρμακα – ΗΚΓ)
 υποστήριξη αναπνοής
 (τεχνικοί αεραγωγοί- Ο2- μηχανικός αερισμός)

2017
ΣΤΑΤΙΣΤΙΚΑ
%
 Αιφνίδιος καρδιακός θάνατος: Από τις κυριότερες
αιτίες
 55-113 περιστατικά/ 100.000 κατοίκους
 350.000-700.000 περιστατικά/έτος (Ευρώπη)
 25-50% των θυμάτων έχουν κοιλιακή
μαρμαρυγή

Ο ΠΑΡΑΓΩΝ ΧΡΟΝΟΣ ΣΤΗΝ ΑΝΑΚΟΠΗ
 Η κοιλιακή μαρμαρυγή (VF) που αντιμετωπίζεται
μεαπινιδισμό και αναζωογόνηση στα 3-5 min έχει
ποσοστό επιβίωσης 49-75%
 Κάθε λεπτό που καθυστερεί ο απινιδισμός μειώνει
την πιθανότητα επιβίωσης κατά 10-12%
Engdahl J, Abrahamsson P, Bang A, Lindqvist J, Karlsson T, Herlitz J. Is hospital care of major importance for outcome after out-of-hospital cardiac arrest?
Experience acquired from patients with out-of-hospital cardiac arrest resuscitated by the same Emergency Medical Service and admitted to one of two
hospitals over a 16-year period in the municipality of Goteborg. Resuscitation 2000;43:201–11 10-12%

ΚΑΡΔΙΟΑΝΑΠΝΕΥΣΤΙΚΗ ΑΝΑΖΩΟΓΟΝΗΣΗ- ΑΝΤΙΜΕΤΩΠΙΣΗ .pdf

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ΚΑΡΔΙΟΑΝΑΠΝΕΥΣΤΙΚΗ ΑΝΑΖΩΟΓΟΝΗΣΗ- ΑΝΤΙΜΕΤΩΠΙΣΗ .pdf

1. Τσόλης Δ .Κωνσταντίνος MSc PhD Νοσηλευτής ΕΞΕΙΔΙΚΕΥΜΕΝΗ ΚΑΡΔΙΟΑΝΑΠΝΕΥΣΤΙΚΗ ΑΝΑΖΟΩΓΟΝΗΣΗ

2. European Resuscitation Council Guidelines for Resuscitation: 2017 update Gavin D. Perkins Correspondence information about the author Gavin D. Perkins Email the author Gavin D. Perkins , Theresa M. Olasveengen, Ian Maconochie, Jasmeet Soar, JonathanWyllie, Robert Greif, Andrew Lockey, Federico Semeraro, PatrickVan deVoorde, Carsten Lott, Koenraad G. Monsieurs, Jerry P. Nolanon behalf of the European Resuscitation Council1European Resuscitation Council, Emile Vanderveldelaan 35, BE-2845, Niel, Belgium

3. ΟΡΙΣΜΟΙ  Ως καρδιοαναπνευστική ανακοπή ορίζεται: η αιφνίδια διακοπή της κυκλοφορίας, της αναπνοής ή και των δύο, με αποτέλεσμα την ανεπαρκή παροχή οξυγονωμένου αίματος στα ζωτικά όργανα και κυτταρικό θάνατο  Καρδιοαναπνευστική αναζωογόνηση ( ΚΑΡΠΑ) είναι: η αλληλουχία των ενεργειών που αποσκοπούν στην επαναφορά του πάσχοντος στη ζωή.  BLS : Basic Life Support  Διατήρηση της βατότητας του αεραγωγού και υποστήριξη της αναπνοής και της κυκλοφορίας χωρίς την χρησιμοποίηση οποιουδήποτε ειδικού εξοπλισμού  ALS: Advance Life Support  υποστήριξη κυκλοφορικού  (απινιδισμός- iv γραμμές-φάρμακα – ΗΚΓ)  υποστήριξη αναπνοής  (τεχνικοί αεραγωγοί- Ο2- μηχανικός αερισμός)

4. 2017 ΣΤΑΤΙΣΤΙΚΑ %  Αιφνίδιος καρδιακός θάνατος: Από τις κυριότερες αιτίες  55-113 περιστατικά/ 100.000 κατοίκους  350.000-700.000 περιστατικά/έτος (Ευρώπη)  25-50% των θυμάτων έχουν κοιλιακή μαρμαρυγή

5. Ο ΠΑΡΑΓΩΝ ΧΡΟΝΟΣ ΣΤΗΝ ΑΝΑΚΟΠΗ  Η κοιλιακή μαρμαρυγή (VF) που αντιμετωπίζεται μεαπινιδισμό και αναζωογόνηση στα 3-5 min έχει ποσοστό επιβίωσης 49-75%  Κάθε λεπτό που καθυστερεί ο απινιδισμός μειώνει την πιθανότητα επιβίωσης κατά 10-12% Engdahl J, Abrahamsson P, Bang A, Lindqvist J, Karlsson T, Herlitz J. Is hospital care of major importance for outcome after out-of-hospital cardiac arrest? Experience acquired from patients with out-of-hospital cardiac arrest resuscitated by the same Emergency Medical Service and admitted to one of two hospitals over a 16-year period in the municipality of Goteborg. Resuscitation 2000;43:201–11 10-12%

6. Σημαντικό  =

7. ΑΛΥΣΙΔΑ ΤΗΣ ΖΩΗΣ

9. Ο ΑΛΓΟΡΙΘΜΟΣ BLS-AED

10. Ο ΑΛΓΟΡΙΘΜΟΣ BLS-AED

39. ΘΕΣΗ ΑΝΑΝΗΨΗΣ https://www.youtube.com/watch?v=63xcG2bN23A

42. ΕΡΩΤΗΣΕΙΣ

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ΚΑΡΔΙΟΑΝΑΠΝΕΥΣΤΙΚΗ ΑΝΑΖΩΟΓΟΝΗΣΗ- ΑΝΤΙΜΕΤΩΠΙΣΗ .pdf

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