Kardiyopulmoner Resusitasyon Başarı Kriteri Olarak Baz Seviyesi ve Laktik Asit Düzeylerinin Değerlendirilmesi

Year 2019, , 449 - 452, 23.10.2019

Feruza Turan Sönmez

https://doi.org/10.18521/ktd.620811

Abstract

Amaç:
Kardiyopulmoner arrest, mortalite ve morbiditesi yüksek bir durumdur. Hastane
içi arrest vakalarında bile ölüm oranı yüksek iken, hastane dışında kardiyak
arrest olgularında sağkalım oranı daha da düşüktür, bu nedenle arrest vakasının
ciddiyetini öngörmek önemlidir. Kardiyak arrest mekanizmasını anlamak, önelemek
ve müdahale kalitesini artırmak için birçok çalışma yapılmıştır.

Amaç: Bu çalışmada
asidoz parametreleri ile kardiyopulmoner resüsitasyon başarısı arasındaki
ilişkiyi analiz etmeyi amaçladık.

Yöntem: Hastane ışında
kardiyak arrest geçiren, daha sonrasında ilk yardım ekiplerince ilk müdahalesi
başlatılan ve hastaneye getirilen vakalar çalışmaya dahil edilmiştir.

Bulgular: Gruplar
arasında kan laktat düzeylerinde anlamlı fark olduğu belirlendi.

Sonuç: Laktat ve Baz
düzeyleri, kardiyopulmoner resüsitasyonun başarısını değerlendirmek için
kullanılabilecek parametrelerdir.

Keywords

Kardiyopulmoner Arrest, Laktik Asit, Baz Fazlalığı

Base Excess and Lactic Acid Levels as Success Criteria in Cardiopulmonary Resuscitation

Abstract

Background: Cardiopulmonary
arrest a condition that causes high mortality and morbidity. While the
mortality rate is high even in in-hospital arrest cases, the survival of
patients undergoing cardiac arrest outside the hospital is lower, so it is essential
to predict the severity of the case. Many studies have been performed to
understand the mechanism of cardiac arrest, to improve its prevention, and to
increase intervention quality.

Aim: In this study
we aimed to analyze the relationship between acidosis parameters and cardiopulmonary
resuscitation success.

Methods: We analyzed
blood gas data in patients that underwent cardiopulmonary arrest
out-of-hospital, had intervention by an ambulance first-aid team and were then
brought to the emergency room for advanced life support.

Results: A significant
difference in blood lactate levels between the groups was determined.

Conclusion: Lactate
and Base excess levels are parameters that could be used to assess the success of cardiopulmonary resuscitation.

Keywords

Cardiopulmonary Arrest, Lactic Acid, Base Excess

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