RESÜSİTASYON SIRASINDA ULTRASONOGRAFİK MONİTÖRİZASYON

Öz

Erken tanı ve müdahale şansı sağlaması nedeni ile, hastane içi tanıklı kardiyak arrestlerde sağkalım oranı hastane dışı kardiyak arrestlerden daha yüksektir. Gerekli tıbbi cihazlara hızlı erişim geri döndürülebilir nedenlerin tanısının hızlıca gözden geçirilmesini ve bu nedenlere yönelik tedavilerin erken başlamasını sağlamaktadır.Son zamanlarda geri döndürülebilir nedenlerin araştırılmasında ultrasonografi kullanımının yeri sıklıkla vurgulanmaktadır.

Anahtar Kelimeler

• Resüsitasyon
• eFAST
• Monitörizasyon

ULTRASONOGRAPHIC MONITORIZATION DURING RESUSCITATION

Öz

In-hospital witnessed cardiac arrest leads to more successful outcomes than out-of-hospital cardiac arrests, as it provides the chance for early and effective intervention. The rapid and on-site use of the necessary equipment that can provide a quick review of reversible causes and early intervention of the reversible causes in the initial stages of resuscitation can provide a successful resuscitation opportunity. Recently, the effectiveness of ultrasonographic examinations has been stated and recommended in the detection of reversible causes.

Anahtar Kelimeler

• Resuscitation
• eFAST
• Monitorization

Kaynakça

1. Høybye M, Stankovic N, Holmberg M, Christensen H.C, Granfeldt A, Andersen LW. In-hospital vs. out-ofhospital cardiac arrest: patient characteristics and survival. Resuscitation, 2021;158: 157-165.
2. Soar J, Böttiger B.W, Carli P, Couper K, Deakin C.D, Djarv T et al. European Resuscitation Council guidelines 2021: adult advanced life support. Resuscitation, 2021;161:115- 151.
3. McLean, A. R, Richards M.E, Crandal C.S, Marinaro J et al. “Ultrasound determination of chest wall thickness: implications for needle thoracostomy.” The American journal of emergency medicine 2011; 29.9:1173-1177.
4. Goodman A, Phillips P, Mailhot T, Mandavia D. “The role of bed-side ultrasound in the diagnosis of pericardial effusion and cardiac tamponade.” Journal of emergencies, trauma, and shock 2012; 5.1:72.
5. Early access to defibrillation for cardiac arrest. Australasian College for Emergency Medicine. July 2020. URL: https://acem.org.au/getmedia/a2e8a4c1-2764-4096-a65d- 76383149f3b5/P40-Early-Access-to-Defibrillation-for- Cardiac-Arrest
6. American Heart Association in Collaboration with the International Liaison Committee on Resuscitation. ECC Guidelines. Part 4: The Automated External Defibrillator. Key Link in the Chain of Survival. Circulation. 2018;102: I-60–I-76.
7. Koster RW, Walker RG, Chapman FW. Recurrent ventricular fibrillation during advanced life support care of patients with prehospital cardiac arrest. Resuscitation 2008; 78:2527.