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

Year 2019, Volume: 11 Issue: 3, 449 - 452, 23.10.2019
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.

References

  • 1. Al B Zengin S, Kabul S, Güzel R, Sarcan E, Yıldırım C. Basic and advanced life support practices in out-of-hospital cardiopulmonary arrest developing patients: analysis of 27 months. Gaziantep Med J 2013;19:13-17.
  • 2. Oğuztürk H. TMG, Tekin Y.T., Sarıhan e. Acil Serviste Gerçekleșen Kardiyak Arrestler ve Kardiyopulmoner Resüsitasyon Deneyimlerimiz. Jounal of Medical Siences. 2001;1:114-117.
  • 3. Donnino MW, Miller J, Goyal N, Loomba M, Sankey SS, Dolcourt B, Sherwin R, Otero R and Wira C. Effective lactate clearance is associated with improved outcome in post-cardiac arrest patients. Resuscitation. 2007;75:229-34.
  • 4. Eisenberg MS and Mengert TJ. Cardiac resuscitation. The New Englan Journal of Medicine. 2001;344:1304-13.
  • 5. Rosamond W FK, Furie K, et al. Heart disease and stroke statistics—2008 update: report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation. 2008;117:146.
  • 6. Vukmir RB. Survival from prehospital cardiac arrest is critically dependent upon response time. Resuscitation. 2006;69:229-34.
  • 7. Berdowski J, Berg RA, Tijssen JGP and Koster RW. Global incidences of out-of-hospital cardiac arrest and survival rates: Systematic review of 67 prospective studies. Resuscitation. 2010;81:1479-1487.
  • 8. Dunne RB, Compton S, Zalenski RJ, Swor R, Welch R and Bock BF. Outcomes from out-of-hospital cardiac arrest in Detroit. Resuscitation. 2007;72:59-65.
  • 9. Atwood C, Eisenberg MS, Herlitz J and Rea TD. Incidence of EMS-treated out-of-hospital cardiac arrest in Europe. Resuscitation. 2005;67:75-80.
  • 10. Rea TD, Eisenberg MS, Sinibaldi G and White RD. Incidence of EMS-treated out-of-hospital cardiac arrest in the United States. Resuscitation. 2004;63:17-24.
  • 11. Väyrynen T, Boyd J, Sorsa M, Määttä T and Kuisma M. Long-term changes in the incidence of out-of-hospital ventricular fibrillation. Resuscitation. 2011;82:825-829.
  • 12. Englehart MS and Schreiber MA. Measurement of acid-base resuscitation endpoints: lactate, base deficit, bicarbonate or what? Current opinion in critical care. 2006;12:569-74.
  • 13. Ditchey RV, Winkler JV and Rhodes CA. Relative lack of coronary blood flow during closed-chest resuscitation in dogs. Circulation. 1982;66:297-302.
  • 14. Bellamy RF, DeGuzman LR and Pedersen DC. Coronary blood flow during cardiopulmonary resuscitation in swine. Circulation. 1984;69:174-80.
  • 15. Davis JW, Shackford SR and Holbrook TL. Base deficit as a sensitive indicator of compensated shock and tissue oxygen utilization. Surgery, gynecology & obstetrics. 1991;173:473-6.
  • 16. Rutherford EJ, Morris JA, Jr., Reed GW and Hall KS. Base deficit stratifies mortality and determines therapy. The Journal of trauma. 1992;33:417-23.
  • 17. Takasu AS, T. Okada, Y. Arterial base excess after CPR: the relationship to CPR duration and the characteristics related to outcome. Resuscitation. 2007;73:394-9.
  • 18. Sloan EP, Koenigsberg M, Gens D, Cipolle M, Runge J, Mallory MN, Rodman Jr G and Group DTHSS. Diaspirin cross-linked hemoglobin (DCLHb) in the treatment of severe traumatic hemorrhagic shock: a randomized controlled efficacy trial. Jama. 1999;282:1857-1864.
  • 19. Prause G, Ratzenhofer-Comenda B, Smolle-Jüttner F, Heydar-Fadai J, Wildner G, Spernbauer P, Smolle J and Hetz H. Comparison of lactate or BE during out-of-hospital cardiac arrest to determine metabolic acidosis. Resuscitation. 2001;51:297-300.

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

Year 2019, Volume: 11 Issue: 3, 449 - 452, 23.10.2019
https://doi.org/10.18521/ktd.620811

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.

References

  • 1. Al B Zengin S, Kabul S, Güzel R, Sarcan E, Yıldırım C. Basic and advanced life support practices in out-of-hospital cardiopulmonary arrest developing patients: analysis of 27 months. Gaziantep Med J 2013;19:13-17.
  • 2. Oğuztürk H. TMG, Tekin Y.T., Sarıhan e. Acil Serviste Gerçekleșen Kardiyak Arrestler ve Kardiyopulmoner Resüsitasyon Deneyimlerimiz. Jounal of Medical Siences. 2001;1:114-117.
  • 3. Donnino MW, Miller J, Goyal N, Loomba M, Sankey SS, Dolcourt B, Sherwin R, Otero R and Wira C. Effective lactate clearance is associated with improved outcome in post-cardiac arrest patients. Resuscitation. 2007;75:229-34.
  • 4. Eisenberg MS and Mengert TJ. Cardiac resuscitation. The New Englan Journal of Medicine. 2001;344:1304-13.
  • 5. Rosamond W FK, Furie K, et al. Heart disease and stroke statistics—2008 update: report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation. 2008;117:146.
  • 6. Vukmir RB. Survival from prehospital cardiac arrest is critically dependent upon response time. Resuscitation. 2006;69:229-34.
  • 7. Berdowski J, Berg RA, Tijssen JGP and Koster RW. Global incidences of out-of-hospital cardiac arrest and survival rates: Systematic review of 67 prospective studies. Resuscitation. 2010;81:1479-1487.
  • 8. Dunne RB, Compton S, Zalenski RJ, Swor R, Welch R and Bock BF. Outcomes from out-of-hospital cardiac arrest in Detroit. Resuscitation. 2007;72:59-65.
  • 9. Atwood C, Eisenberg MS, Herlitz J and Rea TD. Incidence of EMS-treated out-of-hospital cardiac arrest in Europe. Resuscitation. 2005;67:75-80.
  • 10. Rea TD, Eisenberg MS, Sinibaldi G and White RD. Incidence of EMS-treated out-of-hospital cardiac arrest in the United States. Resuscitation. 2004;63:17-24.
  • 11. Väyrynen T, Boyd J, Sorsa M, Määttä T and Kuisma M. Long-term changes in the incidence of out-of-hospital ventricular fibrillation. Resuscitation. 2011;82:825-829.
  • 12. Englehart MS and Schreiber MA. Measurement of acid-base resuscitation endpoints: lactate, base deficit, bicarbonate or what? Current opinion in critical care. 2006;12:569-74.
  • 13. Ditchey RV, Winkler JV and Rhodes CA. Relative lack of coronary blood flow during closed-chest resuscitation in dogs. Circulation. 1982;66:297-302.
  • 14. Bellamy RF, DeGuzman LR and Pedersen DC. Coronary blood flow during cardiopulmonary resuscitation in swine. Circulation. 1984;69:174-80.
  • 15. Davis JW, Shackford SR and Holbrook TL. Base deficit as a sensitive indicator of compensated shock and tissue oxygen utilization. Surgery, gynecology & obstetrics. 1991;173:473-6.
  • 16. Rutherford EJ, Morris JA, Jr., Reed GW and Hall KS. Base deficit stratifies mortality and determines therapy. The Journal of trauma. 1992;33:417-23.
  • 17. Takasu AS, T. Okada, Y. Arterial base excess after CPR: the relationship to CPR duration and the characteristics related to outcome. Resuscitation. 2007;73:394-9.
  • 18. Sloan EP, Koenigsberg M, Gens D, Cipolle M, Runge J, Mallory MN, Rodman Jr G and Group DTHSS. Diaspirin cross-linked hemoglobin (DCLHb) in the treatment of severe traumatic hemorrhagic shock: a randomized controlled efficacy trial. Jama. 1999;282:1857-1864.
  • 19. Prause G, Ratzenhofer-Comenda B, Smolle-Jüttner F, Heydar-Fadai J, Wildner G, Spernbauer P, Smolle J and Hetz H. Comparison of lactate or BE during out-of-hospital cardiac arrest to determine metabolic acidosis. Resuscitation. 2001;51:297-300.
There are 19 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Articles
Authors

Feruza Turan Sönmez

Publication Date October 23, 2019
Acceptance Date September 26, 2019
Published in Issue Year 2019 Volume: 11 Issue: 3

Cite

APA Turan Sönmez, F. (2019). Base Excess and Lactic Acid Levels as Success Criteria in Cardiopulmonary Resuscitation. Konuralp Medical Journal, 11(3), 449-452. https://doi.org/10.18521/ktd.620811
AMA Turan Sönmez F. Base Excess and Lactic Acid Levels as Success Criteria in Cardiopulmonary Resuscitation. Konuralp Medical Journal. October 2019;11(3):449-452. doi:10.18521/ktd.620811
Chicago Turan Sönmez, Feruza. “Base Excess and Lactic Acid Levels As Success Criteria in Cardiopulmonary Resuscitation”. Konuralp Medical Journal 11, no. 3 (October 2019): 449-52. https://doi.org/10.18521/ktd.620811.
EndNote Turan Sönmez F (October 1, 2019) Base Excess and Lactic Acid Levels as Success Criteria in Cardiopulmonary Resuscitation. Konuralp Medical Journal 11 3 449–452.
IEEE F. Turan Sönmez, “Base Excess and Lactic Acid Levels as Success Criteria in Cardiopulmonary Resuscitation”, Konuralp Medical Journal, vol. 11, no. 3, pp. 449–452, 2019, doi: 10.18521/ktd.620811.
ISNAD Turan Sönmez, Feruza. “Base Excess and Lactic Acid Levels As Success Criteria in Cardiopulmonary Resuscitation”. Konuralp Medical Journal 11/3 (October 2019), 449-452. https://doi.org/10.18521/ktd.620811.
JAMA Turan Sönmez F. Base Excess and Lactic Acid Levels as Success Criteria in Cardiopulmonary Resuscitation. Konuralp Medical Journal. 2019;11:449–452.
MLA Turan Sönmez, Feruza. “Base Excess and Lactic Acid Levels As Success Criteria in Cardiopulmonary Resuscitation”. Konuralp Medical Journal, vol. 11, no. 3, 2019, pp. 449-52, doi:10.18521/ktd.620811.
Vancouver Turan Sönmez F. Base Excess and Lactic Acid Levels as Success Criteria in Cardiopulmonary Resuscitation. Konuralp Medical Journal. 2019;11(3):449-52.