Influencia de la resistencia de tórax en la calidad de la reanimación

Zusammenfassung

Currently Cardiopulmonary Resuscitation (CPR) is the standardized treatment when someone suffers cardiac arrest and its application is not limited only to the biomedical field, but there are international recommendations promoted by the European Resuscitation Council (ERC) that this technique can be performed by witnesses or even children. CPR maneuvers aim to reverse cardiac arrest, which is defined as the cessation of cardiac function and circulatory function. Resuscitation is a physical task that causes fatigue and for this reason the resuscitation guidelines in 2005 already proposed a changeover between one minute and two minutes, and in 2010 at two minutes, a frequency that has been maintained in the successive guides until the present. With the evolution of the guidelines to the present, the depth (between 5 cm and 6 cm) and the rhythm (between 100 and 120 compressions per minute) have increased, being the general recommendation that attends to a patient with a standard chest. However, the appearance of numerous studies on rescuer fatigue, as well as new techniques in pediatric resuscitation, have led to a rethinking of the way of resuscitation in relation to chest resistance, resuscitation technique and its quality.