Kardiyopulmoner Resüsitasyon ve Teknoloji

Year 2018, Volume: 22 Issue: 1, 44 - 49, 29.06.2018

Öznur Tiryaki , Özlem Doğu

Abstract

Özet

Kardiyopulmoner resüsitasyon (CPR) rehberi 2000 yılından bu yana her beş yılda bir yapılan araştırma sonuçları doğrultusunda yenilenmekte olup en son 2015 yılında güncellenmiştir. Rehber sağlık çalışanları için belirli standartları oluşturmak, fikir ve uygulama birliğini sağlayabilmek için ulusal ve uluslararası kuruluşlar tarafından yayınlanmaktadır. Yayınlanan bilgiler de sağlık çalışanları için kesin kural değil öneriler olarak verilmektedir. 2015 yılında rehber göğüs kompresyonunun kalitesinin sağkalım üzerine büyük etkisi olduğunu vurgulamış olup kompresyonun yeterli derinlikte (5-6 cm) ve hızda (100-120/dk) yapıldığından emin olunması gerektiği vurgulanmıştır. Tüm çaba kardiyak arrest vakalarında spontan dolaşım geri dönüşünü nörolojik sekel bırakmadan en hızlı şekilde idame ettirmektir. Yapılan çalışmalarda CPR’ın ilk dakikalarında sağlık profesyonellerinin belirgin olarak yorgunluk yaşadıkları ve bu nedenle yüzeyel kompresyonlar yapıldı belirtilmiştir. Bu nedenle uygulayıcının yorgunluğu kompresyon oranı veya derinliğinde yetersizliğe neden olmaktadır. CPR esnasında etkili göğüs kompresyonu yüksek düzeyde efor gerektiren bir aktivite olması nedeniyle son yıllarda teknolojik cihazların (ayarlanan modda kompresyon/dekompresyon cihazı, feedback cihazı) desteği konusunda araştırmalar yapılmıştır. Bu süreçte mekanik göğüs kompresyonları ve yapılan kompresyonun istenilen düzeyde yapılması ölçen cihazlar karşımıza çıkmaktadır. Çalışmamızda literatür doğrultusunda CPR da kullanılan mekanik kompresyon ve feedback cihazlarının kullanımı ele alındı.

Abastrac

The guideline for
cardiopulmonary resuscitation (CPR) have been revised every 5 years since 2000
and last update was made in 2015. The guideline is published by national and
international organizations to establish certain standards for healthcare
professionals, and to build consensus in theory and practice. Published
information is not a definite rule for health workers but it it is published as
a recommendation. In 2015 guideline, it was emphasized that the quality of
chest compression has an important effect on survival and it was also
emphasized that compression should be made at a sufficient depth (5-6 cm) and a
speed (100-120/min). All the effort are made
to continue return of spontaneous circulation with the possible fastest way
without any permanent neurological sequelae in cardiac arrest cases. It was
reported that health professionals experience significant fatigue in the first
few minutes of the CPR, therefore superficial compressions are made. For this
reason, the fatigue of the practitioner causes insufficient compression rate or
depth. The effective chest compression during CPR is an activity which requires
a high level of effort, therefore the studies has been conducted in recent
years on the support of technological devices (compression/decompression
device, feedback device). The mechanical chest compressions and the devices
that measure the level of compression are seen in this process. In this study,
the use of mechanical compression and feedback devices which are used in CPR
was discussed in the light of the literature.

Keywords

: Kardiyopulmoner resüsitasyon, ; teknoloji, kompresyon\dekompresyon cihazı, feedback

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