Anesthesia 5th year, 13th lecture (Dr. Aamir)

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The lecture has been given on May 17th, 2011 by Dr. Aamir.

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Anesthesia 5th year, 13th lecture (Dr. Aamir)

  1. 1. Cardiac arrest and cardiopulmonary resuscitation (CPR) BLS: basic life support ACLS: advanced cardiovascular life support
  2. 2. BLS <ul><li>A: Airway </li></ul><ul><li>B: Breathing </li></ul><ul><li>C: Circulation </li></ul><ul><li>D: Defibrillation </li></ul>
  3. 3. BLS <ul><li>Goal: to support oxygenation, ventilation, and circulation until ROSC (return of spontaneous circulation) or ACLS intervention scan be initiated </li></ul><ul><li>It does not include advanced interventions e.g ET tube or drug administration </li></ul>
  4. 4. ACLS <ul><li>A: Airway </li></ul><ul><li>B: Breathing </li></ul><ul><li>C: Circulation </li></ul><ul><li>D: Deferential Diagnosis </li></ul>
  5. 5. <ul><li>Good ACLS begin with good basic life support </li></ul><ul><li>High quality properly performed CPR will save lives </li></ul>
  6. 6. CHEST COMPRESION EMPHYSIS ON <ul><li>Push hard and push fast adequate depth rate of 100 compression per minute </li></ul><ul><li>Allow full chest recoil equal compression and relaxation </li></ul><ul><li>Minimal interrupted chest compression </li></ul>
  7. 7. <ul><li>Each cycle of CPR consist of: 2 ventilation to 30 compression 5 cycles in 2minutes </li></ul><ul><li>Change provider in delivering compression every 5 cycles to avoid fatigue </li></ul><ul><li>Defibrillation: for greatest success deliver shock 5 sec. or less after last compression </li></ul><ul><li>no rhythm checks for two minutes following shock delivery </li></ul>
  8. 8. <ul><li>Failure of first shock =resume the CPR defibrillator first shock= 90% successful </li></ul><ul><li>CPR helps heart pump blood when post shock systole or PAE is likely to be present </li></ul><ul><li>Manual defibrillation energy dose manual monophasic = 360 j for adult manual biphasic = 150-200j the second dose should be the same or higher dose </li></ul>
  9. 9. <ul><li>Use –device specific dose use dose proven effective for eliminating-VF </li></ul><ul><li>High quality CPR has greater life saving potential than other advanced life support intervention </li></ul><ul><li>ACLS is designed to minimize interruption with chest compression </li></ul>

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