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

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

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

Published in Health & Medicine , Technology
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  • 1. Cardiac arrest and cardiopulmonary resuscitation (CPR) BLS: basic life support ACLS: advanced cardiovascular life support
  • 2. BLS
    • A: Airway
    • B: Breathing
    • C: Circulation
    • D: Defibrillation
  • 3. BLS
    • Goal: to support oxygenation, ventilation, and circulation until ROSC (return of spontaneous circulation) or ACLS intervention scan be initiated
    • It does not include advanced interventions e.g ET tube or drug administration
  • 4. ACLS
    • A: Airway
    • B: Breathing
    • C: Circulation
    • D: Deferential Diagnosis
  • 5.
    • Good ACLS begin with good basic life support
    • High quality properly performed CPR will save lives
  • 6. CHEST COMPRESION EMPHYSIS ON
    • Push hard and push fast adequate depth rate of 100 compression per minute
    • Allow full chest recoil equal compression and relaxation
    • Minimal interrupted chest compression
  • 7.
    • Each cycle of CPR consist of: 2 ventilation to 30 compression 5 cycles in 2minutes
    • Change provider in delivering compression every 5 cycles to avoid fatigue
    • Defibrillation: for greatest success deliver shock 5 sec. or less after last compression
    • no rhythm checks for two minutes following shock delivery
  • 8.
    • Failure of first shock =resume the CPR defibrillator first shock= 90% successful
    • CPR helps heart pump blood when post shock systole or PAE is likely to be present
    • Manual defibrillation energy dose manual monophasic = 360 j for adult manual biphasic = 150-200j the second dose should be the same or higher dose
  • 9.
    • Use –device specific dose use dose proven effective for eliminating-VF
    • High quality CPR has greater life saving potential than other advanced life support intervention
    • ACLS is designed to minimize interruption with chest compression
  • 10.