Repeated cardiopulmonary resuscitation of a geriatric patient – how did it go afterwards?

Česká verzia

Authors: O. Králová; L. Švábenská; M. Řiháček; K. Bielaková
Published in the journal: Geriatrie a Gerontologie 2017, 6, č. 4: 183-187
Category: Case Reports

Summary

Cardiopulmonary resuscitation (CPR) is an algorithm of simple and logical set of actions during acute onset of cardiac arrest, which should lead to fast restoration of delivery of oxygenated blood to brain. CPR on elderly patients has some specific features and there are often complications during CPR. Moreover, another problem is how to decide whether to initiate CPR on elderly patients with many comorbidities. In this case report a history of a geriatric patient is described, who underwent repeated CPR for cardiac arrest after anaphylactic shock, followed by acute myocardial infarction. Follow-up treatment was managed by standard care at the Department of Internal Medicine, where she underwent rehabilitation and was discharged from the hospital to home care.

Keywords:
cardiopulmonary resuscitation – geriatric patient – treatment plan – DNAR

Zdroje

1. Šeblová J, Knor J, et al. Urgentní medicína v klinické praxi lékaře, 1.vyd. Praha: Grada publishing 2013: 105.

2. Matějovská Kubešová H, et al. Akutní stavy v geriatrii. Praha: Galén 2009: 7–8.

3. Škaroupková O. Úroveň znalostí základní neodkladné resuscitace u nelékařských pracovníků pracujících na geriatrických lůžkách. Brno 2013. Diplomová práce. Masarykova univerzita v Brně. Vedoucí práce: Vlasta Polcarová.

4. Perkins GD, Handley AJ, Koster RW, et al. European Resuscitation Council Guidelines for Resuscitation 2015 Section 2. Adult basic life support and automated external defibrillation. Resuscitation 2015, 95: 81–99.

5. Soar J, Nolan JP, Botigger BW, et al. European Resuscitation Council Guidelines for Resuscitation 2015 Section 3. Adult advanced life support. Resuscitation 2015; 95: 100–147.

6. Brokmann J, Rossaint R. Repetitorium Noftallmedizin, 2010.

7. Van Alem, Vrenken, De Vos. Use of automated external defibrillator by first responders in out of hospital cardiac arrest: prospective controlled trial. Brittish Medical Journal 2003; 327: 1312–1315.

8. Klementa B, Klementová O, Marcián P. Resuscitace. Olomouc: Epava Olomouc 2014.

9. European Resuscitation Council. 100,000 lives can be saved per year in Europe. The new ERC Guidelines on resuscitation (online). 2010-10-18 (cit. 2012-03-28). Dostupné na: www.cprguidelines.eu/2010/press.php

10. Nolan JP, Soar J, Zideman DA, Biarent D, et al: European Resuscitation Council Guidelines for Resuscitation 2010. Section 1. Executive summary. Resuscitation 2010; 81: 1219–1276.

11. Fillit HM, Rockwood K, Young J. Brocklehurst‘s textbook of geriatric medicine and gerontology. Philadelphia: Elsevier 2017.

12. Kalvach Z, Zadák Z, Jirák R, et al. Geriatrie a gerontologie. Praha: Grada Publishing 2004: 392.