PELİN KARAASLAN, Elif A. AKPEK, Asuman ERSAYIN, Gülnaz ARSLAN

Hastanemizdeki acil resüsitasyon ekibi organizasyonu ve sonuçları

Bu çalışmada, hastanemizde Ocak 1999 tarihinde acil durumlarda anons sistemiyle çalışacak şekilde kurulan kardiyopulmoner resusitasyon (CPR) ekibi organizasyonunun işlenişini ve CPR uygulamalarımızın sonuçlarını değerlendirmeyi amaçladık. Ocak 1999-Mayıs 2000 tarihleri arasında toplam 197 olguya CPR kod anonsu verilmiştir. Bu olguların yaş ortalamasının 57.1±19.8 yıl olduğu gözlenmiş, 60 yaşın üzerinde olan olguların oranı ise %51.8 olarak bulunmuştur. Girişimlerin %43.2'si yoğun bakım ünitelerinde yapılmıştır. Etiyolojide %24.4 ile kronik böbrek yetmezliği ilk sırayı alınıştır. Anonstan sonra anestezi doktoru ulaşana kadar geçen süre 0.75±1.52 dakika, entübasyon için geçen süre ise 1.56±0.63 dakika idi. Ortalama CPR süresi 31.9±20.2 dakika olarak bulunmuştur. CPR'a olumlu yanıt alınması oranları olay yerinde (hemen) %67, ilk 24 saat içinde (erken dönem) %51.8 ve taburculuk evresine ulaşma ise (geç dönem) %18.7'dir. Sonuç olarak, iyi işleyen ve hızlı çalışan bir organizasyonla uygulanan CPR işlemi hızlı ve etkili tedavi sağlayarak başarılı sonuçları arttıracaktır. Hastanemizde kurulan CPR ekibinin etkili işlediği ve, sonuçlarımızın literatür ile benzerlik gösterdiği bulunmuştur.

Anahtar Kelimeler:

Acil durumlar, Acil tedavi, Kardiyopulmoner canlandırma, Geriyedönük çalışma

Results of the cardiopulmonary resuscitation team organisation in our hospital

In this study, we aimed to present the results of our cardiopulmonary resuscitation (CPR) team which was established to work by an emergency 'code' announcement system at January 1999 and to evaluate the outcome of the organisation. A total of 197 'code' announcements were made between January 1999 and May 2000, Average age of patients were 57.1±19.8 years and 51.8% of them were above 60 years. Announcements were done mostly for the intensive care units (43.2%). Time to anesthesist arrival to the scene after the announcement was 0.75±1.52 minutes and time to intubation was 1.56±0.63 minutes. Mean duration of the CPR procedure was 31.9±20.2 minutes. Most commonly reported etiology was chronic renal failure (24.4%). Our immediate survival was 67%, survival in the first 24 hours (early) was 51.8% and survival to discharge (late) was 18.7%. In conclusion, good organisation of CPR procedure can increase the survival rates by providing early diagnosis and treatment. We found that CPR team in our hospital is effective and the outcome is similar to literature.

Keywords:

Emergencies, Emergency Treatment, Cardiopulmonary Resuscitation, Retrospective Studies,

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