Mavi Kod çağrısına bağlı kardiyo-pulmoner resüsitasyon uygulamaları sonuçlarının değerlendirilmesi

Amaç: Mavi Kod, kardiyopulmoner arrest (KPA) durumunda hastaya en kısa sürede müdahale edilmesini sağlayan acil durum çağrı ve yönlendirme sistemidir. tüm dünyada tek ve aynı renk kullanılmaktadır. Bu çalışmada Mavi Kod uygulamaları, kardiyopulmoner resüsitasyonda ilk ritim ve resüsitasyon sonrası bu ritim ile ilişkili olarak hayatta kalma ve taburculuk oranlarının değerlendirilmesi amaçlandı. Gereç ve yöntem: Mayıs 2011 ile Mayıs 2012 tarihleri arasındaki Mavi Kod çağrısı (MKÇ) verilen 301 hastanın verileri hastane etik komitesi izninden sonra geriye dönük olarak analiz edildi. Yaş, cinsiyet, Mavi Kod veriliş tarih ve saati, MKÇ'nin verildiği birim, ekibin birime varış süresi, çağrının doğruluğu, KPR süresi, başlangıç ritmi (asistoli, VT / NVF), ilk 24 saatte hayatta kalma ve taburcu olma oranları araştırıldı. Bulgular: Yaklaşık 1 yıllık sürede Mavi Kod Ekibi 301 MKÇ aldı. Gerçek olmayan arrest çağrıları hariç tutulduğunda 238'ü doğru çağrı -gerçek arrest olarak çalışmaya dahil edildi. 86 (%28,6) hastada spontan dolaşım geri dönmüş (SDGD) tür. Bu hastaların, 62 (% 26)'si KPR'den sonra ilk 24 saat hayatta kalırken. ancak 17 (%7,1) hasta taburcu edilmiştir. KPR'de ilk ritimlerine göre, hayatta kalan hasta oranı asistolide 26 (%41,9), VF/NVT'de 35(%56,5), taburculuk oranları ise ritmi asistoli olanlarda 2( %11,8), VF/NVT'de 15 (%88,2) hasta olmuştur. Sonuç: Hastanemizde Mavi Kod çağrıları değerlendirildiğinde, hastalarda KPR'de ilk ritim en sık asistoli olmasına rağmen, ilk ritmi VF/NVT olanlarda hayatta kalma ve taburcu olma oranlarının daha fazla olduğunu söyleyebiliriz

The evaluation of the results of cardiopulmonary resuscitation associated with code-blue

Objectives: Code Blue is emergency call and routing system allows to intervene cardiopulmonary arrest as soon as possible. It is used just only and the same color all over the world. In this study it is aimed to evaluate the code clue application, initial rhythm of cardio- pulmoner resusitition (CPR) and survival and discharge rates related with the initial rhythm after CPR. Material and metods: Data of 301 patients with Code Blue call between May 2011 and May 2012 were retrospectively analysed after having approval of the hospital ethics committee. Patients age, gender, code blue call time and date, the call given unit, team's arrival time to unit , the accuracy of the call, CPR time, the initial rhythm (asystole, VF/pulseless VT), survival and discharge rates in first 24 hours were investigated. Results: Approximately a year period, Code Blue Team received 301 the calls. Except wrong calls, 238 correct calls-real arrest were included in the study. 86 (36.1%) patients circulation was return of spontaneous circulation. When 62 (26%) of the patient were sur- vival after 24 hour from CPR, however 17 (7.1%) of them were discharged. 26 (41,9%) asistoly and 35(56,5%) VF/NVT were that the first rythm in CPR cases (p<0.001), and 2(%11,8) asistoly, 15(%88,2) VF/NVT patients survival to discharge than them. Conclusion: When evaluated of the code-blue calls in our hospital, we may say that the most common rhythm in cardiopulmoner arrest cases was asystoly but survival and discharged rates were more likely in patient which initial rthym is VF\VT

Kaynakça

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