Kardiyopulmoner Resusitasyon Başarı Kriteri Olarak Baz Seviyesi ve Laktik Asit Düzeylerinin Değerlendirilmesi

Amaç: Kardiyopulmoner arrest, mortalite ve morbiditesi yüksek bir durumdur. Hastane içi arrest vakalarında bile ölüm oranı yüksek iken, hastane dışında kardiyak arrest olgularında sağkalım oranı daha da düşüktür, bu nedenle arrest vakasının ciddiyetini öngörmek önemlidir. Kardiyak arrest mekanizmasını anlamak, önelemek ve müdahale kalitesini artırmak için birçok çalışma yapılmıştır.Amaç: Bu çalışmada asidoz parametreleri ile kardiyopulmoner resüsitasyon başarısı arasındaki ilişkiyi analiz etmeyi amaçladık.Yöntem: Hastane ışında kardiyak arrest geçiren, daha sonrasında ilk yardım ekiplerince ilk müdahalesi başlatılan ve hastaneye getirilen vakalar çalışmaya dahil edilmiştir.Bulgular: Gruplar arasında kan laktat düzeylerinde anlamlı fark olduğu belirlendi. Sonuç: Laktat ve Baz düzeyleri, kardiyopulmoner resüsitasyonun başarısını değerlendirmek için kullanılabilecek parametrelerdir.

Anahtar Kelimeler:

Kardiyopulmoner Arrest, Laktik Asit, Baz Fazlalığı

Base Excess and Lactic Acid Levels as Success Criteria in Cardiopulmonary Resuscitation

Background: Cardiopulmonary arrest a condition that causes high mortality and morbidity. While the mortality rate is high even in in-hospital arrest cases, the survival of patients undergoing cardiac arrest outside the hospital is lower, so it is essential to predict the severity of the case. Many studies have been performed to understand the mechanism of cardiac arrest, to improve its prevention, and to increase intervention quality. Aim: In this study we aimed to analyze the relationship between acidosis parameters and cardiopulmonary resuscitation success. Methods: We analyzed blood gas data in patients that underwent cardiopulmonary arrest out-of-hospital, had intervention by an ambulance first-aid team and were then brought to the emergency room for advanced life support. Results: A significant difference in blood lactate levels between the groups was determined. Conclusion: Lactate and Base excess levels are parameters that could be used to assess the success of cardiopulmonary resuscitation.

Keywords:

Cardiopulmonary Arrest, Lactic Acid, Base Excess,

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ISSN: 1309-3878
Yayın Aralığı: Yılda 3 Sayı
Başlangıç: 2009
Yayıncı: Düzce Üniversitesi Tıp Fakültesi Aile Hekimliği AD adına Yrd.Doç.Dr.Cemil Işık Sönmez