Kardiyopulmoner Resüsitasyon ve Teknoloji

Ozet Kardiyopulmoner resusitasyon (CPR) rehberi 2000 yilindan bu yana her bes yilda bir yapilan arastirma sonuclari dogrultusunda yenilenmekte olup en son 2015 yilinda guncellenmistir. Rehber saglik calisanlari icin belirli standartlari olusturmak, fikir ve uygulama birligini saglayabilmek icin ulusal ve uluslararasi kuruluslar tarafindan yayinlanmaktadir. Yayinlanan bilgiler de saglik calisanlari icin kesin kural degil oneriler olarak verilmektedir. 2015 yilinda rehber gogus kompresyonunun kalitesinin sagkalim uzerine buyuk etkisi oldugunu vurgulamis olup kompresyonun yeterli derinlikte (5-6 cm) ve hizda (100-120/dk) yapildigindan emin olunmasi gerektigi vurgulanmistir. Tum caba kardiyak arrest vakalarinda spontan dolasim geri donusunu norolojik sekel birakmadan en hizli sekilde idame ettirmektir. Yapilan calismalarda CPR’in ilk dakikalarinda saglik profesyonellerinin belirgin olarak yorgunluk yasadiklari ve bu nedenle yuzeyel kompresyonlar yapildi belirtilmistir. Bu nedenle uygulayicinin yorgunlugu kompresyon orani veya derinliginde yetersizlige neden olmaktadir. CPR esnasinda etkili gogus kompresyonu yuksek duzeyde efor gerektiren bir aktivite olmasi nedeniyle son yillarda teknolojik cihazlarin (ayarlanan modda kompresyon/dekompresyon cihazi, feedback cihazi) destegi konusunda arastirmalar yapilmistir. Bu surecte mekanik gogus kompresyonlari ve yapilan kompresyonun istenilen duzeyde yapilmasi olcen cihazlar karsimiza cikmaktadir. Calismamizda literatur dogrultusunda CPR da kullanilan mekanik kompresyon ve feedback cihazlarinin kullanimi ele alindi. Abastrac The guideline for cardiopulmonary resuscitation (CPR) have been revised every 5 years since 2000 and last update was made in 2015. The guideline is published by national and international organizations to establish certain standards for healthcare professionals, and to build consensus in theory and practice. Published information is not a definite rule for health workers but it it is published as a recommendation. In 2015 guideline, it was emphasized that the quality of chest compression has an important effect on survival and it was also emphasized that compression should be made at a sufficient depth (5-6 cm) and a speed (100-120/min). All the effort are made to continue return of spontaneous circulation with the possible fastest way without any permanent neurological sequelae in cardiac arrest cases. It was reported that health professionals experience significant fatigue in the first few minutes of the CPR, therefore superficial compressions are made. For this reason, the fatigue of the practitioner causes insufficient compression rate or depth. The effective chest compression during CPR is an activity which requires a high level of effort, therefore the studies has been conducted in recent years on the support of technological devices (compression/decompression device, feedback device). The mechanical chest compressions and the devices that measure the level of compression are seen in this process. In this study, the use of mechanical compression and feedback devices which are used in CPR was discussed in the light of the literature.