Uso do Ultrassom na Parada Cardiorrespiratória: Estado da Arte

Ultrassom na Parada Cardíaca

Autores

DOI:

https://doi.org/10.54143/jbmede.v1i2.25

Palavras-chave:

Ultrassom, Parada cardíaca, Pronto-Socorro, Diagnóstico, Prognóstico

Resumo

A parada cardíaca, ou cardiorrespiratória (PCR), súbita corresponde a cerca de metade de todas as mortes de causa cardiovascular e é uma das principais causas de morte de adultos em países desenvolvidos e em desenvolvimento. O tratamento eficaz da PCR consiste em atendimento imediato, com ressuscitação cardiopulmonar (RCP) de alta qualidade, desfibrilação precoce em ritmos chocáveis, identificação da causa da PCR e cuidados pós-parada. A despeito de diretrizes de RCP constantemente atualizadas e amplamente divulgadas, a mortalidade por PCR ainda é muito elevada e há grande heterogeneidade de causas de PCR e do prognóstico inerente a cada causa. Pacientes em PCR cujo ritmo inicial é não-chocável, geralmente apresentam maior desafio em relação à identificação da causa da PCR. Neste contexto, o ultrassom manuseado pelo socorrista e utilizado como extensão do exame físico durante a RCP está associado a maior rapidez e maior número de diagnósticos específicos e, consequentemente, maior número de tratamentos específicos e potencial melhor prognóstico. O ultrassom também pode ser utilizado para diagnóstico da PCR, assim como para monitorizar a qualidade de RCP, guiar procedimentos e também inferir prognóstico. Na última década, um grande número de publicações científicas embasaram a utilização do ultrassom nas manobras de RCP, com demonstração de, em alguns subgrupos, melhor prognóstico. Atualmente, o ultrassom está incorporado nas unidades de emergência de excelência como recurso fundamental a ser utilizado em diversas situações. O objetivo desta revisão é fornecer informações sobre o estado da arte da utilização do ultrassom na PCR.

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2021-10-06

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Augusto Duenhas Accorsi, T., Galesso Cardoso, R., Ribeiro Paix˜ao, M., De Amicis Lima, K., & Leão de Souza Júnior, J. . (2021). Uso do Ultrassom na Parada Cardiorrespiratória: Estado da Arte: Ultrassom na Parada Cardíaca. JBMEDE - Jornal Brasileiro De Medicina De Emergência, 1(2), e21015. https://doi.org/10.54143/jbmede.v1i2.25

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