[SCD-FORUM] 60S RE: 心跳呼吸骤停和心脏猝死 Sanchez Verduzco医生

[SCD Symposium]

60SRE:心跳呼吸骤停和心脏猝死   Sanchez Verduzco医生
不管病因如何，心脏骤停或者更确切的说即心脏呼吸 
骤停时，我们几乎看不到临床合并症，更不用说专业 
术语方面了。我们认为对患者进行心肺复苏只是因为 
他（她） 的有效心输出量不足而已。
Dr. Miguel Angel Sanchez Verduzco
medicina intensiva. Guadalajara jalisco México

Dr. Sergio Dubner
President of Scientific Committee

Dr. Edgardo Schapachnik
President of Steering Committee
白英楠译 王玲洁校

60S RE: Cardiorespiratory arrest and sudden cardiac death. Dr.  
Sanchez Verduzco
I can't see hardly any complication, not even semantic, in what we
consider cardiac arrest or better, cardiorespiratory arrest,
whichever the cause. We may simply consider that any patient that
requires cardiorespiratory reanimation is because he/she has: lack of
effective cardiac output.

 > From a certain point of view, cardiac arrest is the time of death,
 > although we all know there is a margin between brain death, legally
 > considered in many countries as "death" proper, and cardiac arrest
 > or else, tachyarrythmias that condition low output. It would be
 > necessary to differentiate also VT/VF from electrical activity with
 > no pulse, or asystole as cause of death. We know that on many
 > occasions, they are a continuum that we attempt to stop with
 > different interventions that are variably successful according to
 > the opportunity and efficacy.
 > From my personal point of view, the difference may be more semantic
 > than practical, due to the great amount of variables to take into
 > account: do we consider cardiac arrest as the disappearance of
 > pulse? However, many times there is VT or VF, why can we start CPR
 > even when there are still slow pulses (escape rhythms or AV blocks
 > in ECG)? Again we are involved in a discussion of terms very hard
 > to define because of the number of pathophysiological concepts and
 > mostly, due to the "dynamics" of events and their sequences. What
 > do experts think?
 >
 > Enrique Asensio L.
 > México

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Dr. Sergio Dubner
President of Scientific Committee

Dr. Edgardo Schapachnik
President of Steering Committee