Revascularizacíón coronaria durante la resucitación.
Código Puente. Med Intensiva [en prensa]

 
   
Jornada ACTP durante la RCP. Madrid, 18/10/2011. Programa        

Documentos de interés:

 
  Identificado el paciente en PCR refractaria de probable causa coronaria, los Compresores Torácicos Mecánicos CTM hacen posible mantener las presiones de perfusión coronaria PPC y cerebral durante el traslado del paciente a la sala de hemodinámica. De esta forma, éste y otros sistemas sirven a modo de puente para que el paciente pueda recibir su tratamiento etiológico específico: de ahí la denominación de “Código Puente” de origen coronario CPC.

* Serrano Moraza A, del Nogal Sáez F, Alfonso Manterola F. Revascularización coronaria durante la resucitación cardiopulmonar. Código Puente. Med Intensiva [en prensa].
  * Madrid, octubre de 2011        * Pozoblanco, Junio de 2011         * Pamplona, Junio de 2010 . 

* Cerebral Performance Category score de Glasgow-Pittsburg
 
 
 		 Series con LucasTM en Hemodinámica :     IIa LOE C
     Larsen. Resuscitation 2007; 75 (3): 454-459 .
     Sunde. Crit Care Med 2008; 36: [Suppl.]: S405–S408

N   7 casos  * Wagner H et al. Resuscitation. 2010 Apr;81(4):383-387.
N   5 casos  * Cornelis et al. ERC congress 2008; Poster 150.
N 13 casos  * Larsen et al. Resuscitation. 2007; 75 (3): 454 -459.
N   2 casos  * Grogaard et al. Journal of the American College of Cardiology. 2007; 50(11): 1093-1094.
N   1 caso    * Schäfer et al. Clin Res Cardiol. 2007: 96 (Suppl 1) P961.
N   1 caso    * Agostoni et al. Int J Cardiol. 2007:Feb 28
N   1 caso    * Olivecrona et al. Tctmd.com.

Cohorte N 3058    Supervivencia 11/43 casos
               Wagner, Olivecrona, et al. Resuscitation 2010

Series con AutopulseTM en Hemodinámica :

N    4/16   * Luijten H et al. PCI during ongoing cardio-pulmonary resuscitation. 2007
N   30/95  * Merkely B, Molnar L et al. Semmelweis University. Budapest. 2006-2008
 
  * Dumas F et al. Immediate Percutaneous Coronary Intervention Is Associated With Better Survival After Out-of-Hospital Cardiac Arrest: Insights From the PROCAT Registry. Circ Cardiovasc Interv 2010;3:200-207
* 2009 Focused Updates: ACC/AHA Guidelines for the Management of Patients With ST-Elevation Myocardial Infarction and ACC/AHA/SCAI Guidelines on Percutaneous Coronary Intervention
* Otras referencias
* Quality Assessment and Improvement in Interventional Cardiology: A Position Statement of the Society of Cardiovascular Angiography and Interventions, Part 1: Standards for Quality Assessment and Improvement in Interventional Cardiology
 
  * Böttiger BW. Thrombolysis during Resuscitation for Out-of-Hospital Cardiac Arrest. N Engl J Med 2008;359:2651-62.
* Dargin JM et al. Thrombolysis during out-of hospital cardiac arrest: a lesson in the law of diminishing returns. Crit Care 2010; 14: 304.
* Li X et al. A meta-analysis of cardiopulmonary resuscitation with and without the administration of thrombolytic agents.Resuscitation 2006;70(1):31-6.
* Spöhr F et al. Thrombolytics in CPR. Current advantages in cardiopulmonary resuscitation. Minerva Anestesiol. 2005 Jun;71(6):291-6.
* Moreno-Millán E et al. Fibrilación ventricular refractaria: ¿cuántas veces hay que desfibrilar? Med Intensiva 2010; 34(3): 215-18.
 
  * Dumas F et al. Circ Cardiovasc Interv 2010;3:200-207
* Mehta SR et al. Routine vs selective invasive strategies in patients with acute coronary syndromes: a collaborative meta-analysis of randomized trials.JAMA 2005; 293: 2908-17.
* Bassand JP and Task Force. Guidelines for the diagnosis and treatment of non-ST-segment elevation acute coronary syndromes. Eur Heart J. 2007; 28: 1598-660.
* Anderson JL et al. ACC/AHA 2007 Guidelines for the Management of Patients With Unstable Angina/Non–ST-Elevation Myocardial InfarctionCirculation 2007;116:e148-304.
* Palau P et al. Impacto pronóstico de una estrategia invasiva en el síndrome coronario agudo sin elevación del segmento ST según la presencia o no de disfunción sistólicaRev Esp Cardiol. 2010; 63(8): 915-24.
* Perkins ZB. Prehospital thrombolysis of a massive pulmonary embolus. Emerg Med J 2008;25:303-304.
 

* Nolan JP: New Developments in Post-resuscitation Care 
* Stub D et al. Post Cardiac Arrest Syndrome. A Review of Therapeutic Strategies. Circulation 2011; 123:1428-1435
* Behringer W et al. Out-of-hospital therapeutic hypothermia in cardiac arrest victims. Scand J Trauma Resusc Emerg Med 2009; 17: 52.
* Kämäräinen A. Prehospital therapeutic hypothermia after cardiac arrest - from current concepts to a future standard. Scand J Trauma Resusc Emerg Med. 2009; 17: 53.  
* Cady Ch et al. PREHOSPITAL RESUSCITATED CARDIAC ARREST PATIENTS: ROLE FOR INDUCED HYPOTHERMIA. RESOURCE PAPER FOR THE NAEMSP POSITION PAPER ON INDUCED THERAPEUTIC HYPOTHERMIA IN RESUSCITATED CARDIAC ARREST PATIENTS.  Prehosp Emerg Care 2009;13:402–405.
* Oommen SS et al.. Hypothermia after cardiac arrest: Beneficial, but slow to be adopted. Leveladn Clinic J Med 2011; 7 /7.
* Maaret Castrén M et al. Intra-Arrest Transnasal Evaporative Cooling. A Randomized, Prehospital, Multicenter Study (PRINCE: Pre-ROSC IntraNasal Cooling Effectiveness). Circulation 2010, 122:729-736.
* Becker LB. Cooling Heads and Hearts Versus Cooling Our Heels. Circulation 2010, 122:679-681.
* Deem S et al.In-flight cooling after out-of-hospital cardiac arrest Should All Patients Be Treated With Hypothermia Following Cardiac Arrest?
* Nielsen N et al. Successful resuscitation with mechanical CPR, therapeutic hypothermia and coronary intervention during manual CPR after outof-hospital cardiac arrest. Resuscitation 2005, 65:111-3.
 
     

* Le Guen M et al. Extracorporeal life support following out-of-hospital refractory cardiac arrest. Critical Care 2011, 15:R29 doi:10.1186/cc9976.
* Beilman G et al. Successful Outcome of Cardiac Arrest Refractory to Advanced Cardiac Life Support Using Extracorporeal Membrane Oxygenation. Journal of Medical Cases 2010;1(2):74-76.

* Guidelines for indications for the use of extracorporeal life support in refractory cardiac arrest. Ann Fr Anesth Reanim 2009; 28:182–90. Artículo relacionado

* Longrois D et al. Extracorporeal life support systems in adult patients: what all intensivists should know.

* Carli P. Arrêt cardiaque extrahospitalier et l’ECMO : mise au point Prehospital cardiac arrest and ECMO: state of art. E-mémoires de l'Académie Nationale de Chirurgie, 2010, 9 (3) : 10-13. ¡
    Primary ECMO:
    * Arlt M et al. Out-of-hospital extracorporeal life support for cardiac arrest—A case report. Resuscitation2011;82:1243-5.
* Lebreton G et al. Out-of-hospital extra-corporeal life support implantation during refractory cardiac arrest in a half-marathon runner. Resuscitation 2011;82:1239-42.
* Peek GJ. Community extracorporeal life support for cardiac arrest – When should it be used? Resuscitation 2011;82:1117.
* Lamhaut L et al. Successful treatment of refractory cardiac arrest by emergency physicians using pre-hospital ECLS. Resuscitation 2012:83:177-8.
     
En presencia de alta sospecha de otras posibles causas de PCR ( hipotermia accidental, anafilaxia, embolia masiva de pulmón,
etc.) los CTM permiten: 1) ofrecer a cada paciente el tratamiento etiológico específico para su forma de PC. y 2) hacer posibles técnicas durante la RCP que, en el momento actual, sólo podemos ofrecer al paciente en circulación espontánea (ej: hemofiltración, diálisis, gammagrafía de ventilación-perfusión, uso específico de antídotos, tomografía computarizada, etc.).
* Friberg H et al. Submersion, accidental hypothermia and cardiac arrest, mechanical chest compressions as a bridge to final treatment: a case report. Scand J Trauma Resusc Emerg Med 2009; 17: 7. 
* Wik L et al. Use of an automatic chest compression device (LUCAS) as a bridge to establishing cardiopulmonary bypass for a patient with hypothermic cardiac arrest. Resuscitation. 2005; 66: 391-394.

* Holmström P, Boyd J, Sorsa M. A case of hypothermic cardiac arrest treated with an external chest compression device (LUCAS) during transport to re-warming. Resuscitation 2005;67:139-41.
 * Daubin C et al. Extracorporeal life support in severe drug intoxication: a retrospective cohort study of seventeen cases. Critical Care 2009, 13:R138.

* Dumans-Nizard V et al. Intraoperative Use of an Automated Chest Compression Device. Anesthesiology 2011; 114 (5): 1253-1255.
* Wirth S et al. Computed tomography during cardiopulmonary resuscitation using automated chest compression devices—an initial study. Eur Radiol (2009) 19: 1857–1866.
 
     

* Joffe AR. The ethics of donation and transplantation: are definitions of death being distorted for organ transplantation? Philosophy, Ethics, and Humanities in Medicine 2007, 2:28. 
* UNOS United Network of Organ Sharing. Proposal to Update and Clarify Language in the DCD Model Elements.

* Lippert FK. European Resuscitation Council Guidelines for Resuscitation 2010 Section 10. The ethics of resuscitation and end-of-life decisions. Resuscitation 81 (2010) 1445–1451.