نمونه ترجمه تخصصی پزشکی درباره پیامدهای احیای قلبی- ریوی داخل بیمارستانی

The outcomes of in-hospital cardiopulmonary resuscitation

According to Utstein’s definition, cardiac arrest is the halt of heart’s mechanical function due to the lack of a tangible pulse and no response to apnea (agonal respiration). This definition distinguishes cardiac arrest from respiratory arrest, which is featured with apnea and tangible pulse [1]. There are at least 10 definitions for in-hospital cardiopulmonary arrest (IHCA) [2]; however, to make sure that in-hospital cardiopulmonary resuscitation (IHCPR) report are comparable, Utstein’s style was issued in 1997 for in-hospital resuscitation researcher. The style was updated in 2004 and 2015 [3-5]. According to Utstein’s style, cardiac arrest is categorized as in-hospital, when it occurs in a hospitalized patient who had a pulse at admittance point [1]. There is a growing trend of IHCA among adults, so that 292000 cases happen in the USA every year. This figure for children is 15200 and there is no growing trend for children. Given the recurrence cases, annual cardiac arrest cases in adults and children are 357900 and 19900 cases respectively in the USA annually [6]. Similar studies using Utstein’s standards have shown notable changes in occurrence rate of IHCA, so that it is 3.25 out each 1000 cases in the east of Asia [7], 1.7 out of each 1000 cases in the West of Asia [8], and 3.8-13.1 out of each 1000 cases based on other reports [9, 10]. Failure to provide timely cares for a CPA case leads to death; however, circulation can be established using CPR [11]. The CPR includes measures to revive vital signs of the heart and lungs and the circulation and respiration are sustained mechanically until the return of spontaneous circulation (ROSC). However, since without such measures, permanent brain death happens in 4-6mins (golden time), the term CRP was changed into cardiopulmonary cerebral resuscitation (CPCR) based on Peter Safer’s (father or resuscitation) recommendation and given the importance of brain resuscitation. The latest CPR instructions were revised at basic and advanced levels in 2015 (12, 13). The cause of cardiac arrest in adults is mostly cardiac problems (50-60%) followed by respiratory failure (15-40%). In addition, the rate of shockable dysrhythmia (Ventricular fibrillation or Pulseless ventricular tachycardia) is less than asystole or pulseless electrical activity [6, 14, 15].