Open-chest cardiopulmonary resuscitation: past, present and future

AudienciaPúblico en generales_ES
CoberturaMéxicoes_ES
Fecha de ingreso2026-10-05T16:33:00Z
Fecha de publicación2005-01-01
ResumenOut-of-hospital cardiac arrests account for approximately 1000 sudden cardiac deaths per day in the United States. Since its introduction in 1960 closed-chest cardiac massage (CCCM) often takes place as an attempt at resuscitation, although its survival rates are low. Other resuscitation techniques are available to physicians such as open-chest cardiopulmonary resuscitation (OCCPR). OCCPR has been shown by several scientists to be hemodynamically superior to CCCM as it increases arterial pressures, cardiac output, coronary perfusion pressures, return of spontaneous circulation and cerebral blood flow. Improved neurological and cardiovascular outcome and an increase in survival rate compared to CCCM have been described. Timing is one of the key variables in determining patient outcome when performing OCCPR. The American Heart Association in association with the International Liaison Committee (ILCOR) has specific indications for the use of OCCPR. Some investigators recommend starting OCCPR in out-of-hospital cardiac arrests on arrival at the scene instead of CCCM. Surprisingly, the incidence of infectious complications after thoracotomy in an unprepared chest is low. The vast majority of the patients' families accept OCCPR as a therapeutic choice for cardiac arrests and it has been showed to be economically viable. This paper reviews some of the basic and advanced concepts of this evolving technique. (C) 2004 Elsevier Ireland Ltd. All rights reserved.es_ES
Doihttps://doi.org/10.1016/j.resuscitation.2004.06.022es_ES
URIhttps://riuat.uat.edu.mx/handle/123456789/4815
Idiomaenes_ES
EditorialELSEVIER IRELAND LTDes_ES
RelaciónResuscitationes_ES
URL relacionadohttps://doi.org/10.1016/j.resuscitation.2004.06.022es_ES
DerechosAcceso restringido / Suscripción (Metadatos de producción científica)es_ES
Licenciahttp://purl.org/coar/access_right/c_16eces_ES
FuenteResuscitation
Palabra claveopen-chest cardiopulmonary resuscitationes_ES
Palabra claveclosed-chest massagees_ES
Palabra claveinvasive techniqueses_ES
Palabra claveminimally invasivees_ES
Palabra clavethoracotomyes_ES
TítuloOpen-chest cardiopulmonary resuscitation: past, present and futurees_ES
TipoArtículoes_ES
ArbitradoHa sido Arbitradoes_ES
AutorAlzaga-Fernandez, AG
AutorVaron, J
AutorAlzaga-Fernandez, AGes_ES
AutorVaron, Jes_ES
InstituciónUniversidad Autónoma de Tamaulipas
InstituciónUniversidad Autónoma de Tamaulipases_ES
Número2es_ES
Rango de páginas149-156es_ES
URL relacionadahttps://doi.org/10.1016/j.resuscitation.2004.06.022
Tipo de artículoIndexado
Tipo de artículoIndexadoes_ES
Volumen64es_ES

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