Usefulness of Ultrasound in Cardiorespiratory Arrest: About a case Ultrasonido en el paro cardio -respiratorio
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Jul 1, 2021
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Abstract
High-risk pulmonary embolism thrombus is one of the causes of cardiorespiratory arrest with a non-fibrillae rhythm, where early diagnosis and treatment are essential to decrease mortality. During the last two decades the use of ultrasound has increased in different types of medical areas, which has led to the creation of protocols to unify concepts. One of these is the CAUSE protocol (Cardiac Arrest Ultrasound Exam), which allows a diagnostic approach to 4 causes of non-arrhythmogenic cardiorespiratory arrest (severe hypovolemia, tension pneumothorax, cardiac tamponade, and high-risk pulmonary embolism) using a projection of 4 chambers of the heart (apical or subxiphoid) and a thoracic projection through the second intercostal space in the mid-clavicular line. We present the case of a patient in cardiorespiratory arrest, who initially focused on the presence of acute coronary syndrome as the cause of findings of complete left bundle branch block on the electrocardiogram. However, after the use of ultrasound, the diagnostic perspective changes, finding indirect signs of pulmonary embolism, which led to changes in medical behavior.
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References
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https://www-clinicalkey-es.ezproxy.javeriana.edu.co/#!/content/playContent/1-s2.0-S0894731714008566?returnurl=null&referrer=null
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8. Gardner K, Clattenburg E, Wroe P. The Cardiac Arrest Sonographic Assessment (CASA) exam – A standardized approach to the use of ultrasound in PEA. American Journal of Emergency Medicine, 2018-04-01. https://www-clinicalkey-es.ezproxy.javeriana.edu.co/#!/content/playContent/1-s2.0-S0735675717307015?returnurl=null&referrer=null
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14. Long B, Alerhand S, Maliel K. Echocardiography in cardiac arrest: An emergency medicine review. American Journal of Emergency Medicine, 2018-03-01. https://www-clinicalkey-es.ezproxy.javeriana.edu.co/#!/content/playContent/1-s2.0-S0735675717310331?returnurl=null&referrer=null
15. Pérez A, Anica E. Protocolos de ultrasonido en estados de choque. Ultrasonografía avanzada en anestesia Vol. 40. Supl. 1 Abril-Junio 2017. https://www.medigraphic.com/pdfs/rma/cma-2017/cmas171by.pdf
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17. Marín A, Gazmuri J. Thrombolytic therapy for submassive/ intermediate risk Pulmonary Embolism Evidence and suggestions after PEITHO trial.Rev Med Chile 2015. https://scielo.conicyt.cl/pdf/rmc/v143n7/art11.pdf
18. Jiméneza D, Escobar C, Martí D. Valor pronóstico de la ecocardiografía transtorácica en pacientes estables hemodinámicamente con tromboembolia de pulmón aguda sintomática. Arch Bronconeumol. 2007. file:///C:/Users/NJMBP/Downloads/13109469.pdf
19. García E, Vicente A, Campos N. Ecocardiografía en la Unidad de Cuidados Intensivos. Med Intensiva.2008.http://www.medintensiva.org/es-pdf-S021056910870946X
20. Sabido R,García R. Evaluación de la función ventricular y auricular derecha con ecocardiografía 3D en tromboembolia pulmonar aguda. Revista mexicana de cardiología Marzo 2015. https://www.medigraphic.com/pdfs/cardio/h-2015/h151b.pdf
2. Pérez J, Franco G. Utility of ultrasound in resuscitation. Colombian Journal of Anesthesiology, Volume 43, Issue 4, October–December 2015. Available from: https://www.sciencedirect.com/science/article/pii/S012033471500043X
3. López J, Montes A, Oviedo A, Álvarez J. Valor de la ecocardiografía en el diagnóstico etiológico de la parada cardiorespiratoria con actividad eléctrica sin pulso. J.medin.2012.12.002 http://www.medintensiva.org/es-valor-ecocardiografia-el-diagnostico-etiologico-articulo-S0210569112003737
4. Khemasuwan D, YingchoncharoenT, Tunsupon P. RightVentricular Echocardiographic Parameters Are Associated with Mortality after Acute Pulmonary Embolism. Journal of the American Society of Echocardiography, 2015-03-01
https://www-clinicalkey-es.ezproxy.javeriana.edu.co/#!/content/playContent/1-s2.0-S0894731714008566?returnurl=null&referrer=null
5. Vitarelli A, Barillà F, Capotosto L ,Right Ventricular Function in Acute Pulmonary Embolism: A Combined Assessment by Three-Dimensional and Speckle-Tracking Echocardiography
Journal of the American Society of Echocardiography, 2014-03-01, https://www-clinicalkey-es.ezproxy.javeriana.edu.co/#!/content/playContent/1-s2.0-S0894731713008973?returnurl=null&referrer=null
6. Katarzyna K, Lichodziejewska B, Goliszek S. Echocardiographic Pattern of Acute Pulmonary Embolism: Analysis of 511 Consecutive Patients.Journal of the American Society of Echocardiography.2016-09-01. https://www-clinicalkey-es.ezproxy.javeriana.edu.co/#!/content/playContent/1-s2.0-S0894731716301808?returnurl=null&referrer=null
7. Hernandez C, Shuler K, Hannan H.C.A.U.S.E.: Cardiac arrest ultra-sound exam—A better approach to managing patients in primary non-arrhythmogenic cardiac arrest.Resuscitation, 2008-02-01. https://www-clinicalkey-es.ezproxy.javeriana.edu.co/#!/content/playContent/1-s2.0-S0300957207004200?returnurl=null&referrer=null
8. Gardner K, Clattenburg E, Wroe P. The Cardiac Arrest Sonographic Assessment (CASA) exam – A standardized approach to the use of ultrasound in PEA. American Journal of Emergency Medicine, 2018-04-01. https://www-clinicalkey-es.ezproxy.javeriana.edu.co/#!/content/playContent/1-s2.0-S0735675717307015?returnurl=null&referrer=null
9. Blaivas M, Fox J. Outcome in Cardiac Arrest Patients Found to HaveCardiac Standstill on the Bedside EmergencyDepartment Echocardiogram. Academic emergency medicine. June 2001.file:///C:/Users/NJMBP/Desktop/Estudios%20ECO%20tep/9.pdf
10. Ketelaars R , Reijnders G, Jan van G. ABCDE of prehospital ultrasonography: a narrative review Ketelaars et al. Crit Ultrasound J (2018). https://theultrasoundjournal.springeropen.com/track/pdf/10.1186/s13089-018-0099-y
11. Thingemann M, Jacobsen L. The role of point of care ultrasound in prehospital critical care: a systematic review. Journal of Trauma, Resuscitation and Emergency Medicine (2018).https://sjtrem.biomedcentral.com/track/pdf/10.1186/s13049-018-0518-x
12. Long B, Alerhand S. Echocardiography in cardiac arrest: An emergency medicine review. American Journal of Emergency Medicine, 2018-03-01. https://www-clinicalkey-es.ezproxy.javeriana.edu.co/#!/content/playContent/1-s2.0-S0735675717310331?returnurl=null&referrer=null
13.Dallon D. Bet 1: Bedside Echocardiography for Prognosis of Emergency Department Cardiac Arrest. Emergency Medicine Journal : EMJ; London Tomo 28, N.º 11, (Nov 2011). https://search-proquest-com.ezproxy.javeriana.edu.co/docview/1780021481?accountid=13250
14. Long B, Alerhand S, Maliel K. Echocardiography in cardiac arrest: An emergency medicine review. American Journal of Emergency Medicine, 2018-03-01. https://www-clinicalkey-es.ezproxy.javeriana.edu.co/#!/content/playContent/1-s2.0-S0735675717310331?returnurl=null&referrer=null
15. Pérez A, Anica E. Protocolos de ultrasonido en estados de choque. Ultrasonografía avanzada en anestesia Vol. 40. Supl. 1 Abril-Junio 2017. https://www.medigraphic.com/pdfs/rma/cma-2017/cmas171by.pdf
16. Aizman1 A, Mercado M, Andresen M. Risk stratification of pulmonary thromboembolism. Rev Med Chile 2012. https://scielo.conicyt.cl/pdf/rmc/v140n11/art16.pdf
17. Marín A, Gazmuri J. Thrombolytic therapy for submassive/ intermediate risk Pulmonary Embolism Evidence and suggestions after PEITHO trial.Rev Med Chile 2015. https://scielo.conicyt.cl/pdf/rmc/v143n7/art11.pdf
18. Jiméneza D, Escobar C, Martí D. Valor pronóstico de la ecocardiografía transtorácica en pacientes estables hemodinámicamente con tromboembolia de pulmón aguda sintomática. Arch Bronconeumol. 2007. file:///C:/Users/NJMBP/Downloads/13109469.pdf
19. García E, Vicente A, Campos N. Ecocardiografía en la Unidad de Cuidados Intensivos. Med Intensiva.2008.http://www.medintensiva.org/es-pdf-S021056910870946X
20. Sabido R,García R. Evaluación de la función ventricular y auricular derecha con ecocardiografía 3D en tromboembolia pulmonar aguda. Revista mexicana de cardiología Marzo 2015. https://www.medigraphic.com/pdfs/cardio/h-2015/h151b.pdf
How to Cite
Ojeda Toro, G. D., & Barrios Peralta, E. R. . (2021). Usefulness of Ultrasound in Cardiorespiratory Arrest: About a case: Ultrasonido en el paro cardio -respiratorio . Universitas Medica, 62(3). https://doi.org/10.11144/Javeriana.umed62-3.ultr
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