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The COVID-19 pandemic has forced us to rethink the way we practice some aspects of medicine. Cardiopulmonary resuscitation is a practice that generates aerosol particles from the airway, which increases the risk of SARS-CoV-2 infection. In this review, the international recommendations on the subject are consulted, high-risk moments are defined and recommendations are established on compressions, ventilation, electrical therapy and even pharmacology in patients with cardiac arrest and with a diagnosis of COVID-19, seeking not only the well-being of the patient, but also the safety of health personnel. [ABSTRACT FROM AUTHOR]

In-hospital sudden death and cardiopulmonary cerebral resuscitation problems could have a common structured response. However, most hospitals lack a solution- oriented strategy. This paper provides detailed update on the main alternatives to reduce lethality of in-hospital sudden death and presents a proposal from the "Hospital General de Cienfuegos". The institutional approach for greater survival and lesser disability when facing sudden death will be based on multidisciplinary initiatives primarily centered on quality and prevention in the different stages of cardiopulmonary cerebral resuscitation. A cardio-protected hospital comprises management, organizational, assistance, academic and logistical processes for every single link of the survival chain in a medical emergency event, mainly sudden cardiac arrest. The proposal of the "Hospital General de Cienfuegos", a cardioprotected facility, brings together all elements of an integrated cardiopulmonary cerebral resuscitation system aimed at quality, safety and satisfaction of patients and caregivers. [ABSTRACT FROM AUTHOR]

In-hospital sudden death and cardiopulmonary cerebral resuscitation problems could have a common structured response. However, most hospitals lack a solution- oriented strategy. This paper provides detailed update on the main alternatives to reduce lethality of in-hospital sudden death and presents a proposal from the "Hospital General de Cienfuegos". The institutional approach for greater survival and lesser disability when facing sudden death will be based on multidisciplinary initiatives primarily centered on quality and prevention in the different stages of cardiopulmonary cerebral resuscitation. A cardio-protected hospital comprises management, organizational, assistance, academic and logistical processes for every single link of the survival chain in a medical emergency event, mainly sudden cardiac arrest. The proposal of the "Hospital General de Cienfuegos", a cardioprotected facility, brings together all elements of an integrated cardiopulmonary cerebral resuscitation system aimed at quality, safety and satisfaction of patients and caregivers. [ABSTRACT FROM AUTHOR]

The incidence of cardiac arrest associated with anesthesia is approximately 5.6 per 10,000 cases and the precipitating causes are often known. Transesophageal echocardiography is the modality of choice during unexplained hemodynamic instability or cardiac arrest; but its utility is limited by the need of extensive user training. On the other hand, surface ultrasound has the advantage of simpler user training requirements and offers evaluation of multiple organs. Although its use intraoperatively is limited by poor access to the patient, and postoperatively by dressing and air, it still can be feasible if transesophageal echocardiography is not possible. This manuscript develops a protocol for using POCUS during a cardiac arrest, and emphasizes practical tips for image acquisition and communication of its interpretation. [ABSTRACT FROM AUTHOR]

Sin resumen

El paro cardíaco intra-hospitalario es habitualmente precedido de deterioro clínico que puede durar horas o días. Protocolos desarrollados para detectar el deterioro clínico e intervenir a tiempo y adecuadamente pueden prevenir el paro cardíaco. Las condiciones que originan deterioro clínico son mayoritariamente respiratorias y cardiovasculares. El manejo del deterioro clínico frecuentemente requiere el traslado del paciente a unidades de mayor complejidad. Los protocolos de reanimación cardiopulmonar (RCP) deben incluir procedimientos para activar los sistemas de rescate, iniciar RCP básica por personal testigo incluyendo uso de desfibriladores, continuación con RCP avanzada por equipos de especializados considerando uso de técnicas de mayor eficacia hemodinámica, y finalmente manejar el período post-paro cardíaco en unidades de cuidados intensivos. La calidad de la RCP se puede definir en base a parámetros específicos e incluir tecnología para monitorear su efectividad. Cada centro hospitalario tiene la responsabilidad de organizar sistemas de prevención y rescate que otorguen seguridad al paciente hospitalizado.

La reanimación cardiopulmonar avanzada ha experimentado numerosos avances en el último tiempo, tanto en la comprensión del fenómeno fisiopatológico como en la tecnología disponible para actuar en el paro cardiorrespiratorio de diversas etiologías. Sin embargo, a pesar de estos avances, la sobrevida de los pacientes con paro cardiorrespiratorio sigue siendo baja debido a la dificultad de recuperar la circulación espontánea (ROSC) a medida que avanza el tiempo de reanimación. El soporte vital extracorpóreo surge como una terapia efectiva al restaurar el flujo sanguíneo en aquellos pacientes en paro cardiorrespiratorio que no responden a las maniobras convencionales optimas de reanimación cardiopulmonar. ECMO permite mejorar la protección cerebral, manejar el síndrome post-reperfusión, disminuye la mortalidad post-paro cardiorrespiratorio y es un puente para toma de decisiones al otorgar tiempo. La implementación de un protocolo de ECPR requiere de un equipo multidisciplinario, educación continua y preparación constante en manejo de recursos en crisis con simulación de alta fidelidad.

Introducción: el nivel de conocimiento en legos y personal médico incide en la calidad y eficacia de la Reanimación Cardiopulmonar (RCP). Objetivo: comparar el nivel de conocimiento y técnicas de RCP en legos y personal médico de una universidad y un hospital de Santo Domingo, República Dominicana, durante el período febrero-abril 2015. Material y métodos: fue un estudio prospectivo, experimental y de corte longitudinal en el que se evaluaron 30 legos de una universi dad de Santo Domingo y 17 residentes de emergenciología de un hospital de la misma ciudad. Resultados: sin ninguna intervención 12 de 30 legos evaluados (40 %), tuvieron dominio del conocimiento básico de RCP. 12 de 17 (70.58 %), tuvieron un conocimiento básico de RCP. Por otra parte, tanto el 100 % de los residentes como de los legos presentaron un conocimiento acertado de RCP luego de la intervención. Conclusiones: el nivel de conocimiento en una población estudiantil antes de una intervención presentó valores menores en relación con un personal médico ya entrenado. Sin embargo, estos valores sufrieron un cambio luego de la intervención realizada a la población estudiantil provocando un aumento de los valores en la comparación con legos y personal médico.

Introduction: The factors influencing in the survival of the patient after a cardiopulmonary reanimation up to the hospital discharge have not been described with accuracy. Objective: To identify the factors related to the survival at discharge in patients who received cardiopulmonary reanimation in an emergency service. Methods: An analytic cohorts prospective study was carried out in 76 patients who received cardiopulmonary reanimation in the Intensive Care Emergent Unit from Saturnino Lora Torres Teaching Clinical-Surgical Provincial Hospital in Santiago de Cuba, from January, 2016 to same month of 2018. Results: In the univariate analysis the associated factors to survival in an independent way were the heart origin (76.5%), the pattern of ventricular fibrillation/ ventricular tachicardia without pulse (64.7%), the non-continuation of ventilation and the sepsis absence (with 88.2% each of them). Conclusions: The neurological recovery and unnecessary use of vasoactive drugs were identified as the directly influencing factors in the survival up to the hospital discharge.

Introduction: Sudden cardiac death has not decreased in the same way as mortality due to coronary heart disease, because of the high incidence of sudden cardiac arrest (SCA). Objectives: To determine predictive factors of SCA due to ventricular arrhythmia in patients with acute myocardial infarction. Method: An analytical study was carried out in the Cardiology Department of Las Tunas between 2011 and 2017. The population of study was 917 patients admitted with acute myocardial infarction. All 90 patients with SCA in ventricular arrhythmia represented the "case group"; the rest were the "control group". Descriptive statistics were used, as well as a multiple logistic regression model; the odds ratios (OR) was calculated, with 95% reliability to determine the predictive factors. Results: In the patients of the case group predominated: male sex (73%), biventricular infarction (24.7%), left ventricular ejection fraction (LVEF) <35% (18.9%) and deceased (41.1%); all these results compared to the control group. A 10.0% was given beta-blockers on their first medical assistance. Cardiogenic shock (OR 15.3), LVEF <35% (OR 8.51), creatine kinase >1200 IU (OR 2.77), obesity (OR 3.16), smoking (OR 2.28), ST-segment elevation/depression on the electrocardiogram >15 mm (OR 2.23) and anterior wall infarction (OR 2.39) were associated with SCA due to ventricular arrhythmia. Conclusions: Cardiogenic shock, LVEF <35%, creatine kinase > 1200 IU, obesity, smoking, ST-segment elevation/depression on the electrocardiogram >15 mm and anterior wall infarction were predictive factors of SCA due to ventricular arrhythmia. [ABSTRACT FROM AUTHOR]

Copyright of Enfermería en Cardiologia is the property of Asociacion Espanola de Enfermeria en Cardiologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

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Assistance in emergency situations such as cardiorespiratory arrest, led to the appearance of several health services in the care of these victims. Effective care in CPR contributes to survival. About 54 to 74% of the CRP rhythms are ventricular atrial fibrillation, in which the treatment is defibrillation associated with cardiac compressions. The role of the nurse is related to the articulation, integration of the team in an interrelationship in the diverse situations in the RCP. The objective of this research was to identify the importance of the role of nurses in the implementation of adult resuscitation protocol changes. The methodology is based on the temporal analysis of the CPR protocols considering the first guideline. It was possible to affirm that the initial and critical elements of CPR are chest compressions and early defibrillation, in which we signal the importance of the role of the nurse in face of the modifications and implementation of these changes. [ABSTRACT FROM AUTHOR]

Copyright of Universidad Médica Pinareña is the property of Editorial Ciencias Medicas and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Nursing UFPE / Revista de Enfermagem UFPE is the property of Revista de Enfermagem UFPE and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Nursing UFPE / Revista de Enfermagem UFPE is the property of Revista de Enfermagem UFPE and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Nursing UFPE / Revista de Enfermagem UFPE is the property of Revista de Enfermagem UFPE and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Nursing UFPE / Revista de Enfermagem UFPE is the property of Revista de Enfermagem UFPE and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Universidad Médica Pinareña is the property of Editorial Ciencias Medicas and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

ABSTRACT Objectives: to identify the care measures performed after cardiorespiratory arrest (CRA) and to relate them to the neurological status and survival at four moments: within the first 24 hours, at the discharge, six months after discharge, and one year after discharge. Method: retrospective, analytical and quantitative study performed at the Emergency Department of a university hospital in São Paulo. Eighty-eight medical records of CRA patients who had a return of spontaneous circulation sustained for more than 20 minutes were included and the post-CRA care measures performed in the first 24 hours were identified, as well as its relationship with survival and neurological status. Results: the most frequent post-CRA care measures were use of advanced airway access techniques and indwelling bladder catheterization. Patients who had maintained good breathing and circulation, temperature control and who were transferred to intensive care unit had a better survival in the first 24 hours, after six months and one year after discharge. Good neurological status at six months and one year after discharge was associated with non-use of vasoactive drugs and investigation of the causes of the CRA. Conclusion: the identification of good practices in post-CRA care may help to reduce the mortality of these individuals and to improve their quality of life.

Introducción: Las complicaciones graves de pacientes en unidades de baja complejidad habitualmente son precedidas por alteración en los signos vitales. Los equipos de respuesta rápida (ERR) atienden precozmente a pacientes con alteración de signos vitales que se relacionan con resultados adversos. Nuestro objetivo es determinar la tasa de gatillantes de ERR en pacientes hospitalizados en unidades de baja complejidad y su eventual relación con eventos adversos posteriores. Métodos: Observación de registros de una cohorte prospectiva de pacientes mayores de 18 años en unidades de baja complejidad de un hospital universitario. Resultados: Se encontraron gatillantes en 50 de 1144 pacientes (4,4%). La edad promedio fue de 58 años, y 58% fueron mujeres. Los gatillantes más frecuentes fueron: Hipotensión (40%), frecuencia respiratoria mayor a 25 por minuto (26%) y Saturación de oxígeno menor a 90% (24%). Presentaron eventos adversos mayores 6 pacientes (12%), 1 de ellos con desenlace fatal y los 6 fueron trasladados a unidad de mayor complejidad. No existió diferencia significativa entre quienes tuvieron 1 o 2 gatillantes en relación a eventos adversos mayores. Los 3 pacientes que presentaron compromiso de conciencia sufrieron eventos adversos mayores incluyendo la muerte de uno. Conclusión: Los gatillantes más frecuentes fueron hipotensión y taquipnea. La presencia de dos eventos gatillantes muestra una tendencia a un peor resultado, si bien no alcanza significancia estadística. Dado nuestra eventual tasa de activación de ERR si se justificaría la implementación de estos equipos en nuestro medio.

Abstract OBJECTIVE To identify, in the perception of nurses, the factors that affect the quality of cardiopulmonary resuscitation (CPR) in adult inpatient units, and investigate the influence of both work shifts and professional experience length of time in the perception of these factors. METHOD A descriptive, exploratory study conducted at a hospital specialized in cardiology and pneumology with the application of a questionnaire to 49 nurses working in inpatient units. RESULTS The majority of nurses reported that the high number of professionals in the scenario (75.5%), the lack of harmony (77.6%) or stress of any member of staff (67.3%), lack of material and/or equipment failure (57.1%), lack of familiarity with the emergency trolleys (98.0%) and presence of family members at the beginning of the cardiopulmonary arrest assistance (57.1%) are factors that adversely affect the quality of care provided during CPR. Professional experience length of time and the shift of nurses did not influence the perception of these factors. CONCLUSION The identification of factors that affect the quality of CPR in the perception of nurses serves as parameter to implement improvements and training of the staff working in inpatient units.

AbstractOBJECTIVEIdentifying factors associated to survival after cardiac arrest.METHODAn experience report of a cohort study conducted in a university hospital, with a consecutive sample comprised of 285 patients. Data were collected for a year by trained nurses. The training strategy was conducted through an expository dialogue lecture. Collection monitoring was carried out by nurses via telephone calls, visits to the emergency room and by medical record searches. The neurological status of survivors was evaluated at discharge, after six months and one year.RESULTSOf the 285 patients, 16 survived until hospital discharge, and 13 remained alive after one year, making possible to identify factors associated with survival. There were no losses in the process.CONCLUSIONCohort studies help identify risks and disease outcomes. Considering cardiac arrest, they can subsidize public policies, encourage future studies and training programs for CPR, thereby improving the prognosis of patients.

Objetivo: reportar el caso de una paciente que presentó paro cardiaco en su posparto inmediato, la cual fue manejada con hipotermia terapéutica posreanimación con resultados neurológicos favorables, y realizar una revisión de la literatura publicada acerca de hipotermia posreanimación en el embarazo. Materiales y métodos: se presenta el caso de una paciente con embarazo de 37 semanas, quien es remitida por preeclampsia severa a una institución privada de cuarto nivel de complejidad ubicada en Bogotá (Colombia). La paciente es llevada a cesárea, y en el alumbramiento desarrolla eclampsia, con deterioro respiratorio, hipoxemia y bradicardia que progresa a ritmo de paro en asistolia, con recuperación del ritmo sinusal luego de 15 minutos de reanimación cardiopulmonar (RCP), pero con criterios para un estado de coma residual. Se establece entonces un protocolo de neuroprotección con hipotermia sostenida a 33 grados durante 24 horas y posterior recalentamiento gradual. El desenlace final fue favorable, con recuperación del estado de conciencia y mínimas secuelas motoras. Para la revisión del tema se realizó una búsqueda en las bases de datos de la literatura especializadas en medicina (Medline vía PubMed, Embase) con los términos MESH: “hipotermia terapéutica”, “embarazo”, “paro cardiaco”, sin restricción de idioma o de tiempo. Resultados: en PubMed se encontraron cuatro estudios con los criterios de búsqueda, y en Embase siete se referían al tema, los cuales incluían los cuatro reportes de casos ya encontrados en PubMed, dos reportes de casos adicionales y una revisión de paro cardiaco materno que discute en sus apartes el tema de hipotermia terapéutica en esta población. En la revisión de referencias bibliográficas se identificó una guía de práctica clínica y un artículo de revisión. Conclusiones: en la literatura publicada se describe la hipotermia terapéutica como una terapia benéfica para la paciente gestante, que podría ser considerada como parte de los cuidados posparo cardiaco como medida de protección neurológica. Se requieren estudios que incorporen mayor número de pacientes, y estudios controlados que evalúen la efectividad y seguridad de la técnica para la madre y el feto.

The study aims to analyze the knowledge of nursing staff on the recognition of a cerebral cardiopulmonary arrest (CCPA) and about the cerebral cardiopulmonary resuscitation (CCPR). This is a cross-sectional study with quantitative approach developed in a public Hospital located in northeastern Brazil. Data collection occurred through a semi-structured questionnaire with 110 professionals of medium-high level of nursing. Approved by the Research Ethics Committee CAAE: 15504613.2.0000.5537. In relation to the recognition of PCRC, (81.8%) of professionals have identified appropriate form; (80%) answered correctly about the sequence of the CPR; (77.2%)got the compression/ventilation ratio; (61.8%) know about the need prioritizing chest compressions;(51.8%) responded adequately on body posture for realization of the compressions; only (40%) succeeded in their responses when asked about the depth and frequency of compressions. The nursing staff analyzed presented knowledge still disabled on the changes of the guidelines of the American Heart Association of 2010 thus exists the need urgent training that reduce the failures and delays that compromise a quality care.

Introduction: The factors influencing in the survival of the patient after a cardiopulmonary reanimation up to the hospital discharge have not been described with accuracy. Objective: To identify the factors related to the survival at discharge in patients who received cardiopulmonary reanimation in an emergency service. Methods: An analytic cohorts prospective study was carried out in 76 patients who received cardiopulmonary reanimation in the Intensive Care Emergent Unit from Saturnino Lora Torres Teaching Clinical-Surgical Provincial Hospital in Santiago de Cuba, from January, 2016 to same month of 2018. Results: In the univariate analysis the associated factors to survival in an independent way were the heart origin (76.5%), the pattern of ventricular fibrillation/ ventricular tachicardia without pulse (64.7%), the non-continuation of ventilation and the sepsis absence (with 88.2% each of them). Conclusions: The neurological recovery and unnecessary use of vasoactive drugs were identified as the directly influencing factors in the survival up to the hospital discharge. [ABSTRACT FROM AUTHOR]

Copyright of West Indian Medical Journal is the property of West Indian Medical Journal (WIMJ) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Enfermería en Cardiologia is the property of Asociacion Espanola de Enfermeria en Cardiologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Cell suffer structural and metabolic changes in stress situations, which allow them to maintain an adequate homeostasis and avoid death . This bibliographic review had the objective of describing the main morph-physiological changes which occur in cardiac failure and cardiac-pulmonary-cerebral resuscitation. The method was documentary reviewing (database Regional SciELO, PubMed, Cochrane and Informed), developed during the first semester of 2018. Twenty eight references were selected. It was concluded that there are cellular changes during circulatory stop, the procedures of resuscitation and re-perfusion. In cardiac failure, cellular changes are expressed in all the organelles. And may cause death due to necroses. During re-perfusion new structural changes occur, for calcium entrance, sodium disturbances, production of free radicals and swelling. Morph.physiological changes depend on previous metabolic condition, time of cardiac failure and the successful establishment of resuscitation measures. [ABSTRACT FROM AUTHOR]

Foundation: assisting emergencies and cardio respiratory cerebral failure is currently a priority; when it is performed by non- professionals from the very first minutes present at the moment at the place of event, results are favorable for the patient and the society. Objective: to describe the results of a training proposal for skill development in assisting emergencies and cardio-respiratory failure, for eyewitness non-health professionals. Methods: it is a quasi-experimental study with previous and after design, developed in the Holguin City, between January and July 2018. It was designed a training proposal of 5 hours face to face course (theoretical and practical course) for teaching resuscitation. It was worked with 108 persons, to whom a diagnostic test was applied before and after the educative intervention. Results: the group was composed mainly by teenagers and adults with high school level, who did not know about the topic since they had never been trained nor had information about the topic. The intervention improved theoretical and practical knowledge about resuscitation, skills for the diagnosis and the conduct before main cardio-respiratory disturbances, which require life support. Conclusion: the training proposal for developing skills for assisting emergencies and cardio-respiratory failure was accepted by the participating people in the course. It favored the acquisition of abilities and knowledge about resuscitation. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Nursing UFPE / Revista de Enfermagem UFPE is the property of Revista de Enfermagem UFPE and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Perioperative anaphylaxis represents a complex diagnosis due to the varying intensity of the symptoms which are also shared with other pathologies. This article discusses a case of a patient that sustained 2 probable anaphylactic reactions during consecutive cranial surgeries under general anesthesia; the causal agent could not be confirmed. Investigating these reactions is essential for identifying the causal agents and preventing increasingly severe reactions in future exposures. [ABSTRACT FROM AUTHOR]

to know the adverse effects and complications experienced by the health team and cognize the nursing care performed during the application of therapeutic hypothermia. Methodology: this research was developed with a qualitative approach, conducted in 2014, with semi-structured interviews with health workers from Intensive Care Units of two hospitals in the extreme south of Brazil, which applied therapeutic hypothermia after cardiorespiratory arrest. The textual discursive analysis was used. Results: Adverse effects included tremors, bradycardia, hypotension and complications such as skin burns. Nursing care is mainly dedicated to skin and extremity care, ice use, sedation and comfort. Conclusion: Therapeutic hypothermia is possible to be applied, in the reality of the researched institutions, in a safe, effective and with low cost way, however, it is necessary to carry out the qualification of the teams, in order to clarify doubts and favor adherence and the necessary care to be provided. [ABSTRACT FROM AUTHOR]

Objective: the aim of the present investigation is to describe the level of knowledge of non-medical workers of the emergency service of a health institution at city of Pasto-Colombia in 2017. Cardiorespiratory arrest is the abrupt, unexpected and potentially reversible interruption of respiration and the mechanical activity of the heart; which requires the implementation of resuscitation measures, whose success depends on the level of knowledge and skill level of the staff that carries it out. Materials and methods: a cross-sectional study was permormed. The level of knowledge was determined through a questionnaire designed for that purpose. Results: a total of 58 participants were recruited. In 39.65% of cases, the level of knowledge was acceptable, while it was considered adequate in 41.37% of the cases. Scores were higher in the group with basic or advanced life support training in the previous two years. Conclusions: continuous training in life support represents a strategy that leads to obtaining better levels of knowledge in cardiopulmonary resuscitation that, possibly, impacts the outcomes of in-hospital cardiac arrest. [ABSTRACT FROM AUTHOR]

Copyright of Investigacion & Educacion en Enfermeria is the property of Universidad de Antioquia, Facultad de Enfermeria and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Nursing UFPE / Revista de Enfermagem UFPE is the property of Revista de Enfermagem UFPE and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista de Pesquisa: Cuidado é Fundamental is the property of Revista de Pesquisa: Cuidado e Fundamental Online and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: Infectious endocarditis is a disease that involves the heart valves more frequently, but it can also occur on chordae tendineae, or the mural endocardium. The characteristic lesion, vegetation, consists of a mass of platelets, fibrin, microorganisms microcolonies, and few inflammatory cells.Objective: To describe the perioperative behavior, as well as the clinical anesthesiological evolution of a patient who presented cardiac arrest secondary to acute mitral regurgitation due to bacterial endocarditis.Clinical case: A young man with a diagnosis of infective endocarditis and mitral valve insufficiency with ruptured tendinous cords presented cardiorespiratory arrest requiring brain and cardiopulmonary resuscitation with spontaneous circulation recovery. He was taken to the emergency operating room for mitral valve replacement and chordae tendineae conservation. Satisfactory results were obtained, without pulmonary or neurological sequelae.Conclusions: The quick identification and treatment of bacterial endocarditis improves prognosis and prevents nefarious complications. Transesophageal echocardiography provides adequate spatial resolution and accuracy in its evaluation and gives the possibility for therapeutic improvement.

Introducción: la endocarditis infecciosa es una enfermedad que involucra con másfrecuencia las válvulas cardíacas, pero también puede ocurrir sobre cuerdas tendinosas, o el endocardio mural. La lesión característica −vegetación− consiste en una masa de plaquetas, fibrina, microcolonias de microorganismos y escasas células inflamatorias. Objetivo: describir la conducta perioperatoria, así como la evolución clínicoanestesiológica de un paciente que presentó paro cardiaco secundario a insuficiencia mitral aguda por endocarditis bacteriana. Caso clínico: hombre joven con diagnóstico de endocarditis infecciosa e insuficiencia valvular mitral con ruptura de las cuerdas tendinosas, presentó paro cardiorrespiratorio que requirió reanimación cerebrocardiopulmonar con recuperación de la circulación espontánea. Fue llevado al quirófano de emergencia para sustitución valvular mitral y conservación de las cuerdas tendinosas. Se obtuvieron resultados satisfactorios, sin secuelas pulmonares ni neurológicas. Conclusiones: la rápida identificación y tratamiento de la endocarditis bacteriana mejora el pronóstico y evita nefastas complicaciones. La ecocardiografía transesofágica brinda adecuada resolución espacial y precisión en su evaluación y posibilita la mejoría terapéutica.