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- Title
Organizzazione infermieristica nella presa in carico del paziente con massaggiatore automatico Lucas®: elaborazione di una procedura.
- Authors
PUGIOTTO, F.; BIASUZZI, G.; TONELLO, N.
- Abstract
Background: Cardiac arrest is one of the most common causes of death in Europe, with just 2% survival rate. Time is precious in the management cardiac arrest; especially because the chances of survival decrease to 50% after 5 minutes of no blood circulation. For this reason, it is essential to have early identification of the arrest and prompt intervention from the resuscitation team. In some specialised hospitals, it is possible to use the LUCAS®, a mechanical chest compression device, which is more effective than manual chest compressions. The LUCAS® allows time for lifesaving interventions such as the implant of the Extracorporeal membrane oxygenation (ECMO), also known as extracorporeal cardiopulmonary resuscitation (ECPR). This intervention provides adequate perfusion to sustain life whilst awaiting an appropriate diagnosis. Aim: The aim of this study is to verify if the use of a standardised nursing protocol when receiving patients on LUCAS® can reduce the time of ECMO implantation. Materials and Methods: A nursing protocol was created in order to improve the time management during an admission of a patient using the LUCAS®. All the patients with a witnessed out-of-hospital cardiac arrest transferred to our unit on the LUCAS® between June 2017 and April 2019 have been included in this study. Results and Conclusion: This study shows a decrease of 54% for the time required to implant the ECMO after the introduction of a standardised nursing protocol when using the LUCAS®, improving patient care as well as increasing the chances of survival.
- Subjects
CARDIOPULMONARY resuscitation; EXTRACORPOREAL membrane oxygenation; MEDICAL protocols; NURSING; NURSING services administration; TIME
- Publication
SCENARIO: Official Italian Journal of ANIARTI, 2020, Vol 37, Issue 3, p53
- ISSN
1592-5951
- Publication type
Article
- DOI
10.4081/scenario.2020.445