Índice de perfusión en una reanimación con riesgo biológico, como medida de mala tolerancia fisiológica

  1. Martín Rodríguez, Francisco
  2. Martín Conty, José Luis
  3. Arnillas Gómez, Pedro
  4. Gutiérrez Sevilla, José Ángel
  5. Castro Villamor, Miguel Ángel
  6. Casado Vicente, Verónica
Revista:
Enfermería global: revista electrónica trimestral de enfermería

ISSN: 1695-6141

Año de publicación: 2019

Volumen: 18

Número: 1

Páginas: 417-444

Tipo: Artículo

DOI: 10.6018/EGLOBAL.18.1.322211 DIALNET GOOGLE SCHOLAR lock_openDIGITUM editor

Otras publicaciones en: Enfermería global: revista electrónica trimestral de enfermería

Resumen

Introduction: Perform a cardiopulmonary resuscitation requires technical knowledge and minimal physical conditions. Perform this resuscitation a team of individual protection against biological risks level D placed increases the overexertion that encourage rescuers are subjected.The objective of this study is to prove the existence of a pattern of poor physiological tolerance to the use of personal protective equipment level D, category 4-5-6B for action in incidents with biological risk objectified by measuring the perfusion index before and after a simulated resuscitation.Material and methods: We have performed a quasiexperimental not controlled on 96 volunteers chosen through a random sampling, stratified by sex, level of education and professional category, medical and nursing students and professionals doctors and nurses.A decision of the perfusion index before performing the resuscitation and other simulated after resuscitation.Results: A 15% of the volunteers presented a perfusion index lower back to baseline, which translates into a situation of peripheral vasoconstriction after the completion of the physical exercise that involved the clinical case, when expected was a vasodilatation to Increase perfusion.Conclussion: Extrapolating these data, we can conclude that, in the sample for the study, the volunteers who have less perfusion index at the end of that at the beginning do not tolerate well the effort involved in the case.

Referencias bibliográficas

  • Lane JE, Dimick J, Syrax M, Bhandary M, Rudy BS. Bioterrorism and disaster preparedness among medical specialties. American Journal of Disaster Medicine. 2012; 7(1): p. 48-60.
  • Veenema TG, Losinski SLA, Hilmi LM. Increasing Emergency Preparedness. AJN, American Journal of Nursing. 2016 Enero; 116(1): p. 49–53.
  • Bayntun C, Houlihan C, Edmunds J. Ebola crisis: beliefs and behaviours warrant urgent attention. The Lancet. 2014 Octubre; 384(9952): p. 1424-1424.
  • Debbie M. The impact of a nurse led rapid response system on adverse, major adverse events and activation of the medical emergency team. Intensive & Critical Care Nursing. 2015 April; 31(2): p. 83-90.
  • Alenljung B, Maurin Söderholm H. Designing Simulation-Based Training for Prehospital Emergency Care: Participation from a Participants Perspective. In Human-Computer Interaction: Designing and Evaluation: 17th International Conference; 2015; Los Angeles. p. 297-306.
  • Service-Médical-du-RAID. Tactical emergency medicine: lessons from Paris marauding terrorist attack. Critical care. 2015 December; 20(37).
  • G-Holland M, Cawthon D. Personal Protective Equipment and Decontamination of Adults and Children. Emergency Medicine Clinics of North America. 2015 February; 33(1): p. 15-68.
  • Anderson-Fletcher E. The Texas Health Presbyterian Hospital Ebola Crisis: A Perfect Storm of Human Errors, Systems Failures, and Lack of Mindfulness. In HCPP White Paper Series ; 2015; Texas. p. 2-28.
  • Costello JT. The Effects of Metabolic Work Rate and Ambient Environment on Physiological Tolerance Times While Wearing Explosive and Chemical Personal Protective Equipment [Revista].; 2015 [doi: 10.1155/2015/857536].
  • Contreras E, Buchanan S. Piloting a personal protection equipment distribution program among Chicago day laborers. American Journal of Industrial Medicine. 2012 February; 55(2): p. 159-166.
  • Mohammed HM. Ebola virus disease: Effects of respiratory protection on healthcare workers. Egyptian Journal of Chest Diseases and Tuberculosis. 2015 July; 64(3): p. 639-644.
  • Randi Nørgaard Fløe Pedersen , Jørgen Riis Jepsen , Balázs Ádám. Regulation and practice of workers’ protection from chemical exposures during container handling. Journal of Occupational Medicine and Toxicology. 2014 September; 9(33): p. 9-33.
  • Rim KT, Lim CH. Biologically Hazardous Agents at Work and Efforts to Protect Workers' Health: A Review of Recent Reports. Safety and Health at Work. 2014 June; 5(2): p. 43-52.
  • Santos JB, Varela C. Safe use of personal protective equipment in the treatment of infectious diseases of high consequence. Thecnical document. Stockholm: European Centre for Disease Prevention and Control (ECDC), ECDC; 2014. Report No.: Version 2.
  • Zheng J, Du L, Liu B. Influence of Body Mass Index and Epidural Anesthesia on Lung Function. Anesthesiology. 2014; 120(2): p. 509-510.
  • Hakan N, Dilli D, Zenciroglu A, Aydin M, Okumus N. Reference values of perfusion indices in hemodynamically stable newborns during the early neonatal period. European Journal of Pediatrics. 2014; 173(5): p. 597-602.
  • van Genderen M, Klijn E, Lima A, de Jonge J, Visser S, Voorbeijtel J, et al. Microvascular Perfusion as a Target for Fluid Resuscitation in Experimental Circulatory Shock. Crit Care Med. 2014 Feb; 42(2): p. E96-E105.
  • Rasmy I, Nabil N, Mohamed H, Abdel Raouf S, Hasanin A, Eladawy A, et al. The evaluation of perfusion index as a predictor of vasopressor requirement in patient with sever sepsis and septic shock. Intensive Care Medicine Experimental. 2015; 3.
  • Greenwood JC OC. End Points of Sepsis Resuscitation. Emerg Med Clin North Am. 2017 Feb; 35(1): p. 93-107.
  • Csapo R, Alegre LM, Baron R. Time kinetics of acute changes in muscle architecture in response to resistance exercise. Journal Of Science And Medicine In Sport. 2011 May; 14(3): p. 270-274.
  • Fryer S, Stone KJ, Sveen J, Dickson T, España-Romero V, Giles D, et al. Differences in forearm strength, endurance, and hemodynamic kinetics between male boulderers and lead rock climbers. Eur J Sport Sci. 2017 July 28; 1(7).
  • Gayda M, Lapierre G, Dupuy O, Fraser S, Bherer L, Juneau M, et al. Cardiovascular and cerebral hemodynamics during exercise and recovery in obese individuals as a function of their fitness status. Physiol Rep. 2017 June; 5(12).