Comportamiento del obeso mórbido en la reanimación cardiopulmonar y cerebral
Keywords:
Resuscitation, Obese morbidAbstract
Introduction: In the “Special” chapter, from the most recent RCCP guide, proposes no variance in between algorithms used to treat the morbidly obese versus those with a healthy body composition other than adjustments for body volume.Objective: Precise the fundamental physio pathological differences in the obese heart for the resuscitator, and the differences of resuscitating practices for these individuals.
Development: Before beginning RCCP process with an obese patient some basic precautions must be taken beginning with the positioning of the patient, to the management of airway, the channeling of peripheral veins, and lastly when it comes to the cardiac compressions, they become extremely complex as a result of such high corporal volume.
Conclusion: The morbidly obese are challenging patients when it comes to the RCCP process. More attention needs to be dedicated to their cardiovascular health where phenomena such as arteriosclerosis, myocardiopathies and irregular heart rhythms, along with VAD, all which require maximum preparation from the respective practitioner.
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