Vasopresina vs. epinefrina en la resucitación cardiopulmonar y cerebral.
Keywords:
resucitacion cardiopulmonar, vasopresina, epinefrina, perfusionAbstract
La epinefrina ha sido la droga de mayor intervención en el paro cardiorrespiratorio por lo que ha sido objeto de múltiples Investigaciones en animales y humanos El descubrimientode la respuesta presora de las catecolaminas y la respuesta hormonal con liberación de corticotropina, cortisol y vasopresina en sujetos sometidos a reanimación cardiopulmonar y cerebral., ha verificado la correlación existente entre los niveles endo genos de vasopresina y el retorno a la circulación espontánea y sorprendentemente la escasa probabilidad de supervivencia cuando existen niveles altos de catecolaminas. Esto nos motivo a realizar una revisión practica, sencilla y actualizada sobre las acciones que presentan la vasopresina vs epinefrina sobre el flujo sanguíneo coronario, flujo sanguíneo renal y cerebral durante la preanimación cardiopulmonar y cerebral basado en estudios experimentales en animales y humanos. La Vasopresina apoyada en los estudios es una nueva alternativa en el tratamiento del paro cardiacorespiratorio pero la epinefrina continua siendo la droga de elección.
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