{"id":2418,"date":"2011-08-03T12:47:00","date_gmt":"2011-08-03T12:47:00","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/utica\/"},"modified":"2025-05-13T20:28:50","modified_gmt":"2025-05-13T20:28:50","slug":"utica","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/utica\/","title":{"rendered":"Causas Reversibles de\u00a0Paro\u00a0Card\u00edaco"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>La reanimaci\u00f3n cardiopulmonar (RCP) es un eslab\u00f3n esencial en la cadena de supervivencia para el tratamiento de un paro card\u00edaco.<br \/>\n<!--more--><br \/>\n<strong><span class=\"hps\">Causas reversibles de<\/span>\u00a0<span class=\"hps\">paro\u00a0<\/span><\/strong><b>card\u00edaco<\/b><br \/>\n<span class=\"hps\">Continuamente<\/span>,\u00a0<span class=\"hps\">durante la RCP<\/span>\u00a0<span class=\"hps\">se debe tener en cuenta<\/span>\u00a0<span class=\"hps\">y corregir las causas<\/span>\u00a0<span class=\"hps\">reversibles<\/span>\u00a0<span class=\"hps\">de<\/span>\u00a0<span class=\"hps\">paro card\u00edaco<\/span>\u00a0<span class=\"hps\">basado en<\/span>\u00a0<span class=\"hps\">la historia<\/span>\u00a0<span class=\"hps\">de<\/span><span class=\"hps\">l evento y los<\/span>\u00a0hallazgos\u00a0<span class=\"hps\">durante la reanimaci\u00f3n.<\/span><br \/>\n<span class=\"hps\">Estos factores<\/span>\u00a0<span class=\"hps\">son recordados como<\/span>\u00a0<span class=\"hps\">la<\/span>s\u00a0<strong><span class=\"hps\">4H<\/span>\u00a0<span class=\"hps\">y<\/span>\u00a0<span class=\"hps\">4T<\/span><\/strong>:<\/p>\n<ul>\n<li><span class=\"hps\"><strong>Hipoxia:<\/strong>\u00a0La hipoxia<\/span>\u00a0<span class=\"hps\">es la causa principal<\/span>\u00a0<span class=\"hps\">de un paro card\u00edaco<\/span>\u00a0<span class=\"hps\">en la infancia y<\/span>\u00a0<span class=\"hps\">es clave para el<\/span>\u00a0<span class=\"hps\">\u00e9xito de la reanimaci\u00f3n<\/span><\/li>\n<li><strong><span class=\"hps\">Hipovolemia:\u00a0<\/span><\/strong><span class=\"hps\">La hipovolemia<\/span>\u00a0<span class=\"hps\">puede ser significativo en<\/span>\u00a0<span class=\"hps\">paros<\/span>\u00a0<span class=\"hps\">relacionados<\/span>\u00a0<span class=\"hps\">con traumas,<\/span>\u00a0<span class=\"hps\">anafilaxia o<\/span>\u00a0<span class=\"hps\">sepsis<\/span>\u00a0<span class=\"hps\">y requiere<\/span>\u00a0<span class=\"hps\">la infusi\u00f3n de<\/span>\u00a0<span class=\"hps\">cristaloides<\/span>.<\/li>\n<li><strong>Hiperkalemia:<\/strong>\u00a0<span class=\"hps\">La hiperpotasemia<\/span>, hipopotasemia,\u00a0<span class=\"hps\">hipocalcemia<\/span>\u00a0<span class=\"hps\">y otras<\/span>\u00a0<span class=\"hps\">alteraciones metab\u00f3licas<\/span>\u00a0<span class=\"hps\">pueden ser sugeridos en pacientes con enfermedades\u00a0<\/span><span class=\"hps\">subyacentes<\/span><span class=\"hps atn\">\u00a0(<\/span>insuficiencia renal, por ejemplo),\u00a0<span class=\"hps\">las pruebas realizadas<\/span>\u00a0<span class=\"hps\">durante<\/span>\u00a0<span class=\"hps\">la reanimaci\u00f3n y<\/span>\u00a0<span class=\"hps\">los hallazgos en<\/span><span class=\"hps\">\u00a0el ECG<\/span>.<\/li>\n<li><span class=\"hps\"><strong>Hipotermia:<\/strong>\u00a0<\/span><span class=\"hps\">La hipotermia<\/span>\u00a0<span class=\"hps\">se asocia con<\/span>\u00a0<span class=\"hps\">incidentes de ahogamiento<\/span>\u00a0<span class=\"hps\">y<\/span>\u00a0<span class=\"hps\">requiere una atenci\u00f3n especial<\/span>:\u00a0<span class=\"hps\">un term\u00f3metro de<\/span>\u00a0<span class=\"hps\">lectura baja<\/span>\u00a0<span class=\"hps\">debe ser utilizado<\/span>\u00a0<span class=\"hps\">para<\/span>\u00a0<span class=\"hps atn\">detectarlo.<\/span><\/li>\n<li><span class=\"hps\">El neumot\u00f3rax a\u00a0<strong>Tensi\u00f3n<\/strong><\/span>\u00a0<span class=\"hps\">y el\u00a0<strong>Taponamiento<\/strong>\u00a0card\u00edaco<\/span>\u00a0<span class=\"hps\">se asocian especialmente con actividad el\u00e9ctrica del pulso (AEP)\u00a0<\/span><span class=\"hps\">y se encuentra en<\/span><span class=\"hps\">\u00a0casos de trauma<\/span><span class=\"hps\">.<\/span><\/li>\n<li><span class=\"hps\">Las sustancias\u00a0<strong>T\u00f3xicas<\/strong><\/span>, ya sea como\u00a0<span class=\"hps\">resultado<\/span>\u00a0<span class=\"hps\">de una sobredosis accidental<\/span>\u00a0<span class=\"hps\">o deliberada<\/span>\u00a0<span class=\"hps\">o de<\/span>\u00a0<span class=\"hps\">un error<\/span>\u00a0<span class=\"hps\">iatrog\u00e9nico<\/span>\u00a0<span class=\"hps\">que pueden requerir<\/span>\u00a0<span class=\"hps\">ant\u00eddotos espec\u00edficos<\/span>.<\/li>\n<li><span class=\"hps\">Fen\u00f3menos<\/span><strong>\u00a0<span class=\"hps\">Tromboemb\u00f3licos<\/span><\/strong>\u00a0que\u00a0<span class=\"hps\">son mucho menos comunes<\/span>\u00a0<span class=\"hps\">en<\/span>\u00a0<span class=\"hps\">ni\u00f1os que en adultos<\/span>.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eca:<\/strong><\/p>\n<ol>\n<li>Sayre MR, Berg RA, Cave DM, Page RL, Potts J, White RD; American Heart Association Emergency Cardiovascular Care Committee. Hands-only (compression-only) cardiopulmonary resuscitation: a call to action for bystander response to adults who experience out-of-hospital sudden cardiac arrest: a science advisory for the public from the American Heart Association Emergency Cardiovascular Care Committee. Circulation. 2008 Apr 22;117(16):2162-7. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/18378619\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Field JM, Hazinski MF, Sayre MR, Chameides L, Schexnayder SM, Hemphill R, Samson RA, Kattwinkel J, Berg RA, Bhanji F, Cave DM, Jauch EC, Kudenchuk PJ, Neumar RW, Peberdy MA, Perlman JM, Sinz E, Travers AH, Berg MD, Billi JE, Eigel B, Hickey RW, Kleinman ME, Link MS, Morrison LJ, O&#8217;Connor RE, Shuster M, Callaway CW, Cucchiara B, Ferguson JD, Rea TD, Vanden Hoek TL. Part 1: executive summary: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2010 Nov 2;122(18 Suppl 3):S640-56. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/20956217\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Travers AH, Rea TD, Bobrow BJ, Edelson DP, Berg RA, Sayre MR, Berg MD, Chameides L, O&#8217;Connor RE, Swor RA. Part 4: CPR overview: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2010 Nov 2;122(18 Suppl 3):S676-84. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/20956220\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado Aug 03,2011.<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>La reanimaci\u00f3n cardiopulmonar (RCP) es un eslab\u00f3n esencial en la cadena de supervivencia para el tratamiento de un paro card\u00edaco.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[148],"tags":[1182,1179,1183,1184,1185,1186,1187],"class_list":["post-2418","post","type-post","status-publish","format-standard","hentry","category-critical-care","tag-arrest","tag-cardiac","tag-cardiaco","tag-causas","tag-causes","tag-paro","tag-reversible"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2418","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=2418"}],"version-history":[{"count":4,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2418\/revisions"}],"predecessor-version":[{"id":9324,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2418\/revisions\/9324"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2418"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2418"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2418"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}