gul-filtvis reanimaciis tanamedrove midgomebi
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gul-filtvis reanimaciis Tanamedrove midgomebi. giorgi kutubiZe giorgi SaiSmelaSvili 22.03.11 . reanimaciis adreuli mcdelobebi. istoriuli faqtebi - PowerPoint PPT PresentationTRANSCRIPT
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gul-filtvis reanimaciis Tanamedrove midgomebi
giorgi kutubiZe giorgi SaiSmelaSvili
22.03.11
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reanimaciis adreuli
mcdelobebi
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istoriuli faqtebi1740 parizis mecnierebaTa akademiam oficialurad gaukeTa rekomendacia piriT-pirSi sunTqvis gamoyenebas daxrCobis dros;1767 wyalSi damxrCvalTa gadarCenis sazogadoebas (the Society for the Recovery of Persons Apparently Drowned) hqonda pirveli organizebuli Zalisxmevis mcdelobebi uecari da moulodneli sikvdilis SemTxvevebis samarTavad;1891 Dr. Friedrich Maass-ma ganaxorciela pirveli dokumentirebuli gulmkerdis kompresia adamianebSi;1903 Dr. George Crile-ma aRwera gulmkerdis garegani kompresiis pirveli warmatebuli gamoyeneba; 1904 Dr. George Crile-ma ganaxorciela pirveli gulmkerdis garegani masaJi aSS-Si;. 1954 James Elam-ma daadastura, rom amosunTquli airi sakmarisia oqsigenaciisTvis;1956 Peter Safar-ma da James Elam-ma gamoigones piriT-pirSi reanimacia Tanamedrove saxiT; 1957 aSS-s samxedro uwyebam moaxdina aRniSnuli reanimaciis meTodis adaptireba ugonod myofi dazaralebulebis gacocxlebis mizniT; 1960 ganviTarda gul-filtvis reanimacia (CPR) . amerikis gulis asociaciam daiwyo gacnobiTi xasiaTis treningebis Catareba eqimebisTvis da amavdroulad gaxda lideri gul-filtvis reanimaciis swavlebaSi. 1963 kardiologma Leonard Scherli-ma wamoiwyo amerikis gulis asociaciis CPR-is komiteti. amave wels amerikis gulis asociaciam formalurad miiRo CPR. 1966 amerikis wiTeli jvris da sxva organizaciebis moTxovniT amerikis mecnierebaTa akademiis nacionalurma kvleviTm sabWom Caatara specialuri konferencia gul-filtvis reanimaciis standartebis da misi universaluri swavlebis SesamuSaveblad. 1972 Leonard Cobb-ma Caatara msoflioSi pirvelad gfr-s masobrivi treiningi moqalaqeebisTvis qalaq sietlSi. am treningma pirveli 2 wlis manZilze moicva 100000-ze meti adamiani;1981 aSS- qalaq King County-Si daiwyo programa _ telefoniT instruqciebis miwodeba gfr-s dros. dReisaTvis aSS-Si es servisi standartulad xorcieldeba EMT–s da saxanZro departamentis dispeCerebis meSveobiT.
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piter safari mkvlevarTa jgufTan da moxaliseebTan erTad
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1. kompresiebis Catarebis xarisxi saWiroebs Semdgom gaumjobesebas
2. arasamedicino dawesebulebebSi gulis gaCerebis SemTxvevaSi gadarCenis xarisxi mniSvnelovnad damokidebulia im personalze vinc atarebs gul-filtvis reanimacias
3. arasamedicino dawesebulebaSi gulis uecari gaCerebis SemTxvevaSi dazaralebuli droulad ver Rebulobs saTanado daxmarebas (ar utardeba gul-filtvis reanimacia)
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gadarCenis maCvenebeli (%) da misi Sefardeba gulmkerdis kompresiebis Soris
pauzis xangrZlivobasTan, fibrilaciis SemTxvevaSi
3 sec 10 sec 15 sec 20 sec0
20
40
60
80
100
Yu - Circulation 106:368 2002
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gadarCenis maCveneblebi Cveulebrivi gul-filtvis reanimaciisa (CPR) da mxolod gulmkerdze zewolebis (CCR) dros
CPR CCR0
10
20
30
40
1997-1999
9%28/314
Terry Valenzuela MD AHA Resuscitation Science Symposium 2006 . Tucson, Arizona
2003-2006
25%34/136
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spontanuri cirkulaciis aRdgena prehospitalur etapze
CPR CCR0
20
40
60
80
100
Bobrow and SHARE study group. Kansas City
15%52%
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gamosavali intaqturi nevrologiiT Cveulebrivi gul-filtvis reanimaciisa (CPR) da mxolod
gulmkerdze zewolebis (CCR) dros
CPR CCR0
10
20
30
40
50
15%
40%
Bobrow and SHARE study group , Wisconsin data
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aris Tu ara CasunTqvebi aucilebeli?ABG aRebulia reanimaciis dawyebidan (VF gamo) 7 wuTSi
SaO2 PCO2 pH
CPR 92 ±1 25 ±2 7.49 ±0.02
CCR 76 ±6 37 ±5 7.41 ±0.3
Berg. Circulation 1997
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Series1
gfr
15 %
68 %
mxolod zewolebi
(CCP)
Locke et al. University of Arizona CPR Research Group; Arch Intern Med 1995; 155:938-943
CautarebdiT Tu ara ucnobs reanimacias?
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reanimaciis arCatarebis mizezebi
• saWiro unarebis ararseboba
• manipulaciis SedarebiTi sirTule (sasunTqi gzebis gaxsna, piriT pirSi Caberva)
• raime daavadebis SiSi
• raimes gafuWebis, dazianebis SiSi
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Weisfeldt ML, Becker LB. JAMA 2002: 288:3035-8
reanimaciis samfaziani modeli
0 2 4 6 8 10 12 14 16 18 20dro gulis gaCerebidan (wT.)
1 2
3
0
100%miokardiumis ATP 1. eleqtruli faza
2. cirkulaciuri faza3. metaboluri faza
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avtomaturi gareganidefibrilatorebi (AED)sazogadoebriviTavSeyris adgilebSi
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avtomaturi garegani defibrilatori (AED)
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ABC (Airway Breathing Circulation) Tanmimdevrobis cvlileba CAB-Ti
• ABC sicocxlis gadarCenis algoriTmi Seicvalos CAB-Ti yvela asakobriv jgyfSi (garda axalSobilebisa)
• gulis gaCerebis mqone pacientebis sicocxlis SenarCunebisTvis mniSvnelovania gul-mkerdze zewolebi da drouli defibrilacia.
• ABC Tanmimdevrobis gamoyenebisas zewolebi uxSiresad gviandeba.
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• CAB Tanmimdevrobisas gulmkerdze zewolebi iwyeba naadrevad, xolo xelovnuri sunTqva tardeba minimaluri dayovnebiT.
• CAB algoriTmis SemTxvevaSi prioriteti eniWeba C–s (Circulation).
• mocemuli CAB algoriTmi sruldeba TanmimdevrobiT roca reanimacias atarebs erTi adamiani, Tumca ramdenime reanimatoris arsebobis SemTxvevaSi maT SeuZliaT funqciebi gadainawilon
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dazaralebuli ugonodaa, ar sunTqavs an sunTqavs araadekvaturad
gamoiZaxedaxmareba
moiZie defibrila-tori
daiwye gfr
Seamowme ritmi, saWiroa Tu ara eleqtroSoki. Tu ki gaimeore yovel 2 wuTSi
Zlieri da swrafi
zewolebi
mozrdilTa reanimaciis gamartivebuli
algoriTmi
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• gulis gaCerebis adreuli diagnostireba da daxmarebis drouli gamoZaxeba
• adreuli gul-filtvis reanimacia, ZiriTadi aqcentiT kompresiebze
• swrafi defibrilacia
• sicocxlis gadarCenis daxvewili algoriTmis efeqturad Catareba
• gulis gaCerebis Semdgomi RonisZiebebi
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yoveli wuTi gulmkerdiskompresiis gareSe
sasikvdiloa !!!
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gmadlobT yuradRebisaTvis