gul-filtvis reanimaciis Tanamedrove midgomebi - PowerPoint PPT Presentation

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  1. gul-filtvisreanimaciisTanamedrovemidgomebi giorgikutubiZe giorgiSaiSmelaSvili 22.03.11

  2. reanimaciis adreulimcdelobebi

  3. istoriulifaqtebi 1740  parizismecnierebaTaakademiamoficialuradgaukeTarekomendaciapiriT-pirSisunTqvisgamoyenebasdaxrCobisdros;1767   wyalSidamxrCvalTagadarCenissazogadoebas(the Society for the Recovery of Persons Apparently Drowned)hqondapirveliorganizebuliZalisxmevismcdelobebiuecaridamoulodnelisikvdilisSemTxvevebissamarTavad; 1891   Dr. Friedrich Maass-ma ganaxorcielapirvelidokumentirebuligulmkerdiskompresiaadamianebSi;1903   Dr. George Crile-ma aRweragulmkerdisgareganikompresiispirveliwarmatebuligamoyeneba; 1904   Dr. George Crile-ma ganaxorcielapirveligulmkerdisgareganimasaJiaSS-Si;. 1954   James Elam-ma daadastura, romamosunTquliairisakmarisiaoqsigenaciisTvis;1956   Peter Safar-ma daJames Elam-ma gamoigonespiriT-pirSireanimaciaTanamedrovesaxiT;1957   aSS-s samxedrouwyebammoaxdinaaRniSnulireanimaciismeTodisadaptirebaugonodmyofidazaralebulebisgacocxlebismizniT;1960   ganviTardagul-filtvisreanimacia(CPR). amerikisgulisasociaciamdaiwyogacnobiTixasiaTistreningebisCatarebaeqimebisTvisdaamavdrouladgaxdaliderigul-filtvisreanimaciisswavlebaSi. 1963   kardiologmaLeonard Scherli-ma wamoiwyoamerikisgulisasociaciisCPR-is komiteti. amavewelsamerikisgulisasociaciamformaluradmiiRoCPR.1966  amerikiswiTelijvrisdasxvaorganizaciebismoTxovniTamerikismecnierebaTaakademiisnacionalurmakvleviTmsabWomCaataraspecialurikonferenciagul-filtvisreanimaciisstandartebisdamisiuniversaluriswavlebisSesamuSaveblad. 1972   Leonard Cobb-ma CaataramsoflioSipirveladgfr-s masobrivitreiningimoqalaqeebisTvisqalaqsietlSi. am treningmapirveli 2 wlismanZilzemoicva 100000-ze metiadamiani; 1981   aSS- qalaqKing County-Si daiwyoprograma _ telefoniTinstruqciebismiwodebagfr-s dros. dReisaTvisaSS-Si esservisistandartuladxorcieldebaEMT–s dasaxanZrodepartamentisdispeCerebismeSveobiT.

  4. piter safari mkvlevarTajgufTandamoxaliseebTanerTad

  5. 1. kompresiebisCatarebisxarisxisaWiroebsSemdgomgaumjobesebas 2. arasamedicinodawesebulebebSigulisgaCerebisSemTxvevaSigadarCenisxarisximniSvnelovnaddamokidebuliaimpersonalzevincatarebsgul-filtvisreanimacias 3. arasamedicinodawesebulebaSigulisuecarigaCerebisSemTxvevaSidazaralebulidrouladverRebulobssaTanadodaxmarebas (arutardebagul-filtvisreanimacia)

  6. gadarCenismaCvenebeli (%) damisiSefardebagulmkerdiskompresiebisSorispauzisxangrZlivobasTan, fibrilaciisSemTxvevaSi Yu - Circulation 106:368 2002

  7. gadarCenismaCveneblebiCveulebrivigul-filtvisreanimaciisa (CPR) damxolodgulmkerdzezewolebis (CCR) dros 2003-2006 25% 34/136 1997-1999 9% 28/314 Terry Valenzuela MD AHA Resuscitation Science Symposium 2006 . Tucson, Arizona

  8. spontanuricirkulaciisaRdgenaprehospitaluretapze 52% 15% Bobrow and SHARE study group. Kansas City

  9. gamosavaliintaqturinevrologiiTCveulebrivigul-filtvisreanimaciisa (CPR) damxolodgulmkerdzezewolebis (CCR) dros 40% Bobrow and SHARE study group , Wisconsin data

  10. arisTuaraCasunTqvebiaucilebeli?ABGaRebuliareanimaciisdawyebidan (VFgamo) 7 wuTSi Berg. Circulation 1997

  11. CautarebdiTTuaraucnobsreanimacias? Locke et al. University of Arizona CPR Research Group; Arch Intern Med 1995; 155:938-943

  12. reanimaciisarCatarebismizezebi • saWirounarebisararseboba • manipulaciisSedarebiTisirTule • (sasunTqigzebisgaxsna, piriTpirSiCaberva) • raimedaavadebisSiSi • raimesgafuWebis, dazianebisSiSi

  13. reanimaciissamfazianimodeli 100% miokardiumisATP 1. eleqtrulifaza 2. cirkulaciurifaza 3. metabolurifaza 0 2 1 3 0 2 4 6 8 10 12 14 16 18 20 drogulisgaCerebidan (wT.) Weisfeldt ML, Becker LB. JAMA 2002: 288:3035-8

  14. avtomaturigaregani defibrilatorebi (AED) sazogadoebrivi TavSeyrisadgilebSi

  15. avtomaturigareganidefibrilatori (AED)

  16. ABC (Airway Breathing Circulation) TanmimdevrobiscvlilebaCAB-Ti • ABCsicocxlisgadarCenisalgoriTmiSeicvalosCAB-Ti yvelaasakobrivjgyfSi (gardaaxalSobilebisa) • gulisgaCerebismqonepacientebissicocxlisSenarCunebisTvismniSvnelovaniagul-mkerdzezewolebidadroulidefibrilacia. • ABCTanmimdevrobisgamoyenebisaszewolebiuxSiresadgviandeba.

  17. CABTanmimdevrobisasgulmkerdzezewolebiiwyebanaadrevad, xoloxelovnurisunTqvatardebaminimaluridayovnebiT. • CABalgoriTmisSemTxvevaSiprioritetieniWebaC–s (Circulation). • mocemuliCABalgoriTmisruldebaTanmimdevrobiTrocareanimaciasatarebserTiadamiani, TumcaramdenimereanimatorisarsebobisSemTxvevaSimaTSeuZliaTfunqciebigadainawilon

  18. dazaralebuliugonodaa, arsunTqavs an sunTqavsaraadekvaturad mozrdilTareanimaciis gamartivebulialgoriTmi gamoiZaxe daxmareba moiZiedefibrila- tori daiwye gfr Seamowmeritmi, saWiroaTuaraeleqtroSoki. Tukigaimeoreyovel 2 wuTSi Zlierida swrafi zewolebi

  19. gulisgaCerebisadreulidiagnostirebadadaxmarebisdrouligamoZaxebagulisgaCerebisadreulidiagnostirebadadaxmarebisdrouligamoZaxeba • adreuligul-filtvisreanimacia, ZiriTadiaqcentiTkompresiebze • swrafidefibrilacia • sicocxlisgadarCenisdaxvewilialgoriTmisefeqturadCatareba • gulisgaCerebisSemdgomiRonisZiebebi

  20. yoveliwuTigulmkerdis kompresiisgareSe sasikvdiloa !!!

  21. gmadlobTyuradRebisaTvis