Desenvolvimento de protocolo para atendimento e registro da parada cardiorrespiratória intra-hospitalar
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Data
2025-03-08
Autores
Nunes, Anna Luiza Zandonadi Falchetto
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Universidade Federal do Espírito Santo
Resumo
Introduction: Cardiorespiratory arrest remains one of the most prevalent emergencies with high morbidity and mortality rates in Brazil. The quality of cardiopulmonary resuscitation and the standardization of care are essential for the success of treatment. Additionally, the standardization of records enhances the quality of care and generates data for defining institutional strategies and cost analysis related to this care. The Utstein Style is recommended for the standardization of these records and the improvement of epidemiological analyses. Objective: To develop an assistive technology for the standardization of in-hospital cardiorespiratory arrest management and documentation. Method: This is a methodological study involving the development of a technological product, conducted in a university hospital and structured in three stages: Stage 1: Analysis of documented records of in-hospital cardiorespiratory arrest within the institution. Stage 2: Literature review to identify content for protocol development. Stage 3: Development of an assistive technology in the form of a protocol. Results: In stage 1, 1,181 medical records were analyzed between October 2023 and February 2024, identifying 87 occurrences of in-hospital cardiorespiratory arrest. The document analysis provided insight into the institutional reality regarding the recording of cardiorespiratory arrest and highlighted weaknesses in the systematization of records. Additionally, it enabled the identification of the profile of cases attended and the procedures performed. In stage 2, the literature review revealed the following categories: Development and improvement of the response system to cardiorespiratory arrest. Education and the science of cardiopulmonary resuscitation. Evidence and recommendations for the management of cardiorespiratory arrest. In stage 3, the protocol includes interventions for the multidisciplinary management of cardiorespiratory arrest, standardized documentation based on the Utstein Style, and performance indicators. Products: The in-hospital cardiorespiratory arrest management and documentation protocol consists of 21 topics, including team responsibilities, competencies, and duties by professional category, medical history and physical examination, indicated treatment and therapeutic plan, basic life support, advanced life support, medication administration, and post-cardiac arrest care. Additionally, it includes standardized documentation forms based on the Utstein Style. Final Considerations: The establishment of a protocol for in-hospital cardiorespiratory arrest management and documentation can provide greater safety for the healthcare team, improve the quality of care provided, enhance patient outcomes and quality of life, reduce costs, and minimize legal concerns. Furthermore, it generates data that allow for a better understanding of the reality and impact of this care, supporting in-service education and research activities.
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Parada cardiorrespiratória , Protocolo , Hospitais