Cardiopulmonary Resuscitation Protocols New Guidelines and Approaches

• DOI: https://doi.org/10.22533/at.ed.1594542414065

• Palavras-chave: Cardiopulmonary resuscitation, protocols, cardiovascular emergencies

• Keywords: Cardiopulmonary resuscitation, protocols, cardiovascular emergencies

• Abstract:

  Introduction: Cardiopulmonary resuscitation (CPR) is fundamental to optimizing survival in acute cardiac events, playing a crucial role in responding to emergency situations. The practice of CPR has evolved and been influenced by scientific advances. The development of new CPR guidelines is a response to the pathophysiological complexities of cardiac arrests and an adaptation to the challenges in clinical practice. Objective: To analyze recent developments in CPR protocols, reviewing their implications for the clinical approach to cardiac arrests. Methodology: Integrative literature review, with a search being carried out in the Scientific Electronic Library (SCIELO) database through the LILACS and MEDLINE databases. The review covered scientific articles and guidelines, whose inclusion criteria for this research were complete articles published between 2019 and 2024 and only texts in Portuguese or English, resulting in a total of 15 articles. Results: The results revealed a number of advances in CPR protocols. Among the findings, the emphasis on the quality of chest compressions stands out. Recent protocols prioritize high-quality compressions, emphasizing adequate depth and correct frequency to maximize venous return and thus coronary perfusion during CPR. 

  Furthermore, the study pointed to an increasing integration of real-time feedback devices during CPR, highlighting the dynamic adaptation of automatic defibrillation devices to individual patient characteristics. Conclusions: Based on the results, it is concluded that recent developments in CPR protocols are aligned with an evidence-based approach. The prioritization of compression quality and the integration of advanced technologies reflect a dynamic response to emerging demands in the clinical practice of cardiovascular emergencies. These changes reinforce the importance of constantly updating protocols to improve survival rates and promote more positive outcomes for patients.