SEQUELAS PÓS-REANIMAÇÃO CARDIOPULMONAR PROLONGADA EM PACIENTES CRÍTICOS: UMA REVISÃO INTEGRATIVA

• DOI: https://doi.org/10.22533/at.ed.37711024101210

• Palavras-chave: Reanimação cardiopulmonar. Sequelas. Pacientes críticos. Revisão integrativa.

• Keywords: Cardiopulmonary resuscitation. Sequelae. Critically ill patients. Integrative review.

• Abstract: This chapter presents an integrative review on the sequelae resulting from prolonged Cardiopulmonary Resuscitation (CPR) in critically ill patients, aiming to synthesize scientific evidence and analyze the main impacts of this intervention in different contexts. Based on the analysis of relevant publications between 2010 and 2024, the most common outcomes were identified, including neurological sequelae, systemic dysfunctions, and compromised quality of life. Additionally, ethical and economic challenges related to the continuation of resuscitation maneuvers in cases with a poor prognosis were discussed. The findings indicate that prolonged CPR duration is directly associated with hypoxic-ischemic damage to the central nervous system and increased morbidity rates, particularly in vulnerable populations such as children and patients with comorbidities. Technologies like extracorporeal membrane oxygenation (ECMO) and therapeutic hypothermia show promise in mitigating sequelae but face access limitations in resource-constrained settings. It is concluded that post-prolonged CPR sequelae constitute a multifactorial problem that requires integrated interventions, enhanced professional training, and investments in accessible research and technologies. This study contributes to advancing knowledge and developing strategies that promote better clinical outcomes and quality of life for survivors.