Reanimación Cardiopulmonar presenciada por los familiares: estudio para implementar un programa RCP-PF en un hospital
Palabras clave:
RCP, RCP-PF, Cuidados centrados en el paciente y familiaresResumen
La presencia de familiares durante la reanimación cardiopulmonar (RCP) está ampliamente aceptada desde los años 80, pero la realidad es que el número de países europeos que la aceptan prácticamente no ha cambiado los últimos años (10/32 en adultos y 13/32 en niños). El 80% de los profesionales suelen ser reticentes a dicha presencia, alegando que pueden alterar el correcto desarrollo de la reanimación y puede ser contraproducente para profesionales y los familiares. En general los pediatras y las enfermeras suelen estar más a favor de la presencia de dichos familiares que los responsables de reanimación de adultos. Se realiza una encuesta a los profesionales de dos centros españoles para valorar, por una parte, su opinión sobre la RCP presenciada por los familiares (RCP-PF), y por otra, si creen factible implementar un programa de este tipo en su centro de trabajo. Resultados: a pesar de que más del 80% de profesionales encuestados invitan a los familiares a retirarse de la escena de la RCP, un tercio de los mismos ve factible la puesta en marcha de dicho programa en su centro y casi la mitad estarían dispuestos a colaborar en dicha implementación.
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- Daya MR et al. Out-of-hospital cardiac arrest survival improving over time: Results from the Resuscitation Outcomes Consortium (ROC). Resuscitation 2015; 91:108-115
- Oczkowski SJW el at. Family presence during resuscitation: A Canadian Critical Care Society position paper. Can Respir J 2015;22:201-5
- Vicent C et al. Family presence during resuscitation: extending ethical norms from pediatrics to adults. J med Ethics 2017;43: 676-78
- Mentzelopoulos SD et al. Evolution of medical ethics in resuscitation and end of life. Curr Anaest Crit Care 2016;10: 7-14
- Oczkowski1 SJW et al.The offering of family presence during resuscitation: a systematic review and meta-analysis. Journal Intens Care 2015;3:341-52
- Lederman J. Who should decide? J Med Ethics 2014;400:315-19
- Mentzelopoulos SD et al. A survey of key opinion leaders on ethical resuscitation practices in 31 European Countries .Resuscitaton 2016;100:11-17
- European Resuscitation Council guidelines 2015. Resuscitation 2015;95:302-311
- Doyle C et al. Family participation during resuscitation: an option Ann Emerg Med 1987;16:673-5
- Araujo C, Ferreira G et al. Validation of instruments about family presence on invasive procedures and cardiopulmonary resuscitation in pediatrics. Rev Latino-Am Enfermagen DOI:
1590/1518-8345.2368.3046
- Vicent C, Lederman Z. Family presence during resuscitation: extending ethical norms from pediatrics to adults. J Med Ethics 2017;43:676-678
- Beauchamp TL, Childress JF. Principles of biomedical ethics. 7. th Ed New York: Oxford University Press; 2013.
- Brasel K, Entwistle J, Sade R. Should family presence be allowed during cardiopulmonary resuscitation? Ann Tor Surgery 2016;102:1438-1433
- Porter J. Family presence during resuscitation (FPDR): A qualitative descriptive study exploring the experiences of emergency personnel post resuscitation. Heart & Lung 2019; 48:268-277
- Mentzelopoulos S, Slowther A, Sandroni C et al. Ethical challenge in resuscitation. Intensive Care Med. Doi.org/10.1007/s00134-018-5202-0
-Traylor M. Sholud family be permitted in trauma bay? AMA J Ethics 2018;20:455-463
- Jabre P et al. Family presence during cardiopulmonary resuscitation. N Eng J Med 2013;368:1008-18
- Ley 41/2002, de 14 de noviembre, básica reguladora de la autonomía del paciente y de derechos y obligaciones en materia de información y documentación clínica.
- Llei 21/2000, de 29 de desembre, sobre els drets d'informacióconcernent la salut i l'autonomia del pacient, i la documentació clínica. Cataluña
- Ley 2/2010, de 8 de abril, de Derechos y Garantías de la Dignidad de la Persona en el Proceso de la Muerte de Andalucía
-Colbert J. Family presence during cardiopulmonary resuscitation. Polling results N Engl J Med 2013: 368 e38
- Enriquez D et al. Relatives presence during cardiopulmonary resuscitation. doi.org/10.1016/j.gheart.2016.01.007
- Tiscar V, Gasataldo D, Moreno T et al. Presencia de familiares durante la reanimación cardiopulmonar: perspectivas de pacientes, familiares y profesionales de la salud en el Pais Vasco. Aten Primaria 2019;51:269-277
- Oczkowski S, Mazzetti I, Cupido C,Fox-Robichaud A. The offering of family presence during resuscitation: a systematic review and meta-analysis. J Int Care 2015;3:41-52
-Goldberger Z;, Nallamothu B, Nichol G Paul S. et al. for the American Heart Association’s Get With the Guidelines–Resuscitation Investigators Policies Allowing Family Presence During Resuscitation and Patterns of Care During In-Hospital Cardiac Arrest. Circ Cardiovasc Qual Outcomes 2015;8:226-34
- Fein JA, Ganesh J, Alpern ER. Medical staff attitudes toward family presence during pediatric procedures. Pediatr Emerg Care 2004;20:224–7.
- Lederman Z, Wacht O.Family Presence During Resuscitation: Attitudes of Yale-New Haven Hospital Staff. Yale J Biol Med 2014;87:63-72
- Halm M. Family presence during resuscitation: a critical review of the literature. Am J Crit care 2005;14:494-512
- Powers k, Candela L. Family presence during resuscitation: impact on online learning on nurses’perception and self-confidence. Am J Crit Care 2016;25:302-308
- Firn J, DreVies K, Morano D, Spano-English T. Social Woekers’ experiences as the family support person during cardioplumlmonary resuscitation attempts. Soc Work Health Care. Doi.org/10.1080/00981389.2017.1292986
-Jabre P, Tazaroute K, Azouley E et al. Offering the opportunity for family to be present during cardiopulmonary resuscitation: 1 year assessment. Intensive Care Med 2014;40:981-987
- Vanhoy A, Horigan A, Wolf L, Delao A, Gates L. Clinical practice guideline: Family presence during invasive procedures and resuscitation. ENA Emergency Nurses Association. J Emerg Nurs 2019;45:P76-E1-76.E29
-Smith S et al. Family presence during resuscitation and invasive procedures I pediatric critical care: a systematic review AJCC 2014;23
- O’Conell K, Fritzeen J, Guzzetta C, Clark A, et al. Family presence during trauma resuscitatin: family members attitudes, behaviors and exeriences. AJCC 2017;26:229-234
- Benjamin A, et al. Personal preferences regarding family member presence during resuscitation . Acad Emerg Med 2004;11
- Robinson S, Mackenzie-Ross S, Campbell Hewson G., Egleston C, Prevost A. Psychological effect of witnessed resuscitation on bereaved relatives. Lancet, 1998; 352: 614–617
- Albarran J et al. Family witnessed resuscitation: the views and preferences of recently resuscitated hospital inpatients. Resuscitation 2009;80:1070-73
- Chapman R, Watkins R. Bushby A, Combs S. Assessing health professionals’ perceptions of family presence during resuscitation: A replication study. Int Emerg Nurs 2011; 2:17–25
- Dwyer T, Friel D. Inviting family to be present during cardiopulmonary resuscitation: Impact of education. Nurse Educ Pract 2016;16:274–279.
-Ferrara G, Ramponi D, Cline T. Evaluation of physicians´ and nurses´ knowledge, attitudes, and compliance with family presence during resuscitation in emergency department setting after an educational intervention. Advan Emerg Nurs J 2016; 3832–42.
- European Resuscitation Council Guidelines 2010. Circulation 2010;22: S666-675
- Perez A. How do healthcare providers feel about family presence during cardiopulmonary resuscitation? J Clin Eth 2017
- Laskowski-Jones L. Shoukd family be present during resuscitation? Nursing 2007;37:44-47
- Martinez C, cordero C, Palacios A, Blazquez D, Marin M. Presencia de los familiares durante la realización de procedimientos invasivos. An Pediatr 2012;77:28-36
- Howe E. Going from what is, to what should be, to care better for our patients and families. J Clin Ethics 2017; 28:85-96
- Jarvis A. Parental presence during resuscitation: attitudes of staff on a pediatric
intensive care unit. Intensive Crit Care Nurs 1998;14:3–7.
- Fein JA, Ganesh J, Alpern ER. Medical staff attitudes toward family presence during pediatric procedures. Pediatr Emerg Care 2004;20:224–7
.
- Mangurten J, Scott SH, Guzzetta CE, et al. Effects of family presence during resuscitation and invasive procedures in a pediatric emergency department. J Emerg
Nurs 2006;32:225–33.
- Da Silva M, Peruzzo H, Garcia C, Silava S. Family presence during cardiopulmonary resuscitations and invasive procedures: a meta-synthesis. Rev Esc Enferm USP 2019;53:e03435
- Youngson MJ, Currey J, Considine J. Current practices related to family presence during acute deterioration in adult emergency department patients. J Clin Nurs. 2017;26:3624-35.
- Mureau-Haines RM, Boes Rosy M, Casperson C, et al. Family support during resuscitation: a quality improvement initiative. Crit Care Nurse 2017;37:14-23
- https://proyectohuci.com/es/inicio/
- Ortega a, Garcia J, Rodriguez Y, et al. Humanización en atención urgente, ¿Entendemos lo mismo sanitarios, pacientes y familia?. Emergencias 2004;16:12-16
- Kentish-BarnesN, Davidson j, Cox C. Family presence during cardiopulmonary resuscitation: an opportunity for meaning-making in bereavement. Intens Care Med 2014;40:1954-56
- Kopelman MB et al. Changing times, changing opinions: History informing the family presence debate. Acad Emerg Med 2005;12:999-1001
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