15 research outputs found
The comparative hemodynamic effects of intravenous IQB-9302 and bupivacaine in anesthetized rats
Réanimation réussie à la suite d’une intoxication sévère à la bupivacaïne chez une patiente souffrant d’insuffisance cardiaque préexistante
Succinylcholine does not worsen bupivacaine-induced cardiotoxicity in pentobarbital-anaesthetized dogs
Bupivacaine-induced slow-inward current inhibition: a voltage clamp study on frog atrial fibres
L’hypocapnie prolonge la bradycardie provoquée par la bupivacaïne ou la lévobupivacaïne dans des cœurs isolés de rats
Ľonde S en D III est utile pour la détection précoce de la dépression myocardique induite par la bupivacaïne chez les chiens]
Pre-hospital treatment of STEMI patients. A scientific statement of the working group acute cardiac care of the European society of cardiology | Tratamiento prehospitalario de los pacientes con IAMCEST. Una declaración científica del Working Group Acute Cardiac Care de la European Society of Cardiology
In ST-elevation myocardial infarction (STEMI) the pre-hospital phase is the most critical, as the administration of the most appropriate treatment in a timely manner is instrumental for mortality reduction. STEMI systems of care based on networks of medical institutions connected by an efficient emergency medical service are pivotal. The first steps are devoted to minimize the patient's delay in seeking care, rapidly dispatch a properly staffed and equipped ambulance to make the diagnosis on scene, deliver initial drug therapy and transport the patient to the most appropriate (not necessarily the closest) cardiac facility. Primary PCI is the treatment of choice, but thrombolysis followed by coronary angiography and possibly PCI is a valid alternative, according to patient's baseline risk, time from symptoms onset and primary PCI-related delay. Paramedics and nurses have an important role in pre-hospital STEMI care and their empowerment is essential to increase the eff ectiveness of the system. Strong cooperation between cardiologists and emergency medicine doctors is mandatory for optimal pre-hospital STEMI care. Scientific societies have an important role in guideline implementation as well as in developing quality indicators and performance measures; health care professionals must overcome existing barriers to optimal care together with political and administrative decision makers