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      Reanimación cardiopulmonar presenciada por los familiares. Estudio para implementar un programa RCP-PF en un hospital Translated title: Reanimació cardiopulmonar presenciada pels familiars. Estudi per a implementar un programa RCP-PF en un hospital Translated title: Cardiopulmonary resuscitation witnessed by family members. Study to implement a CPR-FP program in a hospital

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          Abstract

          Resumen 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.

          Translated abstract

          Resum La presència de familiars durant la reanimació cardiopulmonar (**RCP) està àmpliament acceptada des dels anys 80, però la realitat és que el nombre de països europeus que l'accepten pràcticament no ha canviat els últims anys (10/32 en adults i 13/32 en nens). El 80% dels professionals solen ser reticents a aquesta presència, al·legant que poden alterar el correcte desenvolupament de la reanimació i pot ser contraproduent per a professionals i els familiars. En general els pediatres i les infermeres solen estar més a favor de la presència d'aquests familiars que els responsables de reanimació d'adults. Es realitza una enquesta als professionals de dos centres espanyols per a valorar, d'una banda, la seva opinió sobre la RCP presenciada pels familiars (RCP-*PF), i per una altra, si creuen factible implementar un programa d'aquest tipus en el seu centre de treball. Resultats: a pesar que més del 80% de professionals enquestats conviden als familiars a retirar-se de l'escena de la RCP, un terç dels mateixos veu factible la posada en marxa d'aquest programa en el seu centre i gairebé la meitat estarien disposats a col·laborar en aquesta implementació.

          Translated abstract

          Abstract The presence of family members during cardiopulmonary resuscitation (CPR) has been widely accepted since the 1980s, but the reality is that the number of European countries that accept it has practically not changed in recent years (10/32 in adults and 13/32 in children). 80% of professionals are usually reluctant to such presence, claiming that they can alter the correct development of resuscitation and can be counterproductive for professionals and their families. In general, pediatricians and nurses tend to be more in favor of the presence of these relatives than those responsible for resuscitation of adults. A survey is carried out among professionals from two Spanish centers to assess, on the one hand, their opinion about CPR witnessed by relatives (FP-CPR) and on the other if they believe it is feasible to implement a FP-CPR program in their hospital. Results: Despite the fact that more than 80% of the professionals surveyed invite family members to leave the CPR scene, a third of them see the implementation of FP-CPR program in their center as feasible and almost half would be willing to collaborate.

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          Most cited references54

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          Family presence during cardiopulmonary resuscitation.

          The effect of family presence during cardiopulmonary resuscitation (CPR) on the family members themselves and the medical team remains controversial.
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            Out-of-hospital cardiac arrest survival improving over time: Results from the Resuscitation Outcomes Consortium (ROC).

            Out-of-hospital cardiac arrest (OHCA) remains a leading cause of death and a 2010 meta-analysis concluded that outcomes have not improved over several decades. However, guidelines have changed to emphasize CPR quality, minimization of interruptions, and standardized post-resuscitation care. We sought to evaluate whether OHCA outcomes have improved over time among agencies participating in the Resuscitation Outcomes Consortium (ROC) cardiac arrest registry (Epistry) and randomized clinical trials (RCTs).
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              Family participation during resuscitation: an option.

              We began to question the fairness of a policy to exclude close family members from the treatment room during attempted resuscitation of cardiac arrest victims in 1982 after 13 of 18 surviving relatives (72%) who were surveyed about their experiences during the attempted resuscitation of a family member responded that they would have liked to have been present during the resuscitation. We report the results of a program instituted at that time that allowed selected family members to be present during resuscitation efforts. Family members were asked by a chaplain or nurse if they wished to be present in the resuscitation room, and those accepting were accompanied by a supporting emergency staff member who explained the milieu of the code room. None of the participants interfered with resuscitation efforts. Seventy persons who participated were later contacted by one of the chaplains and asked to complete a survey form. Forty-four of 47 respondents (94%) who had been present during resuscitation believed that they would participate again. Thirty-six (76%) thought that adjustment to the death or grieving was facilitated by their witnessing the resuscitation; 30 (64%) felt that their presence was beneficial to the dying family member. We conclude that lay person may wish to be with family members who may be dying even though resuscitation efforts are being made, and that it is reasonable to inquire about this wish. This experience has assisted the grieving process for many and has not interrupted or adversely affected medical efforts at resuscitation.
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                Author and article information

                Journal
                bioetica
                Revista de Bioética y Derecho
                Rev. Bioética y Derecho
                Observatori de Bioètica i Dret - Cátedra UNESCO de Bioética (Barcelona, Barcelona, Spain )
                1886-5887
                2021
                : 53
                : 57-80
                Affiliations
                [2] Tarragona orgnameHospital Universitario Joan XXIII orgdiv1Servicio de Urgencias España
                [3] Tarragona orgnameHospital Universitario Joan XXIII orgdiv1Comité de Ética Asistencial España
                [1] Tarragona orgnameUniversitat Rovira i Virgili España
                Article
                S1886-58872021000300057 S1886-5887(21)00005300057
                10.1344/rbd2021.53.33694
                a36a7af1-a854-42a0-bf3c-db9b9fda0e08

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

                History
                : 06 February 2021
                : 13 May 2021
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 56, Pages: 24
                Product

                SciELO Spain

                Categories
                Sección General

                RCP-PF,RCP,Patient and Family Centered Care,FP-CPR,CPR,Cuidados centrados en el paciente y familiares,Cures centrades en el pacient i familiars

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