title: [Coronary revascularization during cardiopulmonary resuscitation. The bridge code].
abstract: Cardiac arrest is one of the major current challenges, due to both its high incidence and mortality and the fact that it leads to severe brain dysfunction in over half of the survivors. The so-called coronary origin Bridge Code is presented, based on the international resuscitation recommendations (2005, 2010). In accordance with a series of strict predictive criteria, this code makes it possible to: (1) select refractory CPR patients with a high or very high presumption of underlying coronary cause; (2) evacuate the patient using mechanical chest compressors [LucasTM, Autopulse®], maintaining coronary and brain perfusion pressures; (3) allow coronary revascularization access during resuscitation maneuvering (PTCA during ongoing CPR); (4) induce early hypothermia; and (5) facilitate post-cardiac arrest intensive care. In the case of treatment failure, the quality of hemodynamic support makes it possible to establish a second bridge to non-heart beating organ donation.
authors.affiliation: Medicina de Emergencia Basada en la Evidencia MEBE, España; Servicio de Urgencias Médicas Summa 112, Madrid.
authors.forename: A
authors.initials: A
authors.lastname: Serrano Moraza
authors.forename: F
authors.initials: F
authors.lastname: Del Nogal Sáez
authors.forename: F
authors.initials: F
authors.lastname: Alfonso Manterola
mesh_terms: D016887:Cardiopulmonary Resuscitation / Q000379:methods*; D003131:Combined Modality Therapy; D006323:Heart Arrest / Q000628:therapy*; D006801:Humans; D009204:Myocardial Revascularization