Letter to the Editor
Cardiopulmonary resuscitation: An ethical concern or a matter of clinical judgment
Reanimación cardiopulmonar: cuestión de ética o inadecuado juicio clínico
a Anesthetist MD. III Chimbote EsSalud Hospital, International Training Center of the American Heart Association, Antenor Orrego Private University, Trujillo, Peru
b Internist MD. Belén Hospital, Trujillo, Professor Antenor Orrego Private University. International Training Center of the American Heart Association at the Antenor Orrego Private University, Trujillo, Peru
Read
1565
Timeswas read the article
556
Total PDF
1009
Total HTML
Share statistics
array:25 [ "pii" => "S2256208715000796" "issn" => "22562087" "doi" => "10.1016/j.rcae.2015.09.004" "estado" => "S300" "fechaPublicacion" => "2016-01-01" "aid" => "240" "copyright" => "Sociedad Colombiana de Anestesiología y Reanimación" "copyrightAnyo" => "2015" "documento" => "simple-article" "crossmark" => 1 "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/" "subdocumento" => "cor" "cita" => "Rev Colomb Anestesiol. 2016;44:75" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 746 "formatos" => array:3 [ "EPUB" => 74 "HTML" => 453 "PDF" => 219 ] ] "Traduccion" => array:1 [ "es" => array:20 [ "pii" => "S0120334715001045" "issn" => "01203347" "doi" => "10.1016/j.rca.2015.09.003" "estado" => "S300" "fechaPublicacion" => "2016-01-01" "aid" => "240" "copyright" => "Sociedad Colombiana de Anestesiología y Reanimación" "documento" => "simple-article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "cor" "cita" => "Rev Colomb Anestesiol. 2016;44:75" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1283 "formatos" => array:3 [ "EPUB" => 93 "HTML" => 870 "PDF" => 320 ] ] "es" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Carta al Editor</span>" "titulo" => "Reanimación cardiopulmonar: cuestión de ética o inadecuado juicio clínico" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "75" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Cardiopulmonary resuscitation: An ethical concern or a matter of clinical judgment" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Yessenia Katherin Arbayza-Avalos, Niler Manuel Segura-Plasencia" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Yessenia Katherin" "apellidos" => "Arbayza-Avalos" ] 1 => array:2 [ "nombre" => "Niler Manuel" "apellidos" => "Segura-Plasencia" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2256208715000796" "doi" => "10.1016/j.rcae.2015.09.004" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2256208715000796?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0120334715001045?idApp=UINPBA00004N" "url" => "/01203347/0000004400000001/v1_201601280029/S0120334715001045/v1_201601280029/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S2256208715000863" "issn" => "22562087" "doi" => "10.1016/j.rcae.2015.11.005" "estado" => "S300" "fechaPublicacion" => "2016-01-01" "aid" => "247" "documento" => "simple-article" "crossmark" => 1 "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/" "subdocumento" => "cor" "cita" => "Rev Colomb Anestesiol. 2016;44:76" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 759 "formatos" => array:3 [ "EPUB" => 80 "HTML" => 415 "PDF" => 264 ] ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Reply to the Letter to the Editor</span>" "titulo" => "Reply to the Letter to the Editor: “Cardiopulmonary resuscitation: an ethical concern or a matter of clinical judgment”" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "76" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Réplica a la Carta al Editor: “Reanimación cardiopulmonar: cuestión de ética o inadecuado juicio clínico”" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Fritz E. Gempeler-R." "autores" => array:1 [ 0 => array:2 [ "nombre" => "Fritz E." "apellidos" => "Gempeler-R." ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0120334715001112" "doi" => "10.1016/j.rca.2015.11.004" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0120334715001112?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2256208715000863?idApp=UINPBA00004N" "url" => "/22562087/0000004400000001/v1_201601280036/S2256208715000863/v1_201601280036/en/main.assets" ] "itemAnterior" => array:20 [ "pii" => "S225620871500084X" "issn" => "22562087" "doi" => "10.1016/j.rcae.2015.11.003" "estado" => "S300" "fechaPublicacion" => "2016-01-01" "aid" => "245" "copyright" => "Sociedad Colombiana de Anestesiología y Reanimación" "documento" => "simple-article" "crossmark" => 1 "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/" "subdocumento" => "cor" "cita" => "Rev Colomb Anestesiol. 2016;44:74" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 702 "formatos" => array:3 [ "EPUB" => 77 "HTML" => 380 "PDF" => 245 ] ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Reply to the Letter to the Editor</span>" "titulo" => "Reply to the Letter to the Editor: A comparative analysis of 3 sedation guidelines for patients undergoing subarachnoid anaesthesia. Randomized, single blind clinical trial" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "74" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Réplica a la Carta al Editor: Comparación de 3 pautas de sedación para pacientes sometidos a anestesia subaracnoidea. Ensayo clínico aleatorizado, simple ciego" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Francisco José Bermúdez-Guerrero" "autores" => array:1 [ 0 => array:2 [ "nombre" => "Francisco José" "apellidos" => "Bermúdez-Guerrero" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0120334715001094" "doi" => "10.1016/j.rca.2015.11.003" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0120334715001094?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S225620871500084X?idApp=UINPBA00004N" "url" => "/22562087/0000004400000001/v1_201601280036/S225620871500084X/v1_201601280036/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Cardiopulmonary resuscitation: An ethical concern or a matter of clinical judgment" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "75" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Yessenia Katherin Arbayza-Avalos, Niler Manuel Segura-Plasencia" "autores" => array:2 [ 0 => array:3 [ "nombre" => "Yessenia Katherin" "apellidos" => "Arbayza-Avalos" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 1 => array:4 [ "nombre" => "Niler Manuel" "apellidos" => "Segura-Plasencia" "email" => array:1 [ 0 => "nsegurap1@upao.edu.pe" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Anesthetist MD. III Chimbote EsSalud Hospital, International Training Center of the American Heart Association, Antenor Orrego Private University, Trujillo, Peru" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Internist MD. Belén Hospital, Trujillo, Professor Antenor Orrego Private University. International Training Center of the American Heart Association at the Antenor Orrego Private University, Trujillo, Peru" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "<span class="elsevierStyleItalic">Corresponding author at</span>: Isidro Bonifaz, 801 Trujillo, Peru." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Reanimación cardiopulmonar: cuestión de ética o inadecuado juicio clínico" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Cardiopulmonary resuscitation (CPR) refers to the set of procedures aimed at restoring spontaneous circulation in reversible cardiac arrest (CA) patients. There is a big difference between assisting a cardiac arrest in an end-stage disease patient where the cardiac arrest is an expected outcome resulting from the irrevocable evolution of a distressing disease, and assisting an unexpected sudden cardiac arrest in a patient admitted with a recoverable condition.</p><p id="par0010" class="elsevierStylePara elsevierViewall">Initially the CPR was administered at the OR with encouraging success rates due to the unmatched conditions present, including a witnessed cardiac arrest and the fact that most of the patients undergoing surgery were recoverable. This situation gave rise to a misinterpretation of the CPR procedure ted and people thought that every cardiac arrest patient should be resuscitated, regardless of the CA cause. Hence, CPR has been administered to irrecoverable patients. So the big question is: Are the low success rates<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> described due to inadequate patient selection for CPR? Keep in mind that dying at a hospital does not necessarily entail administering a CPR procedure for a dignified death.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Consequently, critical clinical judgment and good communication with the family are invaluable assets in the evaluation and rational medical decision-making.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0020" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Funding</span><p id="par0025" class="elsevierStylePara elsevierViewall">The authors did not receive sponsorship to undertake this article.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflicts of interest" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Funding" ] 2 => array:1 [ "titulo" => "Reference" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Arbayza-Avalos YK, Segura-Plasencia NM. Reanimación cardiopulmonar: cuestión de ética o inadecuado juicio clínico. Rev Colomb Anestesiol. 2016;44:75.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Reference" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:1 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Reanimación cardiopulmonar. Más allá de la técnica" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "F. Gempeler" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Rev Colomb Anestesiol" "fecha" => "2015" "volumen" => "43" "paginaInicial" => "142" "paginaFinal" => "146" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/22562087/0000004400000001/v1_201601280036/S2256208715000796/v1_201601280036/en/main.assets" "Apartado" => array:4 [ "identificador" => "47685" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Letters to the Editor" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/22562087/0000004400000001/v1_201601280036/S2256208715000796/v1_201601280036/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2256208715000796?idApp=UINPBA00004N" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 6 | 2 | 8 |
| 2024 October | 34 | 5 | 39 |
| 2024 September | 30 | 5 | 35 |
| 2024 August | 31 | 4 | 35 |
| 2024 July | 19 | 1 | 20 |
| 2024 June | 8 | 0 | 8 |
| 2024 May | 10 | 6 | 16 |
| 2024 April | 10 | 47 | 57 |
| 2024 March | 16 | 6 | 22 |
| 2024 February | 20 | 10 | 30 |
| 2024 January | 19 | 10 | 29 |
| 2023 December | 10 | 6 | 16 |
| 2023 November | 6 | 5 | 11 |
| 2023 October | 8 | 12 | 20 |
| 2023 September | 7 | 4 | 11 |
| 2023 August | 9 | 3 | 12 |
| 2023 July | 5 | 4 | 9 |
| 2023 June | 3 | 2 | 5 |
| 2023 May | 5 | 2 | 7 |
| 2023 April | 3 | 1 | 4 |
| 2023 March | 8 | 1 | 9 |
| 2023 February | 7 | 3 | 10 |
| 2023 January | 2 | 1 | 3 |
| 2022 December | 9 | 6 | 15 |
| 2022 November | 6 | 3 | 9 |
| 2022 October | 9 | 7 | 16 |
| 2022 September | 7 | 6 | 13 |
| 2022 August | 6 | 7 | 13 |
| 2022 July | 7 | 6 | 13 |
| 2022 June | 6 | 7 | 13 |
| 2022 May | 8 | 5 | 13 |
| 2022 April | 9 | 5 | 14 |
| 2022 March | 7 | 3 | 10 |
| 2022 February | 5 | 3 | 8 |
| 2022 January | 11 | 5 | 16 |
| 2021 December | 8 | 9 | 17 |
| 2021 November | 13 | 4 | 17 |
| 2021 October | 15 | 8 | 23 |
| 2021 September | 6 | 9 | 15 |
| 2021 August | 11 | 3 | 14 |
| 2021 July | 5 | 5 | 10 |
| 2021 June | 4 | 7 | 11 |
| 2021 May | 22 | 8 | 30 |
| 2021 April | 28 | 14 | 42 |
| 2021 March | 12 | 6 | 18 |
| 2021 February | 12 | 5 | 17 |
| 2021 January | 4 | 5 | 9 |
| 2020 December | 3 | 5 | 8 |
| 2020 November | 8 | 9 | 17 |
| 2020 October | 6 | 4 | 10 |
| 2020 September | 7 | 6 | 13 |
| 2020 August | 4 | 8 | 12 |
| 2020 July | 7 | 6 | 13 |
| 2020 June | 5 | 2 | 7 |
| 2020 May | 5 | 7 | 12 |
| 2020 April | 3 | 1 | 4 |
| 2020 March | 2 | 3 | 5 |
| 2020 February | 3 | 2 | 5 |
| 2020 January | 4 | 7 | 11 |
| 2019 December | 8 | 2 | 10 |
| 2019 November | 5 | 1 | 6 |
| 2019 October | 0 | 0 | 0 |
| 2019 September | 4 | 1 | 5 |
| 2019 August | 1 | 1 | 2 |
| 2019 July | 0 | 2 | 2 |
| 2019 June | 1 | 0 | 1 |
| 2019 May | 1 | 8 | 9 |
| 2018 September | 1 | 0 | 1 |
| 2018 June | 2 | 3 | 5 |
| 2018 May | 16 | 6 | 22 |
| 2018 April | 29 | 9 | 38 |
| 2018 March | 12 | 9 | 21 |
| 2018 February | 13 | 4 | 17 |
| 2018 January | 21 | 6 | 27 |
| 2017 December | 7 | 4 | 11 |
| 2017 November | 15 | 6 | 21 |
| 2017 October | 18 | 7 | 25 |
| 2017 September | 17 | 6 | 23 |
| 2017 August | 8 | 5 | 13 |
| 2017 July | 16 | 3 | 19 |
| 2017 June | 14 | 6 | 20 |
| 2017 May | 25 | 7 | 32 |
| 2017 April | 34 | 13 | 47 |
| 2017 March | 11 | 6 | 17 |
| 2017 February | 5 | 4 | 9 |
| 2017 January | 8 | 7 | 15 |
| 2016 December | 31 | 9 | 40 |
| 2016 November | 25 | 6 | 31 |
| 2016 October | 29 | 10 | 39 |
| 2016 September | 19 | 9 | 28 |
| 2016 August | 31 | 13 | 44 |
| 2016 July | 11 | 7 | 18 |
| 2016 May | 2 | 0 | 2 |
| 2016 April | 0 | 17 | 17 |
| 2016 March | 3 | 0 | 3 |
| 2016 February | 3 | 13 | 16 |
Show all