{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T13:53:32Z","timestamp":1775483612468,"version":"3.50.1"},"reference-count":0,"publisher":"SEMES (Sociedad Espanola de Medicina de Urgencias y Emergencias)","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Emergencias"],"published-print":{"date-parts":[[2026,4,6]]},"abstract":"<jats:p>Objetivo. Se analiza la evoluci\u00f3n y aparici\u00f3n de complicaciones respiratorias en las primeras 24 horas de ingreso de\nlos pacientes que fueron trasladados a un hospital, en funci\u00f3n de la estrategia ventilatoria empleada durante la reanimaci\u00f3n cardiopulmonar extrahospitalaria, incluyendo un grupo con un modo ventilatorio sincronizado con las\ncompresiones.\nM\u00e9todo. Estudio cuasiexperimental pragm\u00e1tico que incluye todos los pacientes en parada cardiaca extrahospitalaria no traum\u00e1tica con persistencia de la parada cardiaca 3 minutos despu\u00e9s de intubaci\u00f3n precoz que fueron trasladados a un hospital.\nDurante un periodo de 3,5 a\u00f1os. Los pacientes se agruparon seg\u00fan la estrategia ventilatoria: ventilaci\u00f3n sincronizada con la\ncompresi\u00f3n tor\u00e1cica (CCSV), ventilaci\u00f3n con presi\u00f3n positiva intermitente (IPPV) o bal\u00f3n de resucitaci\u00f3n. Se analizan datos radiol\u00f3gicos (neumot\u00f3rax, signos de barotrauma e infiltrados pulmonares seg\u00fan la escala Modified Chest X-ray Scoring System)\ny par\u00e1metros gasom\u00e9tricos arteriales de las primeras 24 horas de ingreso hospitalario.\nResultados. Se incluyeron 278 pacientes trasladados a un hospital y se excluyeron 68 sin estudio radiol\u00f3gico por certificaci\u00f3n inmediata de fallecimiento (22,7% mujeres, edad media 61,9 (DE 16,5) a\u00f1os, 44,3% con ritmo desfibrilable): 41 en CCSV, 65 en IPPV y 104 con bal\u00f3n. La PaO2\/FiO2 fue, respectivamente, 247 (DE 162), 200 (DE 117) y 202\n(DE 118) mmHg (p &lt; 0,05 entre CCSV y los otros grupos). Se encontr\u00f3 neumot\u00f3rax o enfisema subcut\u00e1neo el 2,4%\nde los ventilados en CCSV, 10,8% en IPPV y 6,7% con bal\u00f3n (p = 0,26). El Modified Chest X-ray Score fue, respectivamente, 4,6 (DE 3,1), 5,7 (DE 3,3) y 5,1 (DE 3,1) (p = 0,23).\nConclusiones. CCSV se asocia a mejor PaO2\/FiO2 a las 24 horas que las otras estrategias. No existe una mayor incidencia de neumot\u00f3rax con CCSV ni se encuentran diferencias significativas en la aparici\u00f3n de infiltrados radiol\u00f3gicos.<\/jats:p>","DOI":"10.55633\/s3me\/038.2026","type":"journal-article","created":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T13:03:59Z","timestamp":1775480639000},"source":"Crossref","is-referenced-by-count":0,"title":["Respiratory outcomes and complications in patients with cardiac arrest according to ventilation strategy: subanalysis of the SYMEVECA study"],"prefix":"10.55633","author":[{"given":"Alberto","family":"Hern\u00e1ndez-Tejedor","sequence":"first","affiliation":[{"name":"SAMUR-Protecci\u00f3n Civil, Madrid, Espa\u00f1a."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vanesa","family":"Gonz\u00e1lez Puebla","sequence":"additional","affiliation":[{"name":"SAMUR-Protecci\u00f3n Civil, Madrid, Espa\u00f1a."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge","family":"Duerto \u00c1lvarez","sequence":"additional","affiliation":[{"name":"Hospital Universitario Cl\u00ednico San Carlos, Madrid, Espa\u00f1a"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandra Ofelia","family":"Rosillo Rodr\u00edguez","sequence":"additional","affiliation":[{"name":"Hospital Universitario La Paz, Instituto de Investigaci\u00f3n IdiPAZ, Madrid, Espa\u00f1a."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00eda","family":"Jim\u00e9nez Lapastora","sequence":"additional","affiliation":[{"name":"Hospital Universitario 12 de Octubre, Madrid, Espa\u00f1a."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara","family":"Casanova Prieto","sequence":"additional","affiliation":[{"name":"Hospital General Universitario Gregorio Mara\u00f1\u00f3n, Madrid, Espa\u00f1a"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aaron","family":"Blandino Ortiz","sequence":"additional","affiliation":[{"name":"Hospital Universitario Ram\u00f3n y Cajal, Madrid, Espa\u00f1a"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hans Paul","family":"Gaebelt Slocker","sequence":"additional","affiliation":[{"name":"Fundaci\u00f3n Jim\u00e9nez D\u00edaz, Madrid, Espa\u00f1a"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manuel","family":"Quintana D\u00edaz","sequence":"additional","affiliation":[{"name":"Hospital Universitario La Paz, Instituto de Investigaci\u00f3n IdiPAZ, Madrid, Espa\u00f1a."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emilia","family":"Rosas Carvajal","sequence":"additional","affiliation":[{"name":"Hospital Universitario La Princesa, Madrid, Espa\u00f1a."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"33356","published-online":{"date-parts":[[2026,4,6]]},"container-title":["Emergencias"],"original-title":["Evoluci\u00f3n respiratoria y complicaciones de pacientes en parada cardiaca seg\u00fan la estrategia ventilatoria. Suban\u00e1lisis del estudio SYMEVECA"],"deposited":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T13:04:00Z","timestamp":1775480640000},"score":1,"resource":{"primary":{"URL":"https:\/\/revistaemergencias.org\/articulo\/evolucion-respiratoria-y-complicaciones-de-pacientes-en-parada-cardiaca-segun-la-estrategia-ventilatoria-subanalisis-del-estudio-symeveca\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,6]]},"references-count":0,"URL":"https:\/\/doi.org\/10.55633\/s3me\/038.2026","relation":{},"ISSN":["1137-6821","2386-5857"],"issn-type":[{"value":"1137-6821","type":"print"},{"value":"2386-5857","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,6]]}}}