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Resuscitation

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https://www.readbyqxmd.com/read/29331650/echocardiographic-patterns-of-postresuscitation-myocardial-dysfunction
#1
Kyoung-Chul Cha, Hyung Il Kim, Oh Hyun Kim, Yong Sung Cha, Hyun Kim, Kang Hyun Lee, Sung Oh Hwang
BACKGROUND: Postresuscitation myocardial dysfunction (PRMD) can develop after successful resuscitation from cardiac arrest. However, echocardiographic patterns of PRMD remain unknown. This study aimed to investigate PRMD manifestations with serial echocardiography during the post-cardiac arrest period. METHODS: We enrolled non-traumatic out-of-hospital cardiac arrest patients older than 19 years who underwent successful cardiopulmonary resuscitation (CPR). We excluded patients with myocardial infarction or pre-existing cardiac disease, including heart failure or myocardial disease...
January 11, 2018: Resuscitation
https://www.readbyqxmd.com/read/29325998/use-of-mechanical-cardiocompressor-in-uncontrolled-donation-after-cardiac-death
#2
LETTER
Alonso Mateos, Elisabeth Coll, Beatriz Domínguez-Gil, María Padilla, Christel Terrón, Cristina Vidal, Francisco Del Rio
No abstract text is available yet for this article.
January 8, 2018: Resuscitation
https://www.readbyqxmd.com/read/29317351/a-new-physiological-model-for-studying-the-effect-of-chest-compression-and-ventilation-during-cardiopulmonary-resuscitation-the-thiel-cadaver
#3
Emmanuel Charbonney, Stéphane Delisle, Dominique Savary, Gilles Bronchti, Marceau Rigollot, Adrien Drouet, Bilal Badat, Paul Ouellet, Patrice Gosselin, Alain Mercat, Laurent Brochard, Jean-Christophe M Richard
BACKGROUND: Studying ventilation and intrathoracic pressure (ITP) induced by chest compressions (CC) during Cardio Pulmonary Resuscitation is challenging and important aspects such as airway closure have been mostly ignored. We hypothesized that Thiel Embalmed Cadavers could constitute an appropriate model. METHODS: We assessed respiratory mechanics and ITP during CC in 11 cadavers, and we compared it to measurements obtained in 9 out-of-hospital cardiac arrest patients and to predicted values from a bench model...
January 6, 2018: Resuscitation
https://www.readbyqxmd.com/read/29317350/duration-of-cardiopulmonary-resuscitation-in-patients-without-prehospital-return-of-spontaneous-circulation-after-out-of-hospital-cardiac-arrest-results-from-a-severity-stratification-analysis
#4
Akira Funada, Yoshikazu Goto, Hayato Tada, Ryota Teramoto, Masaya Shimojima, Kenshi Hayashi, Masa-Aki Kawashiri, Masakazu Yamagishi
BACKGROUND: The relationship between duration of cardiopulmonary resuscitation (CPR) and post-arrest outcomes based on severity stratification in out-of-hospital cardiac arrest (OHCA) patients without prehospital return of spontaneous circulation (ROSC) remains unclear. METHODS: We analysed 420,959 adult patients without prehospital ROSC in the All-Japan OHCA registry for 4 years. Prehospital CPR duration was defined as the time from CPR initiation by emergency medical service (EMS) providers to hospital arrival...
January 6, 2018: Resuscitation
https://www.readbyqxmd.com/read/29317349/finding-a-window-timing-of-cardiac-ultrasound-acquisition-during-cardiac-arrest
#5
EDITORIAL
Katherine M Berg
No abstract text is available yet for this article.
January 6, 2018: Resuscitation
https://www.readbyqxmd.com/read/29317348/paediatric-in-hospital-cardiac-arrest-factors-associated-with-survival-and-neurobehavioural-outcome-one-year-later
#6
Kathleen Meert, Russell Telford, Richard Holubkov, Beth S Slomine, James R Christensen, John Berger, George Ofori-Amanfo, Christopher J L Newth, J Michael Dean, Frank W Moler
OBJECTIVE: To investigate clinical characteristics associated with 12-month survival and neurobehavioural function among children recruited to the Therapeutic Hypothermia after Paediatric Cardiac Arrest In-Hospital trial. METHODS: Children (n = 329) with in-hospital cardiac arrest who received chest compressions for ≥2 minutes, were comatose, and required mechanical ventilation after return of circulation were included. Neurobehavioural function was assessed using the Vineland Adaptive Behaviour Scale, second edition (VABS-II) at baseline (reflecting pre-arrest status) and 12 months post-arrest...
January 6, 2018: Resuscitation
https://www.readbyqxmd.com/read/29309883/can-rescuers-accurately-deliver-subtle-changes-to-chest-compression-depth-if-recommended-by-future-guidelines
#7
Charles D Deakin, David B Sidebottom, Ryan Potter
BACKGROUND: A recent study reported that a compression depth of 4.56 cm optimized survival following cardiac arrest, which is at variance with the current guidelines of 5.0-6.0 cm. A reduction in recommended compression depth is only likely to improve survival if healthcare professionals can accurately deliver a relatively small change in target depth. This study aimed to determine if healthcare professionals could accurately judge their delivered compression depth by 0.5 cm increments...
January 5, 2018: Resuscitation
https://www.readbyqxmd.com/read/29309882/patient-health-service-factors-and-variation-in-mortality-following-resuscitated-out-of-hospital-cardiac-arrest-in-acute-coronary-syndrome-analysis-of-the-myocardial-ischaemia-national-audit-project
#8
Keith Couper, Peter K Kimani, Chris P Gale, Tom Quinn, Iain B Squire, Andrea Marshall, John J M Black, Matthew W Cooke, Bob Ewings, John Long, Gavin D Perkins
AIMS: To determine patient and health service factors associated with variation in hospital mortality among resuscitated cases of out-of-hospital cardiac arrest (OHCA) with acute coronary syndrome (ACS). METHODS: In this cohort study, we used the Myocardial Ischaemia National Audit Project database to study outcomes in patients hospitalised with resuscitated OHCA due to ACS between 2003 and 2015 in the United Kingdom. We analysed variation in inter-hospital mortality and used hierarchical multivariable regression models to examine the association between patient and health service factors with hospital mortality...
January 5, 2018: Resuscitation
https://www.readbyqxmd.com/read/29309881/long-term-mortality-and-morbidity-among-30-day-survivors-after-in-hospital-cardiac-arrests-a-swedish-cohort-study
#9
Mahta Memar, Sammy-Jo Geara, Patrik Hjalmarsson, Anna Allberg, Mathilde Bouzereau, Therese Djärv
OBJECTIVES: Resuscitation on in-hospital cardiac arrest (IHCA) is estimated to occur in 200,000 hospitalised patients annually in the US and short-term survival, i.e. 30 days, is reported to be around 15-20%. Even if 30-day survival is a good measure of successful resuscitation, the number of survivors is quite high and a perspective on longer-term outcomes is relevant. AIM: To assess long-term mortality among 30-day survivors after an IHCA. MATERIAL AND METHODS: All patients ≥18 years surviving for at least 30 days after an IHCA at Karolinska University Hospital between 1st January 2007 and 31st December 2014 were included...
January 5, 2018: Resuscitation
https://www.readbyqxmd.com/read/29307542/victim-s-assessment-and-cardiac-arrest-detection-in-a-human-simulation-model
#10
LETTER
Miguel Freire-Tellado, Rubén Navarro-Patón, Javier Mateos-Lorenzo, Marta Fernández-López, Camilo José Vázquez-Corveiras, Juan Antonio Castro-Trillo
No abstract text is available yet for this article.
January 4, 2018: Resuscitation
https://www.readbyqxmd.com/read/29307541/ocular-bobbing-dipping-after-cardiac-arrest-may-be-a-post-anoxic-myoclonus
#11
LETTER
Julie Schneider, Andrea O Rossetti, Vincent Alvarez
No abstract text is available yet for this article.
January 4, 2018: Resuscitation
https://www.readbyqxmd.com/read/29305927/neurobehavioural-outcomes-in-children-after-in-hospital-cardiac-arrest
#12
Beth S Slomine, Faye S Silverstein, James R Christensen, Richard Holubkov, Russell Telford, J Michael Dean, Frank W Moler
AIM: Children who remain comatose after in-hospital cardiac arrest (IH-CA) resuscitation are at risk for poor neurological outcome. We report results of detailed neurobehavioural testing in paediatric IH-CA survivors, initially comatose after return of circulation, and enrolled in THAPCA-IH, a clinical trial that evaluated two targeted temperature management interventions (hypothermia, 33.0 °C or normothermia, 36.8 °C; NCT00880087). METHODS: Children, aged 2 days to <18 years, were enrolled in THAPCA-IH from 2009-2015; primary trial outcome (survival with favorable neurobehavioural outcome) did not differ between groups...
January 3, 2018: Resuscitation
https://www.readbyqxmd.com/read/29305926/lower-dose-epinephrine-administration-and-out-of-hospital-cardiac-arrest-outcomes
#13
Cameron A Fisk, Michele Olsufka, Lihua Yin, Andrew M McCoy, Andrew J Latimer, Charles Maynard, Graham Nichol, Jonathan Larsen, Leonard A Cobb, Michael R Sayre
BACKGROUND: International guidelines recommend administration of 1 mg of intravenous epinephrine every 3 to 5 minutes during cardiac arrest. The optimal dose of epinephrine is not known. We evaluated the association of reduced frequency and dose of epinephrine with survival after out-of-hospital cardiac arrest (OHCA). METHODS: Included were patients with non-traumatic OHCA treated by advanced life support (ALS) providers from January 1, 2008 to June 30, 2016...
January 3, 2018: Resuscitation
https://www.readbyqxmd.com/read/29305925/use-of-therapeutic-hypothermia-among-patients-with-coagulation-disorders-a-nationwide-analysis
#14
Mahek Shah, Kaushal Parikh, Brijesh Patel, Manyoo Agarwal, Lohit Garg, Sahil Agrawal, Shilpkumar Arora, Nilay Patel, Nainesh Patel, William H Frishman
OBJECTIVES: The study aimed to assess the impact of therapeutic hypothermia (TH) on bleeding and in-hospital mortality among patients with coagulation disorders (CD). BACKGROUND: TH affects coagulation factors and platelets putting patients at risk for bleeding and worse outcomes. Effect of TH among patients with CD remains understudied. METHODS: Between 2009 and 2014, a total of 6,469 cases of TH were identified using the National Inpatient Sample out of which 1,036 (16...
January 3, 2018: Resuscitation
https://www.readbyqxmd.com/read/29305223/re-cox-et-al-s-letter-liver-lacerations-as-a-complication-of-cpr-during-pregnancy-chest-compressions-performed-on-peripartum-patients-with-a-mechanical-chest-device-experience-of-prehospital-teams-in-the-paris-area
#15
LETTER
Sabine Lemoine, Daniel Jost, Frederique Briche, Jean-Pierre Tourtier
No abstract text is available yet for this article.
January 2, 2018: Resuscitation
https://www.readbyqxmd.com/read/29294318/regional-variation-in-functional-outcome-after-out-of-hospital-cardiac-arrest-across-47-prefectures-in-japan
#16
Masashi Okubo, Koichiro Gibo, David J Wallace, Sho Komukai, Junichi Izawa, Kosuke Kiyohara, Clifton W Callaway, Taku Iwami, Tetsuhisa Kitamura
BACKGROUND: Although prior work reported regional variation in survival after out-of-hospital cardiac arrest (OHCA), mechanisms of the variation have not been fully investigated. We sought to evaluate regional variation in favourable functional outcome after OHCA across 47 prefectures in Japan as our primary aim. We also evaluated the associations between favourable functional outcome and the numbers of basic life support (BLS) providers and public access automated external defibrillators (AEDs) within each prefecture as our secondary aim...
December 30, 2017: Resuscitation
https://www.readbyqxmd.com/read/29292026/the-association-between-tidal-volume-and-neurological-outcome-following-in-hospital-cardiac-arrest
#17
Ari Moskowitz, Anne V Grossestreuer, Katherine M Berg, Parth V Patel, Sarah Ganley, Marcel Casasola, Michael N Cocchi, Michael W Donnino
AIMS: Prior investigation has found that mechanical ventilation with lower tidal volumes (Vt) following out-of-hospital cardiac arrest is associated with better neurologic outcomes. The relationship between Vt and neurologic outcome following in-hospital cardiac arrest (IHCA) has not previously been explored. In the present study, we investigate the association between Vt and neurologic outcome following IHCA. METHODS: This was an observational study using a prospectively collected database of IHCA patients at a tertiary care hospital in the United States...
December 29, 2017: Resuscitation
https://www.readbyqxmd.com/read/29292025/reply-to-why-should-the-two-thumb-technique-be-used-for-infant-cardiopulmonary-resuscitation
#18
LETTER
Aaron Donoghue, Hye Young Jang
No abstract text is available yet for this article.
December 29, 2017: Resuscitation
https://www.readbyqxmd.com/read/29292024/quantitative-eeg-exploration-of-sedation-in-post-resuscitation-care
#19
EDITORIAL
Mauro Oddo, Andrea O Rossetti
No abstract text is available yet for this article.
December 29, 2017: Resuscitation
https://www.readbyqxmd.com/read/29289527/in-a-subset-of-pea-patients-do-continuous-infusions-of-adrenergic-agents-improve-chances-of-rosc
#20
LETTER
Matthew L Wong
No abstract text is available yet for this article.
December 28, 2017: Resuscitation
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