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Paolo Montaldo, Pasquale Cuccaro, Elisabetta Caredda, Umberto Pugliese, Massimiliano De Vivo, Francesco Orbinato, Daniela Magri, Silvana Rojo, Roberto Rosso, Alfredo Santantonio, Renato Vitiello, Teresa Vacchiano, Giovanni Chello, Emanuele Miraglia Del Giudice, Paolo Giliberti
AIM: To assess the electrocardiography and echocardiography changes during therapeutic hypothermia and rewarming period in encephalopathic infants with long-term adverse neurological outcome. METHODS: Prospective multicentre longitudinal study. We included 64 consecutive infants with moderate or severe hypoxic ischaemic encephalopathy undergoing therapeutic hypothermia who had 18-24 month-outcome data. We analysed electrocardiography and heart rate changes before, during and after therapeutic hypothermia...
July 13, 2018: Resuscitation
Christiane Skåre, Anne Marthe Boldingh, Jo Kramer-Johansen, Tor Einar Calisch, Britt Nakstad, Vinay Nadkarni, Theresa M Olasveengen, Dana E Niles
AIM: Providers caring for newly born infants require skills and knowledge to initiate prompt and effective positive pressure ventilation (PPV) if the newborn does not breathe spontaneously after birth. We hypothesized implementation of high frequency/short duration deliberate practice training and post event video-based debriefings would improve process of care and decreases time to effective spontaneous respiration. METHODS: Pre- and post-interventional quality study performed at two Norwegian university hospitals...
July 12, 2018: Resuscitation
Michael M Beyea, Bourke W Tillmann, Alla E Iansavichene, Varinder K Randhawa, Kristine Van Aarsen, A Dave Nagpal
INTRODUCTION: Extracorporeal membrane oxygenation-assisted CPR (ECPR) is an evolving adjunct for resuscitation of OHCA patients. The primary objective of this systematic review was to assess survival-to-hospital discharge with good neurologic recovery after OHCA among patients treated with ECPR compared to conventional CPR (CCPR). METHODS: A systematic search of MEDLINE® and EMBASE® electronic databases was performed from inception until July 2016 to identify studies reporting ECPR use in adults with OHCA and survival outcomes...
July 11, 2018: Resuscitation
Nisha Chandra Strobos
No abstract text is available yet for this article.
July 10, 2018: Resuscitation
Hisanori Kurosaki, Keisuke Ohta, Yukihiro Wato, Akira Yamashita, Hideo Inaba
AIMS: Japanese emergency medical services (EMS) personnel providing advance life support confirm the absence of a carotid pulse before initiating chest compressions (CCs) in adult out-of-hospital cardiac arrest (OHCA). This study aims to investigate the efficacy of a new protocol facilitating early CCs before definitive cardiac arrest in enhancing the outcomes of OHCA. METHODS: The 2011 new protocol facilitated EMS to initiate CCs when the carotid pulse was weak and/or <50/min in comatose adult patients with respiratory arrest (apnoea or agonal breathing) and loss of the radial pulse...
July 10, 2018: Resuscitation
Douglas A Blank, Vincent D Gaertner, C Omar F Kamlin, Kevyn Nyland, Neal O Eckard, Jennifer A Dawson, Stefan C Kane, Graham R Polglase, Stuart B Hooper, Peter G Davis
INTRODUCTION: Over 5% of infants worldwide receive breathing support immediately after birth. Our goal was to define references ranges for exhaled carbon dioxide (ECO2 ), exhaled tidal volume (VTe), and respiratory rate (RR) immediately after birth in spontaneously breathing, healthy infants born at 36 weeks' gestational age or older. METHODS: This was a single-centre, observational study at the Royal Women's Hospital in Melbourne, Australia, a busy perinatal referral centre...
July 9, 2018: Resuscitation
Victor N Petzinka, Christian Endisch, Kaspar J Streitberger, Farid Salih, Christoph J Ploner, Christian Storm, Jens Nee, Christoph Leithner
OBJECTIVE: To investigate the clinical course and early prognostic markers in cardiac arrest (CA) patients discharged from the intensive care unit (ICU) in an unresponsive wakefulness syndrome (UWS) or coma. METHODS: 89 patients were identified from a prospective CA database. Follow-up was conducted by telephone interviews with legal guardians, evaluation of re-admission and rehabilitation reports assessing core elements of the coma recovery scale-revised (CRS-R)...
July 7, 2018: Resuscitation
Chih-Hung Wang, Chien-Hua Huang, Wei-Tien Chang, Chia-Ming Fu, Hui-Chih Wang, Min-Shan Tsai, Ping-Hsun Yu, Yen-Wen Wu, Matthew Huei-Ming Ma, Wen-Jone Chen
AIM: Animal studies have demonstrated that hemodynamic-directed cardiopulmonary resuscitation (CPR) improves outcomes following cardiac arrest compared with the "one-size-fits-all" algorithm. We investigated whether body size of patients is correlated with outcomes of in-hospital cardiac arrest (IHCA). METHODS: A retrospective study in a single centre was conducted. Adult patients experiencing IHCA between 2006 and 2015 were screened. Body mass index (BMI) was calculated using body weight and height measured at hospital admission...
July 7, 2018: Resuscitation
Nicolas Mongardon, Michel Arnaout, Guillaume Geri, Camille Chenevier-Gobeaux, Nicolas Deye, Stéphane Legriel, Fabrice Daviaud, Sybille Merceron, Nathalie Marin, Frédéric Pene, Jean-Paul Mira, Alain Cariou
BACKGROUND: While S-100B protein and Neuron-Specific Enolase (NSE) dosages have been extensively investigated for neurological prognostication after cardiac arrest (CA), there is no data about their ability to detect a cerebrovascular cause of CA. We assessed the utility of plasma S-100B protein and NSE measurements for early diagnosis of primary neurological cause in resuscitated CA patients. PATIENTS AND METHODS: Case control study based on two prospectively acquired CA databases...
July 5, 2018: Resuscitation
Pani Pierpaolo, Giarrocco Franco, Giamundo Margherita, Brunamonti Emiliano, Mattia Maurizio, Ferraina Stefano
No abstract text is available yet for this article.
July 5, 2018: Resuscitation
G Ram Mohan, A Shashidhar, B S Chandrakala, Saudamini Nesargi, P N Suman Rao
OBJECTIVE: To evaluate the effect of cord milking on short term morbidity and hematologic parameters at 6 weeks in preterm neonates requiring resuscitation. METHODS: This trial randomized preterm infants requiring resuscitation to milking group and no milking group. Multiple pregnancy, Rh negative mothers, hydrops, cord abnormalities were excluded. The primary outcome was hemoglobin and serum ferritin at 6 weeks of life. Secondary outcomes were common preterm morbidities and mortality RESULTS: 60 neonates were included in the study...
July 5, 2018: Resuscitation
D Fredman, M Ringh, L Svensson, J Hollenberg, P Nordberg, T Djärv, I Hasselqvist-Ax, H Wagner, S Forsberg, A Nord, M Jonsson, A Claesson
BACKGROUND: Early cardiopulmonary resuscitation (CPR) and defibrillation with an Automated External Defibrillator (AED) increase survival from out-of-hospital cardiac arrest (OHCA). Although international guidelines recommend the use of AED registries to increase AED use, little is known about implementation. The aim of this paper is to describe the development of a national AED registry, to analyse the coverage and barriers to register AEDs. METHODS: The Swedish AED Registry (SAEDREG) was initiated in 2009 with the purpose of gathering the data of all public AEDs in Sweden...
July 3, 2018: Resuscitation
Jeffrey L Jarvis, Dustin Barton, Henry Wang
BACKGROUND: We sought to characterize the number of attempts required to achieve advanced airway management (AAM) success. METHODS: Using 4 years of data from a national EMS electronic health record system, we examined the following subsets of attempted AAM: 1) cardiac arrest intubation (CA-ETI), 2) non-arrest medical intubation (MED-ETI), 3) non-arrest trauma intubation (TRA-ETI), 4) rapid-sequence intubation (RSI), 5) sedation-assisted ETI (SAI), and 6) supraglottic airway (SGA)...
July 3, 2018: Resuscitation
Mathieu Fiore, Edouard Gerbaud, Pierre Coste, Laura Cetran, Hugo Marchand, Benjamin Seguy
No abstract text is available yet for this article.
June 30, 2018: Resuscitation
James K Russell, Digna M González-Otero, Sofía Ruiz de Gauna, Mohamud Daya, Jesus Ruiz
BACKGROUND: Measurement of chest velocity has been proposed as an alternative method to identify responder leaning during cardiopulmonary resuscitation (CPR). Leaning is defined in terms of force, but no study has tested the utility of chest velocity in the presence of force measurements that directly measure leaning. MATERIALS AND METHODS: We analyzed 1004 out-of-hospital cardiac arrest (OHCA) files collected with Q-CPR monitors in the Portland, Oregon, USA metro region from 2006 to 2017...
June 30, 2018: Resuscitation
Balint Banfai, Attila Pandur, Bence Schiszler, Balazs Radnai, Henrietta Banfai-Csonka, Jozsef Betlehem
No abstract text is available yet for this article.
June 29, 2018: Resuscitation
Monica B Dhakar, Adithya Sivaraju, Carolina B Maciel, Teddy S Youn, Nicolas Gaspard, David M Greer, Lawrence J Hirsch, Emily J Gilmore
OBJECTIVE: To systematically examine the electro-clinical characteristics of post anoxic myoclonus (PAM) and their prognostic implications in comatose cardiac arrest (CA) survivors. METHODS: Fifty-nine CA survivors who developed myoclonus within 72 hours of arrest and underwent continuous EEG monitoring were included in the study. Retrospective chart review was performed for all relevant clinical variables including time of PAM onset ("early onset" when within 24 hours) and semiology (multi-focal, facial/ocular, whole body and limbs only)...
June 28, 2018: Resuscitation
Louis Eubank, Kwan S Lee, David B Seder, Tania Strout, Matthew Darrow, Catherine McDonald, Teresa May, Richard R Riker, Karl B Kern
OBJECTIVES: Community consultation (CC) is fundamental to the Exception from Informed Consent (EFIC) process for emergency research, designed to inform and receive feedback from the target study population about potential risks and benefits. To better understand the effectiveness of different techniques for CC, we evaluated EFIC processes at two centers participating in a trial of early cardiac catheterization following out-of-hospital cardiac arrest. METHODS: We studied the Institutional Review Board-approved CC activities at Maine Medical Center (MMC) and University of Arizona (AZ) in support of NCT02387398...
June 28, 2018: Resuscitation
Ikwan Chang, Seung Chul Lee, Sang Do Shin, Kyoung Jun Song, Young Sun Ro, Jeong Ho Park, Yeon Kong So
OBJECTIVES: We investigated the effect of bystander cardiopulmonary resuscitation (BCPR) with dispatcher assistance (DA) on neurological outcomes based on the response time interval (RTI) of the pre-hospital emergency medical service (EMS) among paediatric patients with out-of-hospital cardiac arrest (OHCA). METHODS: This retrospective registry study was conducted on paediatric patients (< 19 years old) with OHCA who were assessed by EMS providers between 2012 and 2016...
June 27, 2018: Resuscitation
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