Gerrit Jansen, Eugen Latka, Michael Bernhard, Martin Deicke, Daniel Fischer, Annika Hoyer, Yacin Keller, André Kobiella, Sissy Linder, Bernd Strickmann, Lisa Marie Strototte, Karl Christian Thies, Kai Johanning, Vera von Dossow, Jochen Hinkelbein
BACKGROUND: An out-of-hospital cardiac arrest (OHCA) with return of spontaneous circulation (ROSC) may need to be treated with airway management, emergency ventilation, invasive interventions, and post-arrest sedation. We investigated the influence of the use of midazolam for post-arrest sedation on achieving post-resuscitation care targets and the associated risk of hemodynamic complications. METHODS: All emergency rescue missions of the Dresden, Gütersloh, and Lippe medical rescue services in the years 2019-2021 were reviewed to identify adult patients who had OHCA, unconsciousness, and sustained ROSC with spontaneous circulation until arrival at the hospital; the findings were supplemented with data from the German Resuscitation Registry...
February 23, 2024: Deutsches Ärzteblatt International