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"Mechanical chest compression"

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https://www.readbyqxmd.com/read/28040384/circulatory-collapse-right-ventricular-dilatation-and-alveolar-dead-space-a-triad-for-the-rapid-diagnosis-of-massive-pulmonary-embolism
#1
Raúl J Gazmuri, Dimple J Patel, Rom Stevens, Shani Smith
A triad of circulatory collapse, right ventricular dilatation, and large alveolar dead space is proposed for the rapid diagnosis and treatment of massive pulmonary embolism. A 17year-old female on oral contraceptives collapsed at home becoming incoherent with shallow breathing. Paramedics initiated mechanical chest compression and transported the patient to our emergency department, arriving minimally responsive with undetectable blood pressure but having positive corneal reflexes and bradycardia with wide QRS...
December 16, 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27998838/emergency-percutaneous-implantation-of-veno-arterial-extracorporeal-membrane-oxygenation-in-the-catheterisation-laboratory
#2
Tomaz Goslar, Rihard Knafelj, Peter Radsel, Misa Fister, Alenka Golicnik, Klemen Steblovnik, Vojka Gorjup, Marko Noc
AIMS: Our aim was to describe our protocol for emergency percutaneous implantation of femoral veno-arterial extracorporeal membrane oxygenation (VA ECMO) in the catheterisation laboratory and to compare its effectiveness and safety with implantation in the intensive care unit and the operating room. METHODS AND RESULTS: Our retrospective observational study enrolled 56 consecutive patients undergoing VA ECMO implantation in the catheterisation laboratory (n=23), the intensive care unit (n=8) and the operating room (n=25)...
December 20, 2016: EuroIntervention
https://www.readbyqxmd.com/read/27970299/tct-134-mechanical-chest-compressions-as-a-bridge-to-percutaneous-extracorporeal-life-support-increase-return-of-spontaneous-circulation-in-patients-with-cardiac-arrest
#3
Joseph Venturini, Elizabeth Retzer, Raider Estrada, Janet Friant, David Beiser, Dana Edelson, Jonathan Paul, John Blair, Sandeep Nathan, Atman Shah
No abstract text is available yet for this article.
November 1, 2016: Journal of the American College of Cardiology
https://www.readbyqxmd.com/read/27935015/extracorporeal-cardiopulmonary-resuscitation-after-out-of-hospital-cardiac-arrest-in-a-danish-health-region
#4
J Fjølner, J Greisen, M R S Jørgensen, C J Terkelsen, L B Ilkjaer, T M Hansen, H Eiskjaer, S Christensen, J Gjedsted
BACKGROUND: Extracorporeal Cardiopulmonary Resuscitation (ECPR) has emerged as a feasible rescue therapy for refractory, normothermic out-of-hospital cardiac arrest (OHCA). Reported survival rates vary and comparison between studies is hampered by heterogeneous study populations, differences in bystander intervention and in pre-hospital emergency service organisation. We aimed to describe the first experiences, treatment details, complications and outcome with ECPR for OHCA in a Danish health region...
December 9, 2016: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/27886777/characteristics-of-patients-who-are-not-resuscitated-in-out-of-hospital-cardiac-arrests-and-opportunities-to-improve-community-response-to-cardiac-arrest
#5
S Rajagopal, C R Kaye, R Lall, C D Deakin, S Gates, H Pocock, T Quinn, N Rees, M Smyth, G D Perkins
AIM: This study explores why resuscitation is withheld when emergency medical staff arrive at the scene of a cardiac arrest and identifies modifiable factors associated with this decision. METHODS: This is a secondary analysis of unselected patients who sustained an out of hospital cardiac arrest attended by ambulance vehicles participating in a randomized controlled trial of a mechanical chest compression device (PARAMEDIC trial). Patients were categorized as 'non-resuscitation' patients if there was a do-not-attempt-cardiopulmonary-resuscitation (DNACPR) order, signs unequivocally associated with death or resuscitation was deemed futile (15min had elapsed since collapse with no bystander-CPR and asystole recorded on EMS arrival)...
December 2016: Resuscitation
https://www.readbyqxmd.com/read/27851300/1665-a-shocking-case-of-a-lucas-mechanical-chest-compression-device-during-cardiac-arrest
#6
Lekshmi Santhosh, James Frank
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27756513/cpr-using-the-lifeline-arm-mechanical-chest-compression-device-a-randomized-crossover-manikin-trial
#7
Lukasz Szarpak, Zenon Truszewski, Lukasz Czyzewski, Michael Frass, Oliver Robak
INTRODUCTION: European Resuscitation Council as well as American Heart Association guidelines for cardiopulmonary resuscitation (CPR) stress the importance of uninterrupted and effective chest compressions (CCs). Manual CPR decreases in quality of CCs over time because of fatigue which impacts outcome. We report the first study with the Lifeline ARM automated CC device for providing uninterrupted CCs. METHODS: Seventy-eight paramedics participated in this randomized, crossover, manikin trial...
January 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27574387/mechanical-chest-compressions-in-prolonged-cardiac-arrest-due-to-st-elevation-myocardial-infarction-can-cause-myocardial-contusion
#8
Cyril Stechovsky, Petr Hajek, Simon Cipro, Josef Veselka
Acute coronary syndrome is a common cause of sudden cardiac death. We present a case report of a 60-year-old man without a history of coronary artery disease who presented with ST-elevation myocardial infarction. During transportation to the hospital, he developed ventricular fibrillation (VF) and later pulseless electrical activity. Chest compressions with LUCAS 2 (Medtronic, Minneapolis, MN) automated mechanical compression-decompression device were initiated. Coronary angiography showed total occlusion of the left main coronary artery and primary percutaneous coronary intervention (PCI) was performed...
September 2016: International Journal of Angiology: Official Publication of the International College of Angiology, Inc
https://www.readbyqxmd.com/read/27422305/mechanical-chest-compression-devices-are-associated-with-poor-neurological-survival-in-a-statewide-registry-a-propensity-score-analysis
#9
Scott T Youngquist, Patrick Ockerse, Sydney Hartsell, Chris Stratford, Peter Taillac
OBJECTIVE: To compare functional survival (discharge cerebral performance category 1 or 2) among victims of out-of-hospital cardiac arrest (OHCA) who had resuscitations performed using mechanical chest compression (mech-CC) devices vs. those using manual chest compressions (man-CC). METHODS: Observational cohort of 2600 cases of OHCA from a statewide, prospectively-collected cardiac arrest registry (Utah Cardiac Arrest Registry to Enhance Survival). Comparison of functional survival among those receiving mech-CC vs man-CC was performed using a mixed-effects Poisson model with inverse probability weighted propensity scores to control for selection bias...
September 2016: Resuscitation
https://www.readbyqxmd.com/read/27357577/the-chain-of-survival-in-hypothermic-circulatory-arrest-encouraging-preliminary-results-when-using-early-identification-risk-stratification-and-extracorporeal-rewarming
#10
Tomasz Darocha, Sylweriusz Kosiński, Anna Jarosz, Dorota Sobczyk, Robert Gałązkowski, Jacek Piątek, Janusz Konstany-Kalandyk, Rafał Drwiła
BACKGROUND: The prognosis in hypothermic cardiac arrest is frequently good despite prolonged period of hypoperfusion and cardiopulmonary resuscitation. Apart from protective effect of hypothermia itself established protocols of treatment and novel rewarming techniques may influence on outcome. The purpose of the study was to assess the outcome of patients with hypothermic circulatory arrest treated by means of arterio-venous extracorporeal membrane oxygenation (ECMO) according to locally elaborated protocol in Severe Accidental Hypothermia Center in Cracow, Poland...
June 29, 2016: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/27236329/minimal-invasive-treatment-of-life-threatening-bleeding-caused-by-cardiopulmonary-resuscitation-associated-liver-injury-a-case-report
#11
Pål Aksel Næss, Kristian Engeseth, Ole Grøtta, Geir Øystein Andersen, Christine Gaarder
BACKGROUND: Life-threatening bleeding caused by liver injury due to chest compressions is a rare complication in otherwise successful cardiopulmonary resuscitation. Surgical intervention has been suggested to achieve bleeding control; however, reported mortality is high. In this report, we present a brief literature review and a case report in which use of a less invasive strategy was followed by an uneventful recovery. CASE PRESENTATION: A 37-year-old white woman was admitted after out-of-hospital cardiac arrest...
May 29, 2016: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/27125849/comparing-anesthesia-with-isoflurane-and-fentanyl-fluanisone-midazolam-in-a-rat-model-of-cardiac-arrest
#12
Niels Secher, Christian Lind Malte, Else Tønnesen, Leif Østergaard, Asger Granfeldt
BACKGROUND: Only one in ten patients survives cardiac arrest (CA), underscoring the need to improve CA management. Isoflurane has shown cardio- and neuroprotective effects in animal models of ischemia/reperfusion injury. Therefore, beneficial effect of isoflurane should be tested in an experimental CA model. We hypothesize that isoflurane anesthesia improves short-term outcome following resuscitation from CA compared with a subcutaneous fentanyl/fluanisone/midazolam anesthesia. METHODS: Male Sprague Dawley rats were randomized to anesthesia with isoflurane (n=11) or fentanyl/fluanisone/midazolam (n=11)...
April 28, 2016: Journal of Applied Physiology
https://www.readbyqxmd.com/read/27075267/chest-compression-pauses-during-defibrillation-attempts
#13
Charles D Deakin, Rudolph W Koster
PURPOSE OF REVIEW: This article summarizes current knowledge of the causes and consequences of interruption of chest compressions during cardiopulmonary resuscitation. RECENT FINDINGS: Pauses in chest compressions occur during analysis of the heart rhythm, delivery of ventilation, interventions such as intubation, and gaining intravenous access, but pauses may also be unprompted. Pauses related to defibrillation are because of preshock pauses for rhythm analysis and charging, and postshock pauses to evaluate the outcome of the shock...
June 2016: Current Opinion in Critical Care
https://www.readbyqxmd.com/read/27054624/update-on-mechanical-cardiopulmonary-resuscitation-devices
#14
Sten Rubertsson
PURPOSE OF REVIEW: The aim of this review is to update and discuss the use of mechanical chest compression devices in treatment of cardiac arrest. RECENT FINDINGS: Three recently published large multicenter randomized trials have not been able to show any improved outcome in adult out-of-hospital cardiac arrest patients when compared with manual chest compressions. SUMMARY: Mechanical chest compression devices have been developed to better deliver uninterrupted chest compressions of good quality...
June 2016: Current Opinion in Critical Care
https://www.readbyqxmd.com/read/27045967/percutaneous-venoarterial-extracorporeal-membrane-oxygenation-for-refractory-cardiogenic-shock-is-associated-with-improved-short-and-long-term-survival
#15
Katarzyna Hryniewicz, Yader Sandoval, Michael Samara, Mosi Bennett, Barry Cabuay, Ivan J Chavez, Susan Seatter, Peter Eckman, Peter Zimbwa, Aaron Dunn, Benjamin Sun
Mortality due to refractory cardiogenic shock (RCS) exceeds 50%. Venoarterial extracorporeal membrane oxygenation (VA-ECMO) has become an accepted therapy for RCS. The aim of our study was to evaluate outcomes of patients with RCS treated with percutaneous VA-ECMO (pVA-ECMO). Retrospective review of patients supported with VA-ECMO at our institution in 2012-2013. Clinical characteristics, bleeding, vascular complications, and outcomes including survival were assessed. A total of 37 patients were supported with VA-ECMO for RCS...
July 2016: ASAIO Journal: a Peer-reviewed Journal of the American Society for Artificial Internal Organs
https://www.readbyqxmd.com/read/27021673/lucas-%C3%A2-2-in-danish-search-and-rescue-helicopters
#16
Kasper Winther, René Christian Bleeg
OBJECTIVE: Prehospital resuscitation is often challenging. Giving uninterrupted and effective compressions is relatively impossible during transportation. In 2012, The Royal Danish Air Force received a donation of 8 mechanical chest compression devices (LUCAS(™)2; Physio-Control/Jolife AB, Lund, Sweden) to be used onboard the Danish search and rescue (SAR) helicopters. The scope of this investigation was to establish whether or not mechanical chest compression devices should be considered a necessity onboard the Danish SAR helicopters...
March 2016: Air Medical Journal
https://www.readbyqxmd.com/read/27018547/hands-off-time-during-automated-chest-compression-device-application-in-out-of-hospital-cardiac-arrest-a-case-series-report
#17
Olga Maurin, Benoit Frattini, Daniel Jost, Noémie Galinou, Laure Alhanati, Pascal Dang Minh, Nicolas Genotelle, Guillaume Burlaton, Stanislas de Regloix, Michel Bignand, Jean Pierre Tourtier
INTRODUCTION: During out-of-hospital cardiac arrest (OHCA), chest compression interruptions or hands-off time (HOT) affect the prognosis. Our aim was to measure HOT due to the application of an automated chest compression device (ACD) by an advanced life support team. MATERIALS AND METHODS: This was a prospective observational case series report since the introduction of a new method of installing the ACD. Inclusion criteria were patients over 18 years old with OHCA who were treated with an ACD (Lucas 2(TM), Physio-Control)...
September 2016: Prehospital Emergency Care
https://www.readbyqxmd.com/read/26976675/mechanical-chest-compression-devices-at-in-hospital-cardiac-arrest-a-systematic-review-and-meta-analysis
#18
REVIEW
Keith Couper, Joyce Yeung, Thomas Nicholson, Tom Quinn, Ranjit Lall, Gavin D Perkins
AIM: To summarise the evidence in relation to the routine use of mechanical chest compression devices during resuscitation from in-hospital cardiac arrest. METHODS: We conducted a systematic review of studies which compared the effect of the use of a mechanical chest compression device with manual chest compressions in adults that sustained an in-hospital cardiac arrest. Critical outcomes were survival with good neurological outcome, survival at hospital discharge or 30-days, and short-term survival (ROSC/1-h survival)...
June 2016: Resuscitation
https://www.readbyqxmd.com/read/26875991/defibrillation-success-during-different-phases-of-the-mechanical-chest-compression-cycle
#19
Mikkel T Steinberg, Jan-Aage Olsen, Cathrine Brunborg, David Persse, Fritz Sterz, Michael Lozano, Mark Westfall, David T Travis, E Brooke Lerner, Lars Wik
INTRODUCTION: Animal studies indicate higher termination of VF/VT (TOF) rates after shocks delivered during the decompression phase of the compression cycle for manual and mechanical CPR. We investigated TOF for shocks delivered in different compression cycle phases during load distributing band (LDB) mechanical CPR in the CIRC trial. METHODS: Shocks were retrospectively categorized as delivered during the compression, decompression, or relaxation phase of LDB compressions using transthoracic impedance data...
June 2016: Resuscitation
https://www.readbyqxmd.com/read/26859469/-case-report-resuscitation-of-a-hypothermic-patient-nothing-s-like-it-seems
#20
Florian Manke, Thorsten Keil
We report about a prolonged resuscitation of a hypothermic patient (26.2°C) in stadium HT III of the Swiss Staging System (SSS). A mechanical chest compression with the Lund University Cardiac Assist System (LUCAS) and the rewarming with a haemodialysis device were implemented. After a resuscitation time of 200min and a body temperature of 32.1°C ventricular fibrillation occurred. After the defibrillation a return of spontaneous circulation (ROSC) was established. The patient achieved a very good cognitive-mnestic result after the resuscitation but he suffered a neurological deficit in the meaning of paraplegia...
January 2016: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
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