Ryan L Hoiland, Mypinder S Sekhon, Danilo Cardim, Michael D Wood, Peter Gooderham, Denise Foster, Donald E Griesdale
INTRODUCTION: Invasive monitoring of cerebral autoregulation using the pressure reactivity index (PRx) allows for the determination of optimal mean arterial pressure (MAPOPT ) in hypoxic ischaemic brain injury (HIBI) patients following cardiac arrest. However, the utility of non-invasive surrogates to determine MAPOPT has not been addressed. We aimed to determine the agreement between PRx-derived MAPOPT versus MAPOPT determined by the near-infrared spectroscopy (NIRS) based cerebral oximetry index (COx)...
March 27, 2020: Resuscitation
Giacomo Strapazzon, Peter Paal, Doug Brown, Hermann Brugger
No abstract text is available yet for this article.
March 27, 2020: Resuscitation
Mary Haggerty, Heidi Herrick, Anne Ades
No abstract text is available yet for this article.
March 27, 2020: Resuscitation
Sun Young Lee, Kyoung Jun Song, Sang Do Shin, Ki Jeong Hong
BACKGROUND: Although emergency medical service- (EMS-) witnessed out-of-hospital-cardiac arrest (OHCA) has a high survival rate and potential for prevention of progression to cardiac arrest, its characteristics and prodromal symptoms are not well known. The purpose of this study was to investigate the epidemiologic characteristics and outcome of EMS-witnessed OHCA by focusing on its prodromal symptoms. METHODS: Population-based observational study was conducted for resuscitation-attempted EMS-witnessed adult OHCAs between 2012 and 2017...
March 25, 2020: Resuscitation
Jun Xu, Xuezhong Yu, Lili Zhang, Yangyang Fu, Kui Jin, Lu Yin, Shanshan Yu, Danyu Liu
AIM: We aimed to investigate whether the ability of the volumetric capnography-derived parameter, the volume of CO2 eliminated per minute and per kg body weight (V'CO2  kg-1 ), in monitoring the quality of CPR and predicting the return of spontaneous circulation (ROSC) remains undisturbed by hyperventilation. METHODS: This randomised crossover study included 12 male domestic pigs. After 4 min of untreated ventricular fibrillation, mechanical CPR was administered...
March 24, 2020: Resuscitation
Michael G Millin, David Bogumil, Jennifer N Fishe, Rita V Burke
No abstract text is available yet for this article.
March 24, 2020: Resuscitation
Priscilla Zi Yin Ting, Andrew Fu Wah Ho, Xinyi Lin, Nur Shahidah, Audrey Blewer, Yih Yng Ng, Benjamin Sieu-Hon Leong, Han Nee Gan, Desmond Renhao Mao, Michael Yih Chong Chia, Si Oon Cheah, Marcus Eng Hock Ong
AIMS: Singapore is highly-urbanized, with>90% of the population living in high-rise apartments. She has implemented several city-wide interventions such as dispatcher-assisted CPR, community CPR training and smartphone activation of volunteers to increase bystander CPR (BCPR) rates for out-of-hospital cardiac arrest (OHCA). These may have different impact on residential and non-residential OHCA. We aimed to evaluate the characteristics, processes-of-care and outcome differences between residential and non-residential OHCA and study the differences in temporal trends of BCPR rates...
March 23, 2020: Resuscitation
Anna Thorén, Araz Rawshani, Johan Herlitz, Johan Engdahl, Thomas Kahan, Linnéa Gustafsson, Therese Djärv
BACKGROUND: ECG-monitoring is a strong predictor for 30-days survival after in-hospital cardiac arrest (IHCA). The aim of the study is to investigate factors influencing the effect of ECG-monitoring on 30-days survival after IHCA and elements of importance in everyday clinical practice regarding whether patients are ECG-monitored prior to IHCA. METHODS: In all, 19.225 adult IHCAs registered in the Swedish Registry for Cardiopulmonary Resuscitation (SRCR) were included...
March 21, 2020: Resuscitation
Luke P Dawson, Diem Dinh BAppSci, Stephen Duffy, Angela Brennan, David Clark, Christopher M Reid, David Blusztein, Dion Stub, Nick Andrianopoulos, Melanie Freeman, Ernesto Oqueli, Andrew E Ajani
AIM: Out-of-hospital cardiac arrest (OHCA) is frequently associated with ST-elevation myocardial infarction (STEMI) and has a high mortality. We aimed to identify differences in characteristics and very long-term outcomes for STEMI patients with and without OHCA managed with percutaneous coronary intervention (PCI). METHODS: We analysed data from 12,637 PCI patient procedures for STEMI in the multi-centre Melbourne Interventional Group registry between January 2005 and December 2018...
March 21, 2020: Resuscitation
Federico Semeraro, Lorenzo Gamberini, Marco Tartaglione, Fabio Mora, Oscar Dell'Arciprete, Fiorella Cordenons, Donatella Del Giudice, Cosimo Picoco, Giovanni Gordini
No abstract text is available yet for this article.
March 20, 2020: Resuscitation
Keita Shibahashi, Kazuhiro Sugiyama, Yusuke Kuwahara, Takuto Ishida, Atsushi Sakurai, Nobuya Kitamura, Takashi Tagami, Taka-Aki Nakada, Munekazu Takeda, Yuichi Hamabe
AIM: We compared the outcomes between patients who experienced out-of-hospital cardiac arrest at private residences and public locations to investigate whether patient and bystander characteristics can explain the poorer outcomes of out-of-hospital cardiac arrests at private residences. METHODS: Adult patients with intrinsic out-of-hospital cardiac arrest (n = 6,191, age ≥18 years) were selected from a prospectively collected Japanese database (January 2012 and March 2013)...
March 20, 2020: Resuscitation
Meng-Yu Wu, Yung-Jiun Chien, Chun-Yu Chang
No abstract text is available yet for this article.
March 20, 2020: Resuscitation
Gisela Lilja, Niklas Nielsen, Susann Ullén, Erik Blennow Nordstrom, Josef Dankiewicz, Hans Friberg, Katarina Heimburg, Janus Christian Jakobsen, Helena Levin, Clifton Callaway, Alain Cariou, Glenn M Eastwood, Raimund Helbok, Jan Hovdenes, Hans Kirkegaard, Christoph Leithner, Matt P G Morgan, Per Nordberg, Mauro Oddo, Paolo Pelosi, Christian Rylander, Manoj Saxena, Fabio Silvio Taccone, Michal Siranec, Matthew P Wise, Paul J Young, Tobias Cronberg
AIMS: The TTM2-trial is a multi-centre randomised clinical trial where targeted temperature management (TTM) at 33 °C will be compared with normothermia and early treatment of fever (≥37.8°C) after Out-of-Hospital Cardiac Arrest (OHCA). This paper presents the design and rationale of the TTM2-trial follow-up, where information on secondary and exploratory outcomes will be collected. We also present the explorative outcome analyses which will focus on neurocognitive function and societal participation in OHCA-survivors...
March 20, 2020: Resuscitation
Kosuke Kiyohara, Yusuke Katayama, Tetsuhisa Kitamura, Takeyuki Kiguchi, Tasuku Matsuyama, Kenichiro Ishida, Junya Sado, Tomoya Hirose, Sumito Hayashida, Chika Nishiyama, Taku Iwami, Takeshi Shimazu
BACKGROUND: Female out-of-hospital cardiac arrest (OHCA) patients have been reported to be less likely to receive cardiopulmonary resuscitation by bystanders compared with male patients in prehospital settings. However, no clinical studies have investigated gender disparities in the application of public-access automated external defibrillator (AED) pads among OHCA patients in public locations. METHODS: OHCA data from 2011 to 2018 were obtained from the OHCA registry in Osaka City, Japan and OHCAs that occurred in public locations were included...
March 18, 2020: Resuscitation
Holmgren Christina, Abdon Nils Johan, Bergfeldt Lennart, Edvardsson Nils, Herlitz Johan, Karlsson Thomas, Nyström Britta, Åstrand Bengt
BACKGROUND: There is a knowledge gap regarding aetiology of and potential for predicting out-of-hospital cardiac arrest (OHCA) among individuals who are healthy before the event. AIM: To describe causes of OHCA and the potential for predicting OHCA in apparently healthy patients. METHODS: Patients were recruited from the Swedish Register of Cardiopulmonary Resuscitation from November 2007 to January 2011. Inclusion criteria were: OHCA with attempted CPR but neither dispensed prescription medication nor hospital care two years before the event The register includes the majority of patients suffering OHCA in Sweden where cardiopulmonary resuscitation (CPR) was attempted...
March 18, 2020: Resuscitation
Joseph Hadaya, Vishal Dobaria, Esteban Aguayo, Oh Jin Kwon, Yas Sanaiha, Ashley Hyunh, Sohail Sareh, Peyman Benharash
INTRODUCTION: Extracorporeal life support (ECLS) has shown promise in the management of cardiac arrest. The purpose of this study was to examine temporal trends and predictors of ECLS utilization and survival to discharge among inpatients with cardiac arrest in the United States. METHODS: All patients admitted after out-of-hospital cardiac arrest (OHCA) and those who experienced in-hospital cardiac arrest (IHCA) from 2005 to 2014 were identified in the National Inpatient Sample...
March 16, 2020: Resuscitation
Brian Haskins, Karen Smith, Peter Cameron, Steve Bernard, Ziad Nehme, Jake Murphy-Smith, Matthew Metcalf, Rana Moussa, Douglas Harvey, Lauren Turnbull, Kylie Dyson
AIM: In this study, we investigate the impact of bystander relation and medical training on survival to hospital discharge in out-of-hospital cardiac arrest (OHCA) patients receiving bystander cardiopulmonary resuscitation (CPR). METHODS: A retrospective analysis was performed on non-traumatic OHCA patients receiving bystander CPR and Emergency Medical Service (EMS) attempted resuscitation from 2015 through 2017. Adjusted logistic regression was used to assess the association between related versus unrelated and layperson versus medically trained bystander CPR providers and survival to hospital discharge...
March 16, 2020: Resuscitation
Tae Jung Kim, Jae-Myoung Kim, Ji Sung Lee, Soo-Hyun Park, Hae-Bong Jeong, Jong-Kwan Choi, Kyuseok Kim, Hyeon-Min Bae, Sang-Bae Ko
BACKGROUND: The prognosis for cardiac arrest (CA) is associated with the degree of cerebral ischemia. We investigated the relationship between the wavelet coherence of cerebral oxyhemoglobin (HbO2 ) among different channels and outcomes after CA. Moreover, we aimed to develop a prognostication method after CA. METHODS: Eighty-three post-resuscitation patients were included. The HbO2 data were collected during the post-resuscitation period (median day, 1) using functional near-infrared spectroscopy...
March 16, 2020: Resuscitation
Yeon Joo Cho, Youn Jung Kim, Mu Yeol Kim, Yu Jung Shin, Jinmi Lee, Eunjoo Choi, Sang Bum Hong, Jin Won Huh, Won Seok Yang, Won Young Kim
AIM: The Good Outcome Following Attempted Resuscitation (GO-FAR) score is useful for identifying patients post-arrest with very poor neurologic outcomes and may thus be utilized when counseling family members on do-not-attempt-resuscitation (DNAR) order. We validated the GO-FAR score for neurologically intact survival in patients with in-hospital cardiac arrest (IHCA) in an East Asian country in which DNAR order not common. METHODS: Retrospective study about patients who experienced IHCA from 2013 to 2017 with a primary outcome of neurologically intact survival, defined as a CPC score 1 or 2 at discharge...
March 16, 2020: Resuscitation
Heidi M Herrick, Scott Lorch, Jesse Y Hsu, Kenneth Catchpole, Elizabeth E Foglia
AIM: Flow Disruptions (FDs) are deviations from the progression of care that compromise safety and efficiency of a specific process. The study aim was to identify the impact of FDs during neonatal resuscitation and determine their association with key process and outcome measures. METHODS: Prospective observational study of video recorded delivery room resuscitations of neonates <32 weeks gestational age. FDs were classified using an adaptation of Wiegmann's FD tool...
March 16, 2020: Resuscitation
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