journal
https://read.qxmd.com/read/36963560/impact-of-number-of-defibrillation-attempts-on-neurologically-favourable-survival-rate-in-patients-with-out-of-hospital-cardiac-arrest
#1
JOURNAL ARTICLE
Kazuya Tateishi, Yuichi Saito, Hideki Kitahara, Yuki Shiko, Yohei Kawasaki, Hiroshi Nonogi, Yoshio Tahara, Naohiro Yonemoto, Ken Nagao, Takanori Ikeda, Naoki Sato, Yoshio Kobayashi
AIM: of the study: Defibrillation plays a crucial role in early return of spontaneous circulation (ROSC) and survival of patients with out-of-hospital cardiac arrest (OHCA) and shockable rhythm. Prehospital adrenaline administration increases the probability of prehospital ROSC. However, little is known about the relationship between number of prehospital defibrillation attempts and neurologically favourable survival in patients treated with and without adrenaline. METHODS: Using a nationwide Japanese OHCA registry database from 2006 to 2020, 1,802,084 patients with OHCA were retrospectively analysed, among whom 81,056 with witnessed OHCA and initial shockable rhythm were included...
March 22, 2023: Resuscitation
https://read.qxmd.com/read/36958632/left-ventricular-unloading-in-extracorporeal-cardiopulmonary-resuscitation-due-to-acute-myocardial-infarction-a-multicenter-study
#2
JOURNAL ARTICLE
Tharusan Thevathasan, Megan A Kenny, Finn J Krause, Julia Paul, Thomas Wurster, Sebastian D Boie, Julian Friebel, Wulf Knie, Georg Girke, Arash Haghikia, Markus Reinthaler, Ursula Rauch-Kröhnert, David M Leistner, David Sinning, Georg Fröhlich, Bettina Heidecker, Frank Spillmann, Damaris Praeger, Burkert Pieske, Karl Stangl, Ulf Landmesser, Felix Balzer, Carsten Skurk
Background Guidelines advocate the use of extracorporeal cardio-pulmonary resuscitation with veno-arterial extracorporeal membrane oxygenation (VA-ECMO) in selected patients with cardiac arrest. Effects of concomitant left-ventricular (LV) unloading with Impella® (ECMELLA) remain unclear. This is the first study to investigate whether treatment with ECMELLA was associated with improved outcomes in patients with refractory cardiac arrest caused by acute myocardial infarction (AMI). Methods This study was approved by the local ethical committee...
March 21, 2023: Resuscitation
https://read.qxmd.com/read/36958631/all-you-need-is-love-two-hands-on-the-chest-a-spark-and-some-triiodothyronine
#3
EDITORIAL
Tomas Drabek, Francis Mencl
No abstract text is available yet for this article.
March 21, 2023: Resuscitation
https://read.qxmd.com/read/36958630/anti-seizure-medicine-treatment-of-post-anoxic-myoclonus
#4
EDITORIAL
Patrick J Coppler, Jonathan Elmer
No abstract text is available yet for this article.
March 21, 2023: Resuscitation
https://read.qxmd.com/read/36934835/global-prevalence-of-basic-life-support-training-a-systematic-review-and-meta-analysis
#5
REVIEW
Trina Priscilla Ng, Sean Wai-Onn Eng, Joel Xin Rui Ting, Chermaine Bok, Girvan Yang Hong Tay, So Yeon Joyce Kong, Willem Stassen, Lin Zhang, Marcus Eng Hock Ong, Audrey L Blewer, Jun Wei Yeo, Andrew Fu Wah Ho
BACKGROUND AND AIMS: Out-of-hospital cardiac arrest exerts a large disease burden, which may be mitigated by bystander cardiopulmonary resuscitation and automated external defibrillation. We aimed to estimate the global prevalence and distribution of bystander training among laypersons, which are poorly understood, and to identify their determinants. METHODS: We searched electronic databases for cross-sectional studies reporting the prevalence of bystander training from representative population samples...
March 17, 2023: Resuscitation
https://read.qxmd.com/read/36934834/did-lockdown-influence-bystanders-willingness-to-perform-cardiopulmonary-resuscitation-a-worldwide-registry-based-perspective
#6
JOURNAL ARTICLE
Ingvild B M Tjelmeland, Jan Wnent, Siobhan Masterson, Jo Kramer-Johansen, Marcus Eng Hock Ong, Karen Smith, Eirik Skogvoll, Rolf Lefering, Shir Lynn Lim, Nan Liu, Bridget Dicker, Andrew Swain, Stephen Ball, Jan-Thorsten Gräsner
AIM: Bystander cardiopulmonary resuscitation (CPR) significantly increases the survival rate after out-of-hospital cardiac arrest. Using population-based registries, we investigated the impact of lockdown due to Covid-19 on the provision of bystander CPR, taking background changes over time into consideration. METHODS: Using a registry network, we invited all registries capable of delivering data from 1. January 2017 to 31. December 2020 to participate in this study...
March 17, 2023: Resuscitation
https://read.qxmd.com/read/36933882/supraglottic-airway-devices-are-associated-with-asphyxial-physiology-after-prolonged-cpr-in-patients-with-refractory-out-of-hospital-cardiac-arrest-presenting-for-extracorporeal-cardiopulmonary-resuscitation
#7
JOURNAL ARTICLE
Jason A Bartos, Arianne Clare Agdamag, Rajat Kalra, Lindsay Nutting, R J Frascone, Aaron Burnett, Nik Vuljaj, Charles Lick, Peter Tanghe, Ryan Quinn, Nicholas Simpson, Bjorn Peterson, Kari Haley, Kevin Sipprell, Demetris Yannopoulos
BACKGROUND: Multiple randomized clinical trials have compared specific airway management strategies during ACLS with conflicting results. However, patients with refractory cardiac arrest died in almost all cases without the availability of extracorporeal cardiopulmonary resuscitation (ECPR). Our aim was to determine if endotracheal intubation (ETI) was associated with improved outcomes compared to supraglottic airways (SGA) in patients with refractory cardiac arrest presenting for ECPR...
March 16, 2023: Resuscitation
https://read.qxmd.com/read/36933881/long-term-function-quality-of-life-and-healthcare-utilization-among-survivors-of-pediatric-out-of-hospital-cardiac-arrest
#8
JOURNAL ARTICLE
Meredith R Hickson, Madeline Winters, Nina H Thomas, Monique M Gardner, Matthew P Kirschen, Vinay Nadkarni, Robert Berg, Beth S Slomine, Neethi P Pinto, Alexis Topjian
BACKGROUND: Survival following pediatric out-of-hospital cardiac arrest (OHCA) has improved over the past 2 decades but data on survivors' long-term outcomes are limited. We aimed to evaluate long-term outcomes in pediatric OHCA survivors more than one year after cardiac arrest. METHODS: OHCA survivors < 18 years old who received post-cardiac arrest care in the PICU at a single center between 2008 - 2018 were included. Parents of patients <18 years and patients ≥18 years at least one year after cardiac arrest completed a telephone interview...
March 16, 2023: Resuscitation
https://read.qxmd.com/read/36933880/the-effect-of-the-covid-19-pandemic-on-the-incidence-and-survival-outcomes-of-ems-witnessed-out-of-hospital-cardiac-arrest
#9
JOURNAL ARTICLE
Charlotte Kennedy, Zainab Alqudah, Dion Stub, David Anderson, Ziad Nehme
AIM: We sought to examine the impact of the COVID-19 pandemic on the incidence and survival outcomes of emergency medical service (EMS)-witnessed out-of-hospital cardiac arrest (OHCA) in Victoria, Australia. METHODS: We performed an interrupted time-series analysis of adult EMS-witnessed OHCA patients of medical aetiology. Patients treated during the COVID-19 period (1st March 2020 to 31st December 2021) were compared to a historical comparator period (1st January 2012 and 28th February 2020)...
March 16, 2023: Resuscitation
https://read.qxmd.com/read/36931455/prognostic-association-between-frailty-and-post-arrest-health-outcomes-in-patients-receiving-home-care-a-population-based-retrospective-cohort-study
#10
JOURNAL ARTICLE
Fabrice I Mowbray, Luke Turcotte, Ryan P Strum, Kerstin de Wit, Lauren E Griffith, Andrew Worster, Farid Foroutan, George Heckman, Paul Hebert, Connie Schumacher, Aaron Jones, Eric Mercier, Anastasia Gayowsky, Andrew P Costa
AIM: To evaluate the association between frailty and post-cardiac arrest survival, functional decline, and cognitive decline, among patients receiving home care METHODS: Frailty was measured using the Clinical Frailty Scale (CFS) and a valid frailty index. We used multivariable logistic regression to measure the association between frailty and post-arrest outcomes after adjusting for age, sex, and arrest setting. Functional independence and cognitive performance were measured using the interRAI ADL Long-Form and Cognitive Performance Scale, respectively...
March 15, 2023: Resuscitation
https://read.qxmd.com/read/36931454/our-17-year-record-against-an-ever-imposing-foe-outcomes-of-in-hospital-cardiac-arrests-during-st-elevation-myocardial-infarction
#11
EDITORIAL
Colby D Shanafelt, Michael S Lloyd
No abstract text is available yet for this article.
March 15, 2023: Resuscitation
https://read.qxmd.com/read/36931453/mechanical-ventilation-with-ten-versus-twenty-breaths-per-minute-during-cardio-pulmonary-resuscitation-for-out-of-hospital-cardiac-arrest-a-randomised-controlled-trial
#12
JOURNAL ARTICLE
Gerhard Prause, Philipp Zoidl, Michael Eichinger, Michael Eichlseder, Simon Orlob, Felix Ruhdorfer, Gabriel Honnef, Philipp G H Metnitz, Paul Zajic
AIM: of the Study: This study sought to assess the effects of increasing the ventilatory rate from 10 min-1 to 20 min-1 using a mechanical ventilator during cardio-pulmonary resuscitation (CPR) for out-of-hospital cardiac arrest (OHCA) on ventilation, acid-base-status, and outcomes. METHODS: This was a randomised, controlled, single-centre trial in adult patients receiving CPR including advanced airway management and mechanical ventilation offered by staff of a prehospital physician response unit (PRU)...
March 15, 2023: Resuscitation
https://read.qxmd.com/read/36924822/paucity-of-neuroprognostic-testing-after-cardiac-arrest-in-the-united-states
#13
JOURNAL ARTICLE
Jonathan Elmer, Alexis Steinberg, Clifton W Callaway
BACKGROUND: Withdrawal of life-sustaining therapies for perceived poor neurological prognosis is the most common cause of death for patients hospitalized after resuscitation from cardiac arrest. Accurate neuroprognostication is challenging and high stakes, so guidelines recommend multimodality testing. We quantified the frequency and timing with which guideline recommended diagnostics were acquired prior to in-hospital death after cardiac arrest. METHODS: We performed a retrospective cohort study using the Optum® deidentified Electronic Health Record dataset for 2010 to 2021...
March 14, 2023: Resuscitation
https://read.qxmd.com/read/36924821/impact-of-the-2015-european-guidelines-for-resuscitation-on-traumatic-cardiac-arrest-outcomes-and-prehospital-management-a-french-nationwide-interrupted-time-series-analysis
#14
JOURNAL ARTICLE
Axel Benhamed, Eric Mercier, Julie Freyssenge, Mathieu Heidet, Tobias Gauss, Valentine Canon, Clement Claustre, Karim Tazarourte
AIM: To evaluate the impact of the 2015 European Resuscitation Council (ERC) guidelines on patient outcomes following traumatic cardiac arrest (TCA) and on advanced life support interventions carried out by physician-staffed ambulances. METHODS: Data of TCA patients aged ≥18 years were extracted from the French nationwide cardiac arrest registry. A pre- (2011-2015) and a post-publication period (2016-2020) were defined. In the guidelines, a specific TCA management algorithm was introduced to prioritise the treatment of reversible causes...
March 14, 2023: Resuscitation
https://read.qxmd.com/read/36898602/association-between-the-extent-of-diffusion-restriction-on-brain-diffusion-weighted-imaging-and-neurological-outcomes-after-an-out-of-hospital-cardiac-arrest
#15
JOURNAL ARTICLE
Jong Yoon Park, Yong Hwan Kim, Seong Jun Ahn, Jun Ho Lee, Dong Woo Lee, Seong Youn Hwang, Yun Gyu Song
BACKGROUND: This study evaluated the association between the extent of diffusion restriction on brain diffusion-weighted imaging (DWI) and neurological outcomes in patients who underwent targeted temperature management (TTM) after an out-of-hospital cardiac arrest (OHCA). METHODS: Patients who underwent brain magnetic resonance imaging within 10 days of OHCA between 2012 and 2021 were analysed. The extent of diffusion restriction was described according to the modified DWI Alberta Stroke Program Early Computed Tomography Score (DWI-ASPECTS)...
March 8, 2023: Resuscitation
https://read.qxmd.com/read/36898601/ohca-epidemiology-in-the-era-of-the-omicron-variant-insights-from-shanghai
#16
EDITORIAL
Mohamud R Daya, Jonathan Jui
No abstract text is available yet for this article.
March 8, 2023: Resuscitation
https://read.qxmd.com/read/36894127/airway-to-pause-or-not-to-pause
#17
EDITORIAL
Drew Clare, Zack Funk
No abstract text is available yet for this article.
March 8, 2023: Resuscitation
https://read.qxmd.com/read/36871922/evaluating-current-guidelines-for-cardiopulmonary-resuscitation-using-an-integrated-computational-model-of-the-cardiopulmonary-system
#18
JOURNAL ARTICLE
Clara Daudre-Vignier, Declan G Bates, Timothy E Scott, Jonathan G Hardman, Marianna Laviola
OBJECTIVE: We aimed to use a high-fidelity computational model that captures key interactions between the cardiovascular and pulmonary systems to investigate whether current CPR protocols could potentially be improved. METHODS: We developed and validated the computational model against available human data. We used a global optimisation algorithm to find CPR protocol parameters that optimise the outputs associated with return of spontaneous circulation in a cohort of 10 virtual subjects...
March 3, 2023: Resuscitation
https://read.qxmd.com/read/36868553/three-year-trends-in-out-of-hospital-cardiac-arrest-across-the-world-second-report-from-the-international-liaison-committee-on-resuscitation-ilcor
#19
JOURNAL ARTICLE
Chika Nishiyama, Tekeyuki Kiguchi, Masashi Okubo, Hajriz Alihodžić, Rabab Al-Araji, Enrico Baldi, Frankie Beganton, Scott Booth, Janet Bray, Erika Christensen, Ruggero Cresta, Judith Finn, Jan-Thorsten Grasner, Xavier Jouven, Karl B Kern, Ian Maconochie, Siobhán Masterson, Bryan McNally, Jerry P Nolan, Marcus Eng Hock Ong, Gavin D Perkins, Jeong Ho Park, Patrick Ristau, Simone Savastano, Nur Shahidah, Sang Do Shin, Jasmeet Soar, Ingvild Tjelmeland, Martin O Quinn, Jan Wnent, Myra H Wyckoff, Taku Iwami
BACKGROUND: The International Liaison Committee on Resuscitation (ILCOR) Research and Registries Working Group previously reported data on systems of care and outcomes of out-of-hospital cardiac arrest (OHCA) in 2015 from 16 national and regional registries. To describe the temporal trends with updated data on OHCA, we report the characteristics of OHCA from 2015 through 2017. METHODS: We invited national and regional population-based OHCA registries for voluntary participation and included emergency medical services (EMS)-treated OHCA...
March 1, 2023: Resuscitation
https://read.qxmd.com/read/36842676/the-association-of-the-post-resuscitation-on-scene-interval-and-patient-outcomes-after-out-of-hospital-cardiac-arrest
#20
JOURNAL ARTICLE
Laiba Khan, Jacob Hutton, Justin Yap, Peter Dodek, Frank Scheuermeyer, Michael Asamoah-Boaheng, Matthieu Heidet, Nechelle Wall, Christopher B Fordyce, Sean van Diepen, Jim Christenson, Brian Grunau
BACKGROUND: After resuscitation from out-of-hospital cardiac arrest (OHCA) by Emergency Medical Services (EMS), the amount of time that should be dedicated to pre-transport stabilization is unclear. We examined whether the time spent on-scene after return of spontaneous circulation (ROSC) was associated with patient outcomes. METHODS: We examined consecutive adult EMS-treated OHCAs from the British Columbia Cardiac Arrest registry (January 1/2019-June 1/2021) that had on-scene ROSC (sustained to scene departure)...
February 25, 2023: Resuscitation
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