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"Cardiopulmonary Resuscitation" OR "CPR"

Elias Wagner, Georg Marckmann, Ralf J Jox
AIMS: In the case of acute brain injury, decision-making uncertainties can arise when both an advance decision to refuse treatment and a prior consent to post-mortem organ donation are present. It is yet unknown how the persons concerned view this potential conflict. The present study aims to investigate how frequent this situation is, whether the persons concerned are aware of the potential conflict and what they would prioritize. METHODS: Semi-quantitative cross-sectional survey of senior citizens of a metropolitan region in Germany using a literature-based questionnaire...
February 18, 2019: Das Gesundheitswesen
Christopher Plata, Miriam Stolz, Tobias Warnecke, Susanne Steinhauser, Jochen Hinkelbein, Wolfgang A Wetsch, Bernd W Böttiger, Oliver Spelten
Using a smartphone application (PocketCPR) to determine cardiopulmonary resuscitation quality in a bystander CPR scenario - a manikin trial Plata C, Stolz M, Warnecke T, Steinhauser S, Hinkelbein J, Wetsch WA, Böttiger BW, Spelten O. PURPOSE OF THE STUDY: Feedback devices and dispatcher assistance increase CPR quality in bystander resuscitation. Yet, there is no data comparing both approaches with uninstructed CPR. The present prospective, randomized, controlled, manikin trial aims to determine the effects of the use of a smartphone application (PocketCPR) on CPR quality in a bystander CPR scenario compared to dispatcher-assisted telephone CPR and uninstructed CPR...
February 15, 2019: Resuscitation
James Fair, Michael P Mallin, Aaron Adler, Patrick Ockerse, Jacob Steenblick, Joseph Tonna, Scott T Youngquist
STUDY OBJECTIVE: Point-of-care ultrasonography provides diagnostic information in addition to visual pulse checks during cardiopulmonary resuscitation (CPR). The most commonly used modality, transthoracic echocardiography, has unfortunately been repeatedly associated with prolonged pauses in chest compressions, which correlate with worsened neurologic outcomes. Unlike transthoracic echocardiography, transesophageal echocardiography does not require cessation of compressions for adequate imaging and provides the diagnostic benefit of point-of-care ultrasonography...
February 14, 2019: Annals of Emergency Medicine
Benedict Kjaergaard, Jens Hedegaard Kristensen, Jesper Eske Sindby, Susanne de Neergaard, Bodil Steen Rasmussen
INTRODUCTION: In massive pulmonary embolism (PE) with circulatory collapse or with cardiac arrest, treatment can be difficult. Often, the diagnosis is unclear, and the time to treatment is crucial. Our institution has had an out-of-hospital team intended for the treatment of accidental hypothermia with extra corporeal membrane oxygenation (ECMO) since 2004. The team has occasionally been involved in patients suffering massive PE. METHODS: We were called to 38 patients with PE, but two were assessed as untreatable...
February 17, 2019: Perfusion
Paul E Pepe, Kenneth A Scheppke, Peter M Antevy, Remle P Crowe, Daniel Millstone, Charles Coyle, Craig Prusansky, Sebastian Garay, Richard Ellis, Raymond L Fowler, Johanna C Moore
OBJECTIVES: Combined with devices that enhance venous return out of the brain and into the thorax, preclinical outcomes are improved significantly using a synergistic bundled approach involving mild elevation of the head and chest during cardiopulmonary resuscitation. The objective here was to confirm clinical safety/feasibility of this bundled approach including use of mechanical cardiopulmonary resuscitation provided at a head-up angle. DESIGN: Quarterly tracking of the frequency of successful resuscitation before, during, and after the clinical introduction of a bundled head-up/torso-up cardiopulmonary resuscitation strategy...
March 2019: Critical Care Medicine
Shu-Jian Wei, Fang-Yun Luan, Da-Yu He, Feng Xu, Yu-Guo Chen
RATIONALE: Primary percutaneous coronary intervention (PPCI) is the most effective therapy for patients with an acute ST-segment elevation myocardial infarction (STEMI). However, up to half of STEMI patients suffer from coronary microvascular dysfunction, presenting as the slow flow or no-reflow phenomenon. PATIENTS CONCERNS: A 78-year-old man was admitted to the chest pain center with sudden chest pain and tightness for about an hour. DIAGNOSES: Electrocardiography demonstrated ST-segment elevation in leads II, III, aVF, and third-degree atrioventricular block...
February 2019: Medicine (Baltimore)
Mehmet Akif Yazar, Mehmet Barış Açıkgöz, Adnan Bayram
Background/aim: Some of the patients suffering from cardiac arrest (CA) remain in a chronic unconscious state in intensive care units (ICUs). The primary aim of this study was to evaluate the efficacy of chest compression (CC) on cerebral oxygenation during cardiopulmonary resuscitation (CPR). As a secondary goal, we attempted to determine the effects of regional cerebral oxygen saturation (rSO2) values on consciousness and the survival rate using the Full Outline of Unresponsiveness (FOUR) scoring method...
February 11, 2019: Turkish Journal of Medical Sciences
Said Suleiman, Sergej Klassen, Ira Katz, Galina Balakirski, Julia Krabbe, Saskia von Stillfried, Svetlana Kintsler, Till Braunschweig, Aaron Babendreyer, Jan Spillner, Sebastian Kalverkamp, Thomas Schröder, Manfred Moeller, Mark Coburn, Stefan Uhlig, Christian Martin, Annette D Rieg
Argon exerts neuroprotection. Thus, it might improve patients' neurological outcome after cerebral disorders or cardiopulmonary resuscitation. However, limited data are available concerning its effect on pulmonary vessel and airways. We used rat isolated perfused lungs (IPL) and precision-cut lung slices (PCLS) of rats and humans to assess this topic. IPL: Airway and perfusion parameters, oedema formation and the pulmonary capillary pressure (Pcap ) were measured and the precapillary and postcapillary resistance (Rpost ) was calculated...
February 13, 2019: Scientific Reports
Urs Pietsch, Giacomo Strapazzon, Dimitri Ambühl, Volker Lischke, Simon Rauch, Jürgen Knapp
BACKGROUND: Human external cargo (HEC) extrication during helicopter rescue missions is commonly used in mountain emergency medical services. Furthermore, longline or winch operations offer the opportunity to deliver professional medical care onsite. As the safety and quality of emergency medical care depends on training and experience, we aimed to investigate characteristics of mountain rescue missions with HEC. METHODS: We retrospectively reviewed all rescue missions conducted by Air Zermatt (a commercial rescue service in the high-alpine region of Switzerland) from January 2010 to September 2016...
February 13, 2019: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
JinShil Kim, Minjeong An, Seongkum Heo, Mi-Seung Shin
Background/Aims: Advance directives (ADs) in Korean patients with heart failure (HF) and the associations of attitude towards ADs and HF prognosis with ADs were initially assessed using the model of the Korean-Advance Directive (K-AD). Methods: Twenty-four patients with HF (age, 67.1 years; men, 58.3%; ejection fraction, 35.9%) participated. A pilot test to evaluate the feasibility of ADs and the possible associations of attitudes towards ADs and prognosis with end-of-life treatment preferences among patients with HF was conducted...
February 15, 2019: Korean Journal of Internal Medicine
Kuan-Yu Chen, Ying-Chih Ko, Ming-Ju Hsieh, Wen-Chu Chiang, Matthew Huei-Ming Ma
BACKGROUND: Performing high-quality bystander cardiopulmonary resuscitation (CPR) improves the clinical outcomes of victims with sudden cardiac arrest. Thus far, no systematic review has been performed to identify interventions associated with improved bystander CPR quality. METHODS: We searched Ovid MEDLINE, Ovid EMBASE, EBSCO CINAHL, Ovid PsycInfo, Thomson Reuters SCI-EXPANDED, and the Cochrane Central Register of Controlled Trials to retrieve studies published from 1 January 1966 to 5 October 2018 associated with interventions that could improve the quality of bystander CPR...
2019: PloS One
Violeta González-Salvado, Cristian Abelairas-Gómez, Carlos Peña-Gil, Carmen Neiro-Rey, Roberto Barcala-Furelos, José Ramón González-Juanatey, Antonio Rodríguez-Núñez
The aim of this study was to examine the effectiveness of a novel cardiopulmonary resuscitation (CPR) training method embedded in a cardiac rehabilitation program at enhancing patients' CPR and defibrillation skills. One hundred and fourteen participants with coronary heart disease enrolled on an exercise-based cardiac rehabilitation program were included. Two groups were randomly allocated to different training programs: CPR-retraining based on hands-on rolling refreshers during the 2-month program (G-CPR, n = 53) versus standard one-time training (G-Stan, n = 61)...
February 11, 2019: Health Education Research
Reyhaneh Nosrati, Steve Lin, Rohit Mohindra, Andrew Ramadeen, Vladislav Toronov, Paul Dorian
OBJECTIVES: Epinephrine is routinely administered to sudden cardiac arrest patients during resuscitation, but the neurologic effects on patients treated with epinephrine are not well understood. This study aims to assess the cerebral oxygenation and metabolism during ventricular fibrillation cardiac arrest, cardiopulmonary resuscitation, and epinephrine administration. DESIGN: To investigate the effects of equal dosages of IV epinephrine administrated following sudden cardiac arrest as a continuous infusion or successive boluses during cardiopulmonary resuscitation, we monitored cerebral oxygenation and metabolism using hyperspectral near-infrared spectroscopy...
February 8, 2019: Critical Care Medicine
Melania M Bembea, Derek K Ng, Nicole Rizkalla, Peter Rycus, Javier J Lasa, Heidi Dalton, Alexis A Topjian, Ravi R Thiagarajan, Vinay M Nadkarni, Elizabeth A Hunt
OBJECTIVES: The aim of this study was to determine cardiac arrest- and extracorporeal membrane oxygenation-related risk factors associated with unfavorable outcomes after extracorporeal cardiopulmonary resuscitation. DESIGN: We performed an analysis of merged data from the Extracorporeal Life Support Organization and the American Heart Association Get With the Guidelines-Resuscitation registries. SETTING: A total of 32 hospitals reporting to both registries between 2000 and 2014...
February 8, 2019: Critical Care Medicine
(no author information available yet)
No abstract text is available yet for this article.
February 2, 2019: British Journal of Hospital Medicine
Chien-Ho Lee, Tzu-Hsien Tsai, Cheng-Jui Lin, Shu-Kai Hsueh, Wen-Jung Chung, Cheng-I Cheng
OBJECTIVE: This study investigated the efficacy and safety of ticagrelor compared with clopidogrel in patients with end-stage renal disease (ESRD) and acute myocardial infarction (AMI). METHODS: We retrospectively enrolled patients who had received regular dialysis and had undergone percutaneous coronary intervention (PCI) for AMI at our hospital between January 2013 and December 2016. Outcomes analyzed included cardiovascular death, death from any cause, MI, stroke, and bleeding events...
February 12, 2019: American Journal of Cardiovascular Drugs: Drugs, Devices, and Other Interventions
Verónica Tíscar-González, Joan Blanco-Blanco, Montserrat Gea-Sánchez, Ascensión Rodriguez Molinuevo, Teresa Moreno-Casbas
Background: Nurses are often the first to activate the chain of survival when a cardiorespiratory arrest happens. That is why it is crucial that they keep their knowledge and skills up-to-date and their attitudes to resuscitation are very important. The main aim of this study was to analyse whether the level of theoretical and practical understanding affected the attitudes of nursing staff. Methods: A questionnaire was designed using the Delphi technique (three rounds)...
2019: PeerJ
Hamed Tavan, Ali Sahebi, Mohamad Golitaleb
No abstract text is available yet for this article.
July 2018: Journal of Tehran Heart Center
Javed Ahmed, Hari Balasubramanian, Vaseem Ansari, N S Kabra
BACKGROUND: Vascular air embolism (VAE) is rare but potentially lethal condition, and survival is rarely reported in newborn. CHARACTERISTICS: A preterm (27+1 weeks) neonate on Continuous positive airway pressure developed sudden cardiac asystole on day 3 of life and required 30 minutes of cardiopulmonary resuscitation. OBSERVATION: Infant had air embolism in liver and brain. He survived but developed cystic encephalomalcia requiring extensive neuro-rehabilitation...
December 15, 2018: Indian Pediatrics
Metzger Kerstin, Gamp Martina, Tondorf Theresa, Hochstrasser Seraina, Becker Christoph, Luescher Tanja, Rasiah Roshaani, Boerlin Aurelio, Tisljar Kai, Emsden Christian, Sutter Raoul, Schaefert Rainer, Meinlschmidt Gunther, Marsch Stephan, Hunziker Sabina
PURPOSE: Relatives of patients admitted to the intensive care unit (ICU) with out-of-hospital cardiac arrest (OHCA) may suffer from adverse psychological outcomes. We assessed prevalence and risk factors for depression and anxiety in such relatives 90 days after ICU admission. MATERIALS AND METHODS: This study included consecutive relatives of OHCA patients admitted to the ICU of University Hospital in Basel, Switzerland. Relatives were interviewed upon admission regarding psychosocial risk factors and satisfaction with communication...
January 28, 2019: Journal of Critical Care
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