OBJECTIVES The management of cardiac arrest after cardiac surgery differs from the management of cardiac arrest under other circumstances. In other studies, interposed abdominal compression-cardiopulmonary resuscitation (IAC-CPR) resulted in a better outcome compared with conventional CPR. The aim of the present study was to determine the feasibility, safety and efficacy of IAC-CPR compared wit...

INTRODUCTION The probability to achieve a return of spontaneous circulation (ROSC) after cardiac arrest can be improved by optimizing circulation during cardiopulomonary resuscitation using a percutaneous left ventricular assist device (iCPR). Inhaled nitric oxide may facilitate transpulmonary blood flow during iCPR and may therefore improve organ perfusion and outcome. METHODS Ventricular fi...

Introduction Prehospital care affects outcomes after out-of-hospital cardiac arrest (OHCA). The aim of the study is to analyze age-related differences in prehospital and survival OHCA define variables affecting efficacy cardiopulmonary resuscitation (CPR). Material methods We performed analysis patient characteristics influencing CPR four age groups: < 65, 65–74, 75–84, ≥ 85. This retrospect...

Introduction: Sudden cardiac arrest (SCA) remains a major healthcare issue worldwide with gloomy outcomes due to poor perfusion of cardiopulmonary resuscitation (CPR), deemed unsuitable for hemostatic conditions, cardiotorsal anatomy, electrophysiology, and thoracic biomechanics. Alternatively, we propose new management, implementing rational exploitation the stagnant blood masses: manually nov...

INTRODUCTION Reliable, non-invasive detection of return of spontaneous circulation (ROSC) with minimal interruptions to chest compressions would be valuable for high-quality cardiopulmonary resuscitation (CPR). We investigated the potential of photoplethysmography (PPG) to detect the presence of a spontaneous pulse during automated CPR in an animal study. METHODS Twelve anesthetized pigs were...

OBJECTIVE To evaluate the effectiveness, the safety, and the practicability of the new automated load-distributing band resuscitation device AutoPulse in out-of-hospital cardiac arrest in the midsized urban emergency service of Bonn city. STUDY DESIGN Prospective, observational study. METHODS Measurements of effectiveness were the proportion of patients with a return of spontaneous circulat...

OBJECTIVE In the present study, we aimed to define the factors contributing to patient survival after treatment by cardiopulmonary resuscitation (CPR) following cardiac arrest. MATERIAL AND METHOD Retrospective analysis was performed on cardiac arrest patients (n=138) who had CPR in the emergency department (ED) at Thammasat University hospital from 2007-2009. Logistic regression was used to ...

OBJECTIVE International Liaison Committee on Resuscitation guidelines advocate an arterial saturation of 94% to 96% after return of spontaneous circulation (ROSC). However, a few clinical trials have investigated the impact of postresuscitative O2 therapy after cardiac arrest. We studied whether early hyperoxemia is associated with a poor post-ROSC outcome after in-hospital cardiac arrest. ME...

Emulsified isoflurane (EIso), when introduced following cardiopulmonary resuscitation (CPR), significantly improves survival and neurological outcomes in a rat model of cardiac arrest (CA). The present study aimed to examine whether EIso combined with therapeutic hypothermia (TH) confers an additive neuroprotective effect. Adult male Sprague-Dawley rats that were subjected to return of spontane...

Objective:Pulseless Electrical Activity (PEA) is an increasingly frequent cardiac rhythm in the arrested patient. We determined to establish an intact animal model of asphyxial PEA of variable duration that may be utilized for evaluation of agents of potential benefit in this scenario. Method:Instrumented adult New Zealand White rabbits underwent induction of hypoxic PEA via tracheal cross-clam...