当前位置： SCI文献检索 > RESUSCITATION期刊下所有文献 > Use of an impedance threshold device improves short-term outcomes following out-of-hospital cardiac arrest.

Use of an impedance threshold device improves short-term outcomes following out-of-hospital cardiac arrest.

Abstract：

INTRODUCTION:An impedance threshold device (ITD) has been developed for the treatment of cardiac arrest to augment circulation to the heart and brain during cardiopulmonary resuscitation (CPR). The ITD has ventilation timing lights that flash at 12 min(-1) to discourage excessive ventilation rates. HYPOTHESIS:Implementation of the ITD during conventional manual CPR in a large emergency medical services (EMS) system (Staffordshire, UK) is safe, feasible and will improve short-term survival. METHODS:ITD use was implemented by the Staffordshire Ambulance Trust, which treats 1600 cardiac arrests per year with 90 advanced life support (ALS) units and an average response time of 6.3 min. During training, rescuers learned to use the ventilation timing lights to discourage hyperventilation. Rescuers applied the device after tracheal intubation. They were trained to allow the chest to recoil fully after each compression. Prospective ITD use in adults receiving conventional manual CPR for non-traumatic cardiac arrest was compared to matched historical controls receiving conventional manual CPR without inspiratory impedance. All received similar ALS care. The primary endpoint was admission to the emergency department (ED) alive following cardiac arrest. Chi-square, Fisher's exact and Kolmogorov-Smirnov tests were used for statistical analyses. RESULTS:Survival (alive upon ED admission) in all patients receiving an ITD (61/181 [34%]) improved by 50% compared to historical controls (180/808 [22%]) (P<0.01). Survival in patients presenting in asystole tripled in the group receiving an ITD (26/76 [34%]) compared with historical controls (39/351 [11%]) (P=0.001). There were no significant adverse events. CONCLUSIONS:The ITD was used safely and effectively in a large, diverse EMS system and markedly improved short-term survival for adult patients in non-traumatic cardiac arrest.

journal_name

Resuscitation

journal_title

Resuscitation

authors

Thayne RC,Thomas DC,Neville JD,Van Dellen A

doi

10.1016/j.resuscitation.2005.05.009

keywords:

subject

Has Abstract

pub_date

2005-10-01 00:00:00

pages

103-8

issue

1

eissn

0300-9572

issn

1873-1570

pii

S0300-9572(05)00205-4

journal_volume

67

pub_type

杂志文章

相关文献

RESUSCITATION文献大全
  • High rates of prasugrel and ticagrelor non-responder in patients treated with therapeutic hypothermia after cardiac arrest.

    abstract：INTRODUCTION:After cardiac arrest due to acute coronary syndromes (ACS) therapeutic hypothermia (HT) is the standard care to reduce neurologic damage. Additionally, the concomitant medical treatment with aspirin and a P2Y12 receptor inhibitor like clopidogrel (Cl), prasugrel (Pr) or ticagrelor (Ti) is mandatory. The pl...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2014.02.004

    authors： Ibrahim K,Christoph M,Schmeinck S,Schmieder K,Steiding K,Schoener L,Pfluecke C,Quick S,Mues C,Jellinghaus S,Wunderlich C,Strasser RH,Kolschmann S

    更新日期：2014-05-01 00:00:00

  • Therapeutic hypothermia is associated with improved neurologic outcome and survival in cardiac arrest survivors of non-shockable rhythms.

    abstract：BACKGROUND:Therapeutic hypothermia improves neurologic outcomes in patients resuscitated from cardiac arrest due to ventricular fibrillation. However, its role in patients with cardiac arrest due to non-shockable rhythms (pulseless electrical activity (PEA) and asystole) is unclear. We hypothesized that therapeutic hyp...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2011.08.005

    authors： Lundbye JB,Rai M,Ramu B,Hosseini-Khalili A,Li D,Slim HB,Bhavnani SP,Nair SU,Kluger J

    更新日期：2012-02-01 00:00:00

  • Virtual arterial blood pressure feedback improves chest compression quality during simulated resuscitation.

    abstract：INTRODUCTION:Quality chest compressions (CC) are the most important factor in successful cardiopulmonary resuscitation. Adjustment of CC based upon an invasive arterial blood pressure (ABP) display would be theoretically beneficial. Additionally, having one compressor present for longer than a 2-min cycle with an ABP d...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2013.06.014

    authors： Rieke H,Rieke M,Gado SK,Nietert PJ,Field LC,Clark CA,Furse CM,McEvoy MD

    更新日期：2013-11-01 00:00:00

  • Quality controlled manual chest compressions and cerebral oxygenation during in-hospital cardiac arrest.

    abstract：AIM:The quality of cardiopulmonary resuscitation (CPR) is associated with the rate of return of spontaneous circulation (ROSC) during human cardiac arrest. Current advances in defibrillator technology enable measurement of CPR quality during resuscitation, but it is not known whether this is directly reflected in cereb...

    journal_title：Resuscitation

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.resuscitation.2011.09.011

    authors： Kämäräinen A,Sainio M,Olkkola KT,Huhtala H,Tenhunen J,Hoppu S

    更新日期：2012-01-01 00:00:00

  • Effects of stomach inflation on haemodynamic and pulmonary function during cardiopulmonary resuscitation in pigs.

    abstract：AIM:Stomach inflation during cardiopulmonary resuscitation (CPR) is frequent, but the effect on haemodynamic and pulmonary function is unclear. The purpose of this study was to evaluate the effect of clinically realistic stomach inflation on haemodynamic and pulmonary function during CPR in a porcine model. METHODS:Af...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2008.12.001

    authors： Paal P,Neurauter A,Loedl M,Pehböck D,Herff H,von Goedecke A,Lindner KH,Wenzel V

    更新日期：2009-03-01 00:00:00

  • Evaluation of a defibrillator-basic cardiopulmonary resuscitation programme for non medical personnel.

    abstract：:To improve the outcome for out-of-hospital patients with ventricular fibrillation/pulseless ventricular tachycardia (VF/VT), the use of automated external defibrillators (AEDs) by first responders including non-medical personnel with a duty to respond to an emergency is recommended. A special CPR-AED course has been d...

    journal_title：Resuscitation

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1016/s0300-9572(02)00351-9

    authors： Wik L,Dorph E,Auestad B,Andreas Steen P

    更新日期：2003-02-01 00:00:00

  • Isolated profound cerebral cooling with a bi-carotid heat exchanger shunt in dogs.

    abstract：:Intracerebral temperatures of 15 degrees C have been achieved in 20 canine brains using a simple cannulation of the carotid arteries and interposition of a highly efficient heat exchanger. The appropriate changes in cardiovascular function and cerebral electrical activities have been documented. The extracorporeal sys...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/0300-9572(83)90008-4

    authors： White RJ,Locke GE,Albin MS

    更新日期：1983-02-01 00:00:00

  • Open-chest cardiac massage after closed-chest compression in a canine model: when to intervene.

    abstract：:Open-chest cardiac massage appears beneficial in improving hemodynamics during resuscitation efforts and in improving resuscitation success. The time between cardiac arrest and the initiation of open-chest cardiac massage is crucial. It would appear that if initiation of open chest cardiac massage is delayed for more ...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/0300-9572(87)90097-9

    authors： Kern KB,Sanders AB,Ewy GA

    更新日期：1987-03-01 00:00:00

  • L-selectin in health and disease.

    abstract：:This article reviews recent advances in the knowledge of the role of L-selectin, an adhesion molecule that is expressed on the surface of circulating leucocytes, in animal and human physiology and pathophysiology. After a brief discussion on nomenclature and structure, it progresses through the evidence for expression...

    journal_title：Resuscitation

    pub_type： 杂志文章,评审

    doi：10.1016/s0300-9572(01)00444-0

    authors： Rainer TH

    更新日期：2002-02-01 00:00:00

  • Comparison of the T-piece resuscitator with other neonatal manual ventilation devices: a qualitative review.

    abstract：AIM:To review the literature surrounding various aspects of T-piece resuscitator use, with particular emphasis on the evidence comparing the device to other manual ventilation devices in neonatal resuscitation. DATA SOURCES:The Medline, EMBASE, Cochrane databases were searched in April 2011. Ongoing trials were identi...

    journal_title：Resuscitation

    pub_type： 杂志文章,评审

    doi：10.1016/j.resuscitation.2011.12.020

    authors： Hawkes CP,Ryan CA,Dempsey EM

    更新日期：2012-07-01 00:00:00

  • Trends in the incidence and outcome of paediatric out-of-hospital cardiac arrest: A 17-year observational study.

    abstract：BACKGROUND:System-based improvements to the chain of survival have yielded increases in survival from out-of-hospital cardiac arrest (OHCA) in adults. Comparatively little is known about the long-term trends in incidence and survival following paediatric OHCA. METHODS:Between 2000 and 2016, we included children aged ≤...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2018.04.030

    authors： Nehme Z,Namachivayam S,Forrest A,Butt W,Bernard S,Smith K

    更新日期：2018-07-01 00:00:00

  • Rescue percutaneous coronary intervention during cardiopulmonary resuscitation.

    abstract：:If sudden cardiac arrest occurs during cardiac catheterization, the underlying coronary condition may be defined immediately by coronary angiography. This may, in turn, allow a lifesaving attempt of percutaneous coronary intervention (PCI). We report on two patients with critical proximal disease of the left coronary ...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2003.12.020

    authors： Azman KJ,Gorjup V,Noc M

    更新日期：2004-05-01 00:00:00

  • Establishment and results of an EMT-D program in a two-tiered physician-escorted rescue system. The experience in Berlin, Germany.

    abstract：:Early defibrillation by emergency medical technicians or even less qualified personnel has been shown to improve survival rates for out-of-hospital cardiac arrest caused by ventricular fibrillation. It has been questioned whether these favourable results can be applied within the context of physician-attended emergenc...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/0300-9572(93)90161-i

    authors： Arntz HR,Oeff M,Willich SN,Storch WH,Schröder R

    更新日期：1993-08-01 00:00:00

  • Documentation discrepancies of time-dependent critical events in out of hospital cardiac arrest.

    abstract：OBJECTIVES:The timing of and interval between events in prehospital care is important for system design, patient outcome, and prehospital research. Since these data can guide treatment recommendations, it is imperative that time-based prehospital documentation is accurate and precise, especially for time-sensitive cond...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2014.05.002

    authors： Frisch A,Reynolds JC,Condle J,Gruen D,Callaway CW

    更新日期：2014-08-01 00:00:00

  • The effects of calcium and sodium bicarbonate on severe hyperkalaemia during cardiopulmonary resuscitation: A retrospective cohort study of adult in-hospital cardiac arrest.

    abstract：AIM:Calcium and sodium bicarbonate (SB) are frequently used in treating patients with severe hyperkalaemia. We evaluated the efficacy of these medications for the treatment of severe hyperkalaemia during cardiopulmonary resuscitation (CPR). We also hypothesised that the effects of these medications might be associated ...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2015.09.384

    authors： Wang CH,Huang CH,Chang WT,Tsai MS,Yu PH,Wu YW,Hung KY,Chen WJ

    更新日期：2016-01-01 00:00:00

  • The impact of chest compression rates on quality of chest compressions - a manikin study.

    abstract：PURPOSE:Chest compressions are often performed at a variable rate during cardiopulmonary resuscitation (CPR). The effect of compression rate on other chest compression quality variables (compression depth, duty-cycle, leaning, performance decay over time) is unknown. This randomised controlled cross-over manikin study ...

    journal_title：Resuscitation

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.resuscitation.2011.07.012

    authors： Field RA,Soar J,Davies RP,Akhtar N,Perkins GD

    更新日期：2012-03-01 00:00:00

  • Trends in treated ventricular fibrillation in out-of-hospital cardiac arrest: ischemic compared to non-ischemic heart disease.

    abstract：BACKGROUND:The incidence of ventricular fibrillation (VF) out-of-hospital cardiac arrest (OHCA) treated by first responders has declined over the past decade. Since VF OHCA occurs primarily in the setting of severe coronary artery disease, primary and secondary prevention strategies may in part account for the decline....

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2005.04.015

    authors： Bunch TJ,White RD

    更新日期：2005-10-01 00:00:00

  • The changes of brain water diffusion and blood flow on diffusion-weighted and perfusion-weighted imaging in a canine model of cardiac arrest.

    abstract：OBJECTIVE:To study the changes of brain water diffusion and cerebral haemodynamics of cortical areas using magnetic resonance imaging (MRI) in canine models of cardiac arrest (CA) and restoration of spontaneous circulation (ROSC). The secondary study objective was to evaluate whether MRI can be used to observe haemodyn...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2011.10.017

    authors： Liu R,Li X,Hu CL,Jiang L,Dai G,Wu GF,Huang GQ,Wei HY,Liao XX

    更新日期：2012-05-01 00:00:00

  • CPR quality during out-of-hospital cardiac arrest transport.

    abstract：BACKGROUND:Previous studies have demonstrated significant associations between cardiopulmonary resuscitation (CPR) quality metrics and survival to hospital discharge. No adequately powered study has explored the relationship between location of resuscitation (scene vs. transport) and CPR quality. METHODS:We analyzed C...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2017.02.016

    authors： Cheskes S,Byers A,Zhan C,Verbeek PR,Ko D,Drennan IR,Buick JE,Brooks SC,Lin S,Taher A,Morrison LJ,Rescu Epistry Investigators.

    更新日期：2017-05-01 00:00:00

  • Post resuscitation care: what are the therapeutic alternatives and what do we know?

    abstract：:A large proportion of deaths in the Western World are caused by ischaemic heart disease. Among these patients a majority die outside hospital due to sudden cardiac death. The prognosis among these patients is in general, poor. However, a significant proportion are admitted to a hospital ward alive. The proportion of p...

    journal_title：Resuscitation

    pub_type： 杂志文章,评审

    doi：10.1016/j.resuscitation.2005.08.006

    authors： Herlitz J,Castren M,Friberg H,Nolan J,Skrifvars M,Sunde K,Steen PA

    更新日期：2006-04-01 00:00:00

  • The impact of compliant surfaces on in-hospital chest compressions: effects of common mattresses and a backboard.

    abstract：PURPOSE:To evaluate, in a hospital setting, the influence of different, common mattresses, with and without a backboard, on chest movement during CPR. DESIGN AND SETTING:Sixty CPR sessions (140s each, 30:2, C:R ratio 1:1) were performed using a manikin on standard hospital mattresses, with or without a backboard in co...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2009.03.023

    authors： Noordergraaf GJ,Paulussen IW,Venema A,van Berkom PF,Woerlee PH,Scheffer GJ,Noordergraaf A

    更新日期：2009-05-01 00:00:00

  • Continuous intravenous infusion of elastase in normal and agranulocytic minipigs--effects on the lungs and the blood coagulation system.

    abstract：:In order to investigate the acute effects on lung morphology, lung function, hemodynamic and blood coagulation system, elastase (330 units (U) kg-1 h-1) was continuously infused into 16 anesthetized and mechanically ventilated minipigs. Elastase infusion induced a disturbance of blood coagulation leading to hypocoagul...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/0300-9572(86)90007-9

    authors： Stokke T,Burchardi H,Hensel I,Köstering H,Käthner T,Rahlf G

    更新日期：1986-09-01 00:00:00

  • The cardiac arrest survival score: A predictive algorithm for in-hospital mortality after out-of-hospital cardiac arrest.

    abstract：BACKGROUND:Out-of-hospital cardiac arrest (OHCA) is associated with high mortality. Current methods for predicting mortality post-arrest require data unavailable at the time of initial medical contact. We created and validated a risk prediction model for patients experiencing OHCA who achieved return of spontaneous cir...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2019.09.009

    authors： Balan P,Hsi B,Thangam M,Zhao Y,Monlezun D,Arain S,Charitakis K,Dhoble A,Johnson N,Anderson HV,Persse D,Warner M,Ostermayer D,Prater S,Wang H,Doshi P

    更新日期：2019-11-01 00:00:00

  • Intravenous fat emulsion to reverse haemodynamic instability from intentional amitriptyline overdose.

    abstract：:We report the first case of amitriptyline toxicity treated with intravenous fat emulsion (IFE). Toxicity was manifested as vasopressor-refractory haemodynamic instability despite standard therapy. Our patient recovered with no adverse effects noted. ...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2010.04.009

    authors： Engels PT,Davidow JS

    更新日期：2010-08-01 00:00:00

  • Simulation in resuscitation training.

    abstract：:The quality of education, CPR guidelines and the chain of survival all contribute to patient outcome following cardiac arrest. Increasing concerns about patient safety have focused attention on the methods used to train and prepare doctors for clinical practice. Reductions in clinical exposure at both undergraduate an...

    journal_title：Resuscitation

    pub_type： 杂志文章,评审

    doi：10.1016/j.resuscitation.2007.01.005

    authors： Perkins GD

    更新日期：2007-05-01 00:00:00

  • The performance of the National Early Warning Score and National Early Warning Score 2 in hospitalised patients infected by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).

    abstract：INTRODUCTION:Since the introduction of the UK's National Early Warning Score (NEWS) and its modification, NEWS2, coronavirus disease 2019 (COVID-19), has caused a worldwide pandemic. NEWS and NEWS2 have good predictive abilities in patients with other infections and sepsis, however there is little evidence of their per...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2020.10.039

    authors： Kostakis I,Smith GB,Prytherch D,Meredith P,Price C,Chauhan A,Portsmouth Academic ConsortIum For Investigating COVID-19 (PACIFIC-19).

    更新日期：2020-11-08 00:00:00

  • Cardiopulmonary resuscitation: errors made by pre-hospital emergency medical personnel.

    abstract：:The purpose of the current study was to evaluate the CPR techniques of emergency healthcare professionals (emergency medical technicians, firemen, emergency first responders, CPR instructors). Skills were evaluated using a Laerdal Skillmeter Manikin, which provided a computerized printout of the quantifiable data duri...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/s0300-9572(99)00082-9

    authors： Liberman M,Lavoie A,Mulder D,Sampalis J

    更新日期：1999-09-01 00:00:00

  • Intraaortic balloon occlusion during refractory cardiac arrest. A case report.

    abstract：:Despite recent advances in its management, the outcome from cardiac arrest is often poor despite appropriate cardiopulmonary resuscitation (CPR). The coronary perfusion pressure (CPP) achieved during CPR is associated with successful return of spontaneous circulation (ROSC). Continuous balloon occlusion of the descend...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2008.10.017

    authors： Aslanger E,Golcuk E,Oflaz H,Yilmaz A,Mercanoglu F,Bugra Z,Umman B,Nisanci Y

    更新日期：2009-02-01 00:00:00

  • The use of cholinesterase in severe head injury.

    abstract：:White rats were subjected experimentally to head injury, and also observations were made on them and on 12 patients with head injuries. It was found that injection of cholinesterase brought back to normal function the endogenous cholinesterase system, the adrenal cortex and the properdine--albumin complex system. Stab...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/0300-9572(75)90075-1

    authors： Bogdanovitch UJ,Bazarevitch GJ,Kirillov AL

    更新日期：1975-01-01 00:00:00

  • Myocardial perfusion pressure: a predictor of 24-hour survival during prolonged cardiac arrest in dogs.

    abstract：:Myocardial perfusion pressure, defined as the aortic diastolic pressure minus the right atrial diastolic pressure, correlates with coronary blood flow during cardiopulmonary resuscitation (CPR) and predicts initial resuscitation success. Whether this hemodynamic parameter can predict 24-h survival is not known. We exa...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/0300-9572(88)90111-6

    authors： Kern KB,Ewy GA,Voorhees WD,Babbs CF,Tacker WA

    更新日期：1988-10-01 00:00:00