Abstract：
AIM:Emergency cardiopulmonary bypass (E-CPB) is an advanced and rarely used procedure for patients in cardiac arrest that do not regain restoration of spontaneous circulation with standard resuscitation methods. The feasibility, safety and outcome of the intervention with E-CPB in cardiac arrest situations at our department have been evaluated. METHODS:Clinical presentation, time intervals, diagnosis and outcome of all patients who received E-CPB at an emergency department of a tertiary care university hospital were evaluated. Patient charts were reviewed regarding cardiac arrest variables and treatment data of all patients from 1993 to 2010. RESULTS:E-CPB was performed in 55 patients. Of all patients, 33 (60%) were male and the median age was 32 years (IQR 24-44). In all cases cardiac arrest was witnessed. The first recorded ECG rhythm showed pulseless electric activity in 23 (42%), ventricular fibrillation in 21 (38%) and asystole in 11 (20%) patients. Cardiac arrest occurred out-of-hospital in 33 (60%) patients. The median duration of CPR before performing E-CPB was 86 min (IQR 69-121). The median 'cannulation'-time was 33 min (IQR 21-45) and the duration on bypass was 311 min (IQR 161-953). Cardiac causes of arrest were found in 19 (35%) patients. Eight patients (15%) survived to 6 months with good neurological outcome. CONCLUSION:E-CPB for cardiac arrest is feasible and safe. In this seemingly desperate patient population after prolonged cardiac arrest, we observed a high survival rate of 15%. E-CPB is a meaningful treatment option, which should be considered more often and earlier.
journal_name
Resuscitationjournal_title
Resuscitationauthors
Wallmüller C,Sterz F,Testori C,Schober A,Stratil P,Hörburger D,Stöckl M,Weiser C,Kricanac D,Zimpfer D,Deckert Z,Holzer Mdoi
10.1016/j.resuscitation.2012.05.029subject
Has Abstractpub_date
2013-03-01 00:00:00pages
326-30issue
3eissn
0300-9572issn
1873-1570pii
S0300-9572(12)00362-0journal_volume
84pub_type
杂志文章相关文献
RESUSCITATION文献大全abstract：:Primary systemic amyloidosis (AL) is a well-recognized systemic disease, and cardiac amyloidosis accounts for 10% of all nonischemic cardiomyopathies [J S C Med Assoc 97 (2001) 201-206]. The median survival of patients with symptomatic congestive heart failure secondary to cardiac amyloidosis is 4 months [New Engl J M...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2003.08.007
更新日期：2004-01-01 00:00:00
abstract：BACKGROUND:We investigated whether the use of therapeutic hypothermia improves the outcome after cardiac arrest (CA) under routine clinical conditions. METHOD:In a retrospective study, data of CA survivors treated from 2003 to 2010 were analysed. Of these, 143 patients were treated with hypothermia at 33 ± 0.5°C for 2...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2011.05.024
更新日期：2011-09-01 00:00:00
abstract：CONTEXT:Extracorporeal cardiopulmonary resuscitation (ECPR) refers to emergent percutaneous veno-arterial cardiopulmonary bypass to stabilize and provide temporary support of patients who suffer cardiopulmonary arrest. Initiation of ECPR by emergency physicians with meaningful long-term patient survival has not been de...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2012.01.027
更新日期：2012-08-01 00:00:00
abstract：AIM:Glutamine and glutamate are major mediators of secondary brain cell death during post-cardiac arrest syndrome. As there is an equilibrium between brain tissue and plasma concentrations of glutamine and glutamate, their elimination from systemic circulation by extracorporeal blood purification may ultimately lead to...
journal_title：Resuscitation
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.resuscitation.2019.09.020
更新日期：2019-11-01 00:00:00
abstract：INTRODUCTION:Continuous cardiac index (CCI) monitoring can provide information to assist in hemodynamic support. However, pulmonary artery catheters (PAC) pose logistic challenges in acute care settings. We hypothesized that CCI measured with a calibrated minimally invasive technique (LiDCO/PulseCO, UK) would have good...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2009.04.015
更新日期：2009-08-01 00:00:00
abstract：BACKGROUND:Quantitative measures of the ventricular fibrillation (VF) electrocardiogram (ECG) have been correlated with the success of rescue shocks, making them ideal measures for guiding resuscitative interventions. Correlation of intramyocardial energy stores with the change in quantitative VF ECG measures would pro...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2009.05.002
更新日期：2009-08-01 00:00:00
abstract：AIM OF THE STUDY:The 1-day immediate life support course (ILS) was started in the United Kingdom and adopted by the ERC to train healthcare professionals who attend cardiac arrests only occasionally. Currently, there are no reports about the ILS course from outside the UK. In this paper we describe our initial Italian ...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2006.07.024
更新日期：2007-03-01 00:00:00
abstract：BACKGROUND/AIMS:Echocardiographic abnormalities are common after resuscitation from cardiac arrest. The association between echocardiographic findings with vasopressor requirements and mortality are not well described. We sought to determine the associations between echocardiographic abnormalities and mortality, vasopr...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2016.06.028
更新日期：2016-09-01 00:00:00
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
更新日期：2014-08-01 00:00:00
abstract：UNLABELLED:We explored the hypothesis that brain damage after cardiac arrest caused by ventricular fibrillation (VF) needs different therapies than that after asphyxiation, which has been studied less thoroughly. In 67 healthy mongrel dogs of both sexes cardiac arrest (at normothermia) by ventricular fibrillation (no b...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/s0300-9572(97)01108-8
更新日期：1997-08-01 00:00:00
abstract：AIM:The American Heart Association (AHA) and the Institute of Medicine have published a national "call-to-action" to improve survival from in-hospital cardiopulmonary arrest (IHCA). Our aim was to determine if more-active hospital participation in standardized in-situ mock code (ISMC) training is associated with increa...
journal_title：Resuscitation
pub_type： 杂志文章,多中心研究
doi：10.1016/j.resuscitation.2018.09.020
更新日期：2018-12-01 00:00:00
abstract：:Publication of the Utstein style template has made it possible to evaluate and compare national, regional, and hospital based Emergency Medical Services. This research was a national investigation to present outcome data for out-of-hospital cardiac arrest (OHCA) patients in Japan. 3029 OHCA patients who were transport...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/s0300-9572(02)00207-1
更新日期：2002-12-01 00:00:00
abstract：BACKGROUND:Myocardial dysfunction occurs immediately after successful cardiac resuscitation. Our purpose was to determine whether measurement of cardiac troponin I in children with acute out-of-hospital cardiac arrest predicts the severity of myocardial injury. METHODS AND RESULTS:This prospective, observational study...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/s0300-9572(03)00003-0
更新日期：2003-05-01 00:00:00
abstract：AIM:The aim of this study was to describe patient characteristics, event characteristics, and outcomes for patients with in-hospital cardiac arrest in Denmark. METHODS:Data was obtained from DANARREST. DANARREST is a nationwide registry that covers all in-hospital cardiac arrests in Denmark with a clinical indication ...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2019.04.046
更新日期：2019-07-01 00:00:00
abstract：BACKGROUND:The merit of rapid response systems (RRSs) remains controversial. A tailored approach to specific groups may increase the efficacy of these teams. The purpose of this study was to compare differences in triggers for RRS activation, interventions, and outcomes in patients on medical and surgical services. ME...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2010.12.005
更新日期：2011-04-01 00:00:00
abstract：:A 12-year-old girl was injured in a traffic accident and suffered fractures of all the long bones of both legs. During the operation she received 10 l of lactated Ringer's solution, 3 l of 0.9% NaCl, and 2 l of 5% glucose, until blood was available, because of difficulty in its cross-matching. Her hemoglobin dropped t...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/0300-9572(91)90054-3
更新日期：1991-04-01 00:00:00
abstract：:Active compression decompression resuscitation (ACD-CPR) has been developed as an alternative to standard cardiopulmonary resuscitation (S-CPR). To determine the effect of ACD-CPR on survival and neurologic outcome in patients with out-of-hospital cardiac arrest, this combined analysis involved individual patient data...
journal_title：Resuscitation
pub_type： 杂志文章,meta分析
doi：10.1016/s0300-9572(99)00073-8
更新日期：1999-08-01 00:00:00
abstract：AIMS:Cangrelor has a potentially favorable pharmacodynamic profile in cardiogenic shock (CS). We aimed to evaluate the clinical course of CS patients undergoing percutaneous coronary intervention (PCI) treated with cangrelor. METHODS AND RESULTS:We retrospectively identified 136 CS patients treated with cangrelor. Pat...
journal_title：Resuscitation
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1016/j.resuscitation.2019.02.008
更新日期：2019-04-01 00:00:00
abstract：OBJECTIVE:Gastric inflation (GI) is a significant issue when ventilation is performed on unprotected airways. DESIGN:Experimental analysis on the respiratory effects of hose extended bag-valve ventilation devices designed to reduce inspiratory pressure and flow. SETTING:Laboratory with lung/oesophageal sphincter simu...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2008.02.022
更新日期：2008-08-01 00:00:00
abstract：AIM:To investigate the impact of a history of diabetes mellitus on the neurologic outcome in comatose survivors of cardiac arrest of cardiac origin treated with mild hypothermia. METHODS:A prospective observational study was performed between September 2003 and July 2008. Eighty comatose survivors of cardiac arrest of...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2009.04.041
更新日期：2009-08-01 00:00:00
abstract：OBJECTIVE:We aimed to demonstrate the association of bystander cardiopulmonary resuscitation (BCPR) with survival outcomes after pediatric out-of-hospital cardiac arrest (OHCA) by community property value groups. METHODS:This observational study enrolled all emergency medical services (EMS)-treated pediatric OHCAs in ...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2018.09.008
更新日期：2018-11-01 00:00:00
abstract：STUDY OBJECTIVES:We sought to examine the association between area deprivation and outcomes of out-of-hospital cardiac arrest in Korea. METHODS:Data were obtained from the emergency medical service (EMS) system. A nationwide OHCA cohort database from January 2006 to December 2007 was constructed via hospital chart rev...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2010.10.023
更新日期：2011-03-01 00:00:00
abstract：INTRODUCTION:The current guidelines of the European Resuscitation Council (ERC) stipulate that an intraosseous access should be placed if establishing a peripheral venous access for cardiopulmonary resuscitation (CPR) would involve delays. The aim of this study was therefore to compare a manual intraosseous infusion te...
journal_title：Resuscitation
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.resuscitation.2008.04.004
更新日期：2008-09-01 00:00:00
abstract：:While limiting and forgoing therapy at the end of life is now accepted on medical, ethical, moral and legal grounds, many Americans continue to die with heroic measures being taken to prevent their death. Recent studies have demonstrated that physicians frequently attend to their patients without knowledge of their pr...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/s0300-9572(99)00114-8
更新日期：1999-11-01 00:00:00
abstract：BACKGROUND:Current resuscitation guidelines endorse placing the unconscious and normally breathing victims in the recovery position (RP), but this technique might hinder breathing evaluation. AIM:To compare breathing evaluation and cardiac arrest detection: placing the victim in RP and checking breathing regularly, pl...
journal_title：Resuscitation
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.resuscitation.2018.10.030
更新日期：2019-01-01 00:00:00
abstract：AIM:To evaluate a new process based on teamwork in a manner similar to the race car pit stop on organization and efficiency during the "Golden Hours" for extremely preterm infants. METHODS:A team designed an improved process focused on checklists, preparation, assigning roles, and best practices, for the care of infan...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2015.03.022
更新日期：2015-07-01 00:00:00
abstract：AIM:Comparing the outcome after out-of-hospital cardiac arrest (OHCA) in men and women and to determine whether sex modifies the effect of targeted temperature management (TTM) at 33 or 36°C. METHODS:The TTM trial randomized 950 patients to TTM at 33 or 36°C for 24h. This predefined sub-study of the TTM trial assessed...
journal_title：Resuscitation
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1016/j.resuscitation.2015.06.030
更新日期：2015-11-01 00:00:00
abstract：AIM:Circadian variation in human ventricular fibrillation (VF) dominant frequency is unknown. If present this would provide evidence of physiological influence on VF. The objective was to quantify the circadian variation in human VF dominant frequency. METHODS:Eight-lead Holter ECG recordings were obtained from a pati...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2010.03.026
更新日期：2010-08-01 00:00:00
abstract：PURPOSE:Arterial hyperoxia after resuscitation has been associated with increased mortality in adults. The aim of this study was to test the hypothesis that post-resuscitation hyperoxia and hypocapnia are associated with increased mortality after resuscitation in pediatric patients. METHODS:We performed a prospective ...
journal_title：Resuscitation
pub_type： 杂志文章,多中心研究
doi：10.1016/j.resuscitation.2012.07.019
更新日期：2012-12-01 00:00:00
abstract：:Teleologically, pain is of paramount importance for survival and induces the organism to cope in an active way with aggressions from a basically hostile environment. While the activation of endogenous analgesic (opioid) systems typically occurs in conditions of surrender (pre-terminal conditions, sustained tortures, e...
journal_title：Resuscitation
pub_type： 杂志文章,评审
doi：10.1016/0300-9572(94)00863-b
更新日期：1995-08-01 00:00:00
