Abstract：
OBJECTIVE:For health professionals, the absence of pulse checked by manual palpation is a primary indicator for initiating chest compressions in patients considered to have cardiopulmonary arrest (CA). However, using a pulse check to evaluate perfusion during CA may be associated with some risks of its own. Our objective was to compare the efficiency of cardiac ultrasonography (CUSG), Doppler ultrasonography (DUSG), and manual pulse palpation methods to check the pulse in CA patients. MATERIAL AND METHODS:This study was prospectively performed in 137 patients older than 16 years of age who underwent cardiopulmonary resuscitation (CPR). CUSG, DUSG, and manual pulse palpation were practiced simultaneously as suggested in the relevant guidelines. Findings of the patients were recorded at the first min, at min 15 and at the end of CPR. SPSS 18.0 was used for statistical analysis. FINDINGS:A total of 72.3% (n = 99) of the cardiopulmonary arrest incidents occurred out-of-hospital. CUSG (4.76 ± 2.19, 4.33 ± 2.17, and 3.68 ± 2.14 s), DUSG (9.59 ± 2.37, 8.22 ± 2.86, and 7.60 ± 2.83 s), and manual pulse palpation (10.76 ± 1.03, 9.72 ± 3.01, and 9.29 ± 3.36 s) measurements of the first, second, and last inspections were detected, respectively. The false negative rates (100%, 28%, and 0%) and false positive rates (5.3%, 3.5%, and 0%) of manual pulse palpation the first, second, and last inspections were calculated, respectively, as well. CONCLUSION:The use of real-time CUSG during resuscitation provides a substantial contribution to the resuscitation team. CUSG will allow earlier and more accurate detection of pulse than manual pulse palpation and DUSG.
journal_name
Resuscitationjournal_title
Resuscitationauthors
Zengin S,Gümüşboğa H,Sabak M,Eren ŞH,Altunbas G,Al Bdoi
10.1016/j.resuscitation.2018.09.018subject
Has Abstractpub_date
2018-12-01 00:00:00pages
59-64eissn
0300-9572issn
1873-1570pii
S0300-9572(18)30903-1journal_volume
133pub_type
杂志文章相关文献
RESUSCITATION文献大全abstract：OBJECTIVE:To audit the use of extended skills by South Glamorgan Ambulance crew in attempted resuscitations from out-of-hospital cardio-respiratory arrest, in terms of successful discharge of patients from hospital and the accuracy with which agreed protocols were applied. Design-Retrospective analysis of ambulance rep...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/0300-9572(92)90004-v
更新日期：1992-06-01 00:00:00
abstract：:The demands for an optimal ventilation apparatus are that it can be easily handled, achieves a sufficiently high ventilation volume, and minimizes gastric inflation. Our aim was therefore to carry out a study in a training mannikin to find out whether the Oxylator EM100, compared with the bag, obtains improved ventila...
journal_title：Resuscitation
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/s0300-9572(97)00091-9
更新日期：1998-01-01 00:00:00
abstract：OBJECTIVE:The purpose of this study was to investigate the neuroprotective effects of intraperitoneal injection of hydrogen (H2) in rabbits with cardiac arrest (CA). METHODS:A rabbit model of CA was established by the delivery of alternating current between the esophagus and chest wall to induce ventricular fibrillati...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2012.10.018
更新日期：2013-05-01 00:00:00
abstract：BACKGROUND:This study was designed to test the effects of active compression-decompression (ACD) versus standard (STD) cardiopulmonary resuscitation (CPR) on hemodynamics after prolonged cardiac arrest (CA). METHODS AND RESULTS:After nontraumatic prehospital CA, 21 patients were resuscitated in a prospective nonblinde...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/0300-9572(95)00934-5
更新日期：1996-06-01 00:00:00
abstract：:Recent experimental and clinical studies of cardiac arrest, suggesting a brain damage ameliorating effect of thiopental loading, stimulated the development of an international randomized clinical trial of brain resuscitation. Twelve collaborating hospitals in 9 countries are testing the efficacy of post-cardiac arrest...
journal_title：Resuscitation
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/0300-9572(82)90022-3
更新日期：1982-06-01 00:00:00
abstract：PURPOSE:We investigated the change in pupil size and pupil light reflex (PLR) using a pupillography capable of continuous measurement both during CPR and immediately following the return-of-spontaneous circulation (ROSC) in out-of-hospital cardiac arrest (OHCA) comatose patients in an emergency department. METHODS:Pup...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2018.11.016
更新日期：2019-02-01 00:00:00
abstract：BACKGROUND/AIM:The relationship between echocardiographic findings of intra-arrest TEE and resuscitation outcomes was not clearly identified. We assessed echocardiographic findings observed in intra-arrest TEE and its relationship with resuscitation outcomes. METHODS:This retrospective observational study analysed adu...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2020.06.035
更新日期：2020-09-01 00:00:00
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
更新日期：2012-02-01 00:00:00
abstract：:The effects of spontaneous respiration and mechanical ventilation were examined by investigating the interaction between elevated intracranial pressure and alcohol intoxication. Ethanol (200 ml 48%) was infused in 11 young pigs with elevated cerebral pressure during mechanical ventilation (group 1), 7 young pigs with ...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/0300-9572(87)90023-2
更新日期：1987-06-01 00:00:00
abstract：BACKGROUND:We evaluated the association between nifekalant or amiodarone on hospital admission and in-hospital mortality for cardiac arrest patients with persistent ventricular fibrillation on hospital arrival. METHODS:This was a retrospective cohort study using the Japanese Diagnosis Procedure Combination inpatient d...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2016.08.017
更新日期：2016-12-01 00:00:00
abstract：UNLABELLED:The optimal intravenous catheterisation site for emergencies is unknown. The external jugular vein might be preferable route compared to cubital veins in emergencies due to more rapid circulation time to heart and faster cardiac responses. However, the feasibility of the different venous catheterisation site...
journal_title：Resuscitation
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.resuscitation.2009.08.026
更新日期：2009-12-01 00:00:00
abstract：:The efficiency of a pulsed biphasic waveform (PBW) was compared with that of biphasic truncated exponential (BTE) waveforms. First defibrillation shock outcome was studied in a population of 104 out-of-hospital cardiac arrest patients in ventricular fibrillation as the presenting rhythm. The call to first shock time w...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2007.08.010
更新日期：2008-03-01 00:00:00
abstract：:Extensive research is being conducted to study the mechanism of blood flow during cardiopulmonary resuscitation (CPR). Recently, work has been published using a simple electrical model of the circulation to simulate the hemodynamics of CPR. This analog was a hard-wired circuit consisting of the heart and great vessels...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/0300-9572(86)90096-1
更新日期：1986-04-01 00:00:00
abstract：AIM:For the analysis of ECG rhythms during ongoing CPR, single- or two-channel methods have been proposed to eliminate artefacts from the CPR-corrupted ECG. To refine, test and evaluate these algorithms with a realistic data set, we introduce an animal model with which we created an extended database of human ECGs with...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2010.03.003
更新日期：2010-06-01 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：AIM:Only up to 20% of patients with out-of-hospital cardiac arrest (OHCA) receive immediate and optimal initial cardiac resuscitation and consequently regain consciousness soon after return of spontaneous circulation (ROSC). In the present study, we compared the outcome of conscious survivors of OHCA presenting with ST...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2018.09.005
更新日期：2018-12-01 00:00:00
abstract：:Epinephrine has been administered as a drug essential for cardiopulmonary resuscitation (CPR). Recently, vasopressin has been reported to be more effective than epinephrine for CPR in a ventricular fibrillation (VF) model. As a different myocardial pathology is speculated to exist between the VF model and the asphyxia...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/s0300-9572(01)00447-6
更新日期：2002-02-01 00:00:00
abstract：STUDY OBJECTIVE:For trials involving exception from informed consent, some IRBs require that community members be allowed to "opt out" prior to enrollment. We tested for geospatial clustering of opt-out requests and the associated census tract characteristics in one study region. METHODS:This was a retrospective study...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2008.10.003
更新日期：2009-01-01 00:00:00
abstract：BACKGROUND:Biomarkers involved in inflammation and stress response were implicated in patients who were successfully resuscitated from out of hospital cardiac arrest (sR-OHCA). Here we report that macrophage-expressed gene, perforin-2, an evolutionarily conserved protein with membrane attack domain, is associated with ...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2020.08.005
更新日期：2020-10-01 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：AIM:To describe the relationship of gag and cough reflexes to Glasgow coma score (GCS) in Chinese adults requiring critical care. METHOD:Prospective observational study of adult patients requiring treatment in the trauma or resuscitation rooms of the Emergency Department, Prince of Wales Hospital, Hong Kong. A long co...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2011.07.017
更新日期：2012-01-01 00:00:00
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 depar...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2012.05.029
更新日期：2013-03-01 00:00:00
abstract：:ATP-MgCl2 treatment has been found to be a promising intervention in many models of hypoxic/ischemic injury. In this study, the effect of pre-treatment with ATP-MgCl2 on the hemodynamic response to asphyxia in the rat was examined. Rats were anesthetized with halothane and N2O2. A tracheostomy and femoral artery and v...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/0300-9572(93)90089-9
更新日期：1993-04-01 00:00:00
abstract：:Manikins currently used in newborn and paediatric resuscitation training are limited in their effectiveness by an inability to allow instructors control over airway patency. This means that attempts to introduce situations that require interventions, other than just appropriate head positioning to achieve successful l...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/s0300-9572(02)00124-7
更新日期：2002-09-01 00:00:00
abstract：AIM:Induced mild hypothermia after cardiac arrest interferes with clinical assessment of the cardiovascular status of patients. In this situation, non-invasive cardiac output measurement could be useful. Unfortunately, arterial pulse contour is altered by temperature, and the performance of devices using arterial blood...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2010.12.015
更新日期：2011-04-01 00:00:00
abstract：:In the paediatric population, submersion injury with drowning or near-drowning represents a significant cause of morbidity and mortality. This study reviews retrospectively our own experiences and the literature on the use of cardiopulmonary bypass (CPB) to rewarm paediatric victims of cold water submersion who suffer...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/s0300-9572(01)00474-9
更新日期：2002-03-01 00:00:00
abstract：OBJECTIVE:This study aimed to evaluate whether GlideScope(®) is an effective and acceptable method for the removal of a hypopharyngeal foreign body. METHODS:This was a prospective study conducted in 28 first year emergency residents with little prior airway management experience. Participants extracted hypopharyngeal ...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2012.02.032
更新日期：2012-10-01 00:00:00
abstract：AIM:Post-cardiac arrest syndrome (PCAS) is characterized by a sepsis-like inflammatory response and hemodynamic instability. We investigated the associations between systemic inflammation, endothelial damage and hemodynamic parameters including vasopressor support in patients with out-of-hospital cardiac arrest (OHCA)....
journal_title：Resuscitation
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.resuscitation.2017.09.019
更新日期：2017-12-01 00:00:00
abstract：INTRODUCTION:Bystander cardiopulmonary resuscitation (CPR) significantly improves the outcome from sudden cardiac arrest (SCA) and is therefore encouraged by offering telephone instructions to the bystander. The effectiveness of this technique was examined in a manikin-based study. METHODS:Subjects performed CPR on an...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2006.07.025
更新日期：2007-03-01 00:00:00
abstract：AIM:Refractory ventricular fibrillation, resistant to conventional cardiopulmonary resuscitation (CPR), is a life threatening rhythm encountered in the emergency department. Although previous reports suggest the use of extracorporeal CPR can improve the clinical outcomes in patients with prolonged cardiac arrest, the e...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2015.04.016
更新日期：2015-07-01 00:00:00
