Comparison of manual pulse palpation, cardiac ultrasonography and Doppler ultrasonography to check the pulse in cardiopulmonary arrest patients.


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.






Zengin S,Gümüşboğa H,Sabak M,Eren ŞH,Altunbas G,Al B




Has Abstract


2018-12-01 00:00:00












  • Standard doses versus repeated high doses of epinephrine in cardiac arrest outside the hospital.

    abstract::Among all of the cathecolamines used for cardiac arrest treatment, epinephrine injection during cardio-pulmonary resuscitation is currently the most powerful means of enhancing effectiveness; however, deliberations about the optimal dosage have recently become intense. In the SAMU of Lyon (F), we conducted a double bl...


    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Choux C,Gueugniaud PY,Barbieux A,Pham E,Lae C,Dubien PY,Petit P

    更新日期:1995-02-01 00:00:00

  • Relief of pain in intensive care patients.

    abstract::Many critically ill patients suffer pain which can produce by itself undesirable effects. Consequently, pain must be carefully prevented, or at least, treated early and effectively. Basal analgesia can be provided by repeated intramuscular administration of narcotics, or rather by continuous intravenous infusion of mo...


    pub_type: 杂志文章,评审


    authors: Berré J

    更新日期:1984-03-01 00:00:00

  • Does lying in the recovery position increase the likelihood of not delivering cardiopulmonary resuscitation?

    abstract:BACKGROUND:Resuscitation guidelines endorse unconscious and normally breathing out-of-hospital victims to be placed in the recovery position to secure airway patency, but recently a debate has been opened as to whether the recovery position threatens the cardiac arrest victim's safety assessment and delays the start of...


    pub_type: 杂志文章


    authors: Freire-Tellado M,Navarro-Patón R,Pavón-Prieto MDP,Fernández-López M,Mateos-Lorenzo J,López-Fórneas I

    更新日期:2017-06-01 00:00:00

  • Comparison of sodium bicarbonate with dichloroacetate treatment of hyperlactatemia and lactic acidosis in the ischemic rat.

    abstract::Serum lactic acidosis is characterized by a pH less than 7.25 and lactate greater than 5 mEq. Although sodium bicarbonate (NaHCO3) is standard treatment for this condition, clinical and experimental studies suggest that high doses of NaHCO3 may be ineffectual or even detrimental to brain, cardiovascular, and respirato...


    pub_type: 杂志文章


    authors: Dimlich RV,Biros MH,Widman DW,Kaplan J

    更新日期:1988-01-01 00:00:00

  • Value of capnography to predict defibrillation success in out-of-hospital cardiac arrest.

    abstract:BACKGROUND AND AIM:Unsuccessful defibrillation shocks adversely affect survival from out-of-hospital cardiac arrest (OHCA). Ventricular fibrillation (VF) waveform analysis is the tool-of-choice for the non-invasive prediction of shock success, but surrogate markers of perfusion like end-tidal CO2 (EtCO2) could improve ...


    pub_type: 杂志文章


    authors: Chicote B,Aramendi E,Irusta U,Owens P,Daya M,Idris A

    更新日期:2019-05-01 00:00:00

  • Out-of-hospital airway management with the LMA CTrach--a prospective evaluation.

    abstract:AIM OF THE STUDY:Airway management in an out-of-hospital setting is a critical and demanding skill. Previous studies evaluated the intubating laryngeal mask airway (ILMA) as a valuable tool in this area. The LMA CTrach Laryngeal Mask Airway (CTrach) may increase intubation success. Therefore, we evaluated the CTrach as...


    pub_type: 临床试验,杂志文章


    authors: Nickel EA,Timmermann A,Roessler M,Cremer S,Russo SG

    更新日期:2008-11-01 00:00:00

  • Physicians' own preferences to the limitation and withdrawal of life-sustaining therapy.

    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...


    pub_type: 杂志文章


    authors: Marik PE,Varon J,Lisbon A,Reich HS

    更新日期:1999-11-01 00:00:00

  • Drowning: a review of epidemiology, pathophysiology, treatment and prevention.

    abstract::Although often preventable, drowning remains a leading cause of accidental death, especially in children. New definitions classify drowning as the process of experiencing respiratory impairment from submersion or immersion in a liquid. The key pathophysiological feature in drowning is hypoxia. Accurate neurological pr...


    pub_type: 杂志文章,评审


    authors: Salomez F,Vincent JL

    更新日期:2004-12-01 00:00:00

  • Intravenous diazepam narcosis in the treatment of injuries, with doxapram for recovery.

    abstract::The effective use of diazepam for narcosis in cases of injury requiring painful manipulations is dependent on adequate dosage, titrated for each patient. Protection against the risk of occasional respiratory depression from this regime is consistently given by the use of intravenous doxapram, which also gives varying ...


    pub_type: 杂志文章


    authors: Beesley JR,Bowden G,Hardy RH,Reynolds TD

    更新日期:1975-01-01 00:00:00

  • Duration of CPR and impact on 30-day survival after ROSC for in-hospital cardiac arrest-A Swedish cohort study.

    abstract:OBJECTIVES:Resuscitation on in-hospital cardiac arrest (IHCA) is estimated to occur in 200,000 hospitalised patients annually in the US. The duration of the resuscitation attempt, measured as minutes of cardiopulmonary resuscitation (CPR), and its impact on survival remains unknown. AIM:Investigate if there is a diffe...


    pub_type: 杂志文章


    authors: Rohlin O,Taeri T,Netzereab S,Ullemark E,Djärv T

    更新日期:2018-11-01 00:00:00

  • Descriptive analysis of extracorporeal cardiopulmonary resuscitation following out-of-hospital cardiac arrest-An ELSO registry study.

    abstract:AIM:Extracorporeal cardiopulmonary resuscitation (ECPR) is an emerging therapy for refractory cardiac arrest. The purpose of this study was to analyze and report characteristics and outcomes of adult patients treated with ECPR after out-of-hospital cardiac arrest (OHCA) in a large international registry. METHODS:The E...


    pub_type: 杂志文章,多中心研究


    authors: Haas NL,Coute RA,Hsu CH,Cranford JA,Neumar RW

    更新日期:2017-10-01 00:00:00

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    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...


    pub_type: 杂志文章


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

    更新日期:1993-08-01 00:00:00

  • Adrenocorticotropic hormone (ACTH) and centrally-acting cholinomimetic drugs improve survival of rats with severe hemorrhagic shock through distinct central cholinergic mechanisms.

    abstract::Pharmacological doses (40-160 micrograms/kg) of adrenocorticotropic hormone (ACTH) intravenously injected to urethane-anesthetized rats subjected to otherwise lethal hemorrhagic shock (mean arterial pressure stabilized at 20-25 mmHg) promptly restore blood pressure to about the pre-bleeding values, and prevent death (...


    pub_type: 杂志文章


    authors: Bertolini A,Ferrari W,Guarini S

    更新日期:1989-12-01 00:00:00

  • Lidocaine in out-of-hospital ventricular fibrillation. Does it improve survival?

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    pub_type: 杂志文章


    authors: Herlitz J,Ekström L,Wennerblom B,Axelsson A,Bång A,Lindkvist J,Persson NG,Holmberg S

    更新日期:1997-01-01 00:00:00

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    abstract::This paper summarises the results of 327 Australian health care chaplains with regard to their involvement in issues concerning Not For Resuscitation (NFR)/Do Not Attempt Resuscitate (DNAR) decisions within the health care context. The findings indicate that 24% of the chaplains surveyed had provided some form of past...


    pub_type: 杂志文章


    authors: Carey LB,Newell CJ

    更新日期:2007-10-01 00:00:00

  • Recommended guidelines for reporting on emergency medical dispatch when conducting research in emergency medicine: the Utstein style.

    abstract:OBJECTIVES:To establish a uniform framework describing the system and organisation of emergency medical response centres and the process of emergency medical dispatching (EMD) when reporting results from studies in emergency medicine and prehospital care. DESIGN AND RESULTS:In September 2005 a task force of 22 experts...


    pub_type: 杂志文章


    authors: Castrén M,Karlsten R,Lippert F,Christensen EF,Bovim E,Kvam AM,Robertson-Steel I,Overton J,Kraft T,Engerstrom L,Garcia-Castrill Riego L,Emergency Medical Dispatch expert group at the Utstein Consensus Symposium 2005.

    更新日期:2008-11-01 00:00:00

  • In-hospital cardiac arrest in hospitals with mature rapid response systems - a multicentre, retrospective cohort study.

    abstract:AIM:To investigate in-hospital cardiac arrests (IHCAs) according to the Ustein template in hospitals with mature systems utilizing rapid response teams (RRTs), with a special reference to preceding RRT factors and factors associated with a favourable neurological outcome (cerebral performance category (CPC) 1-2) at hos...


    pub_type: 杂志文章


    authors: Tirkkonen J,Skrifvars MB,Parr M,Tamminen T,Aneman A

    更新日期:2020-04-01 00:00:00

  • Association of health insurance with post-resuscitation care and neurological outcomes after return of spontaneous circulation in out-of-hospital cardiac arrest patients in Korea.

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    pub_type: 杂志文章


    authors: Kim TH,Ro YS,Shin SD,Song KJ,Hong KJ,Park JH,Kong SY

    更新日期:2019-02-01 00:00:00

  • Plasma catecholamine levels following tracheal and intravenous epinephrine administration in swine.

    abstract::We compared plasma epinephrine levels after three different tracheal epinephrine application techniques and intravenous injection in male and female anesthetized and paralyzed domestic pigs. Epinephrine was administered intravenously (10 microg/kg) (group i.v.) or tracheally (100 microg/kg) either by direct injection ...


    pub_type: 杂志文章


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    更新日期:1998-03-01 00:00:00

  • From agonal to output: An ECG history of a successful pre-hospital thoracotomy.

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    pub_type: 杂志文章


    authors: Deakin CD

    更新日期:2007-12-01 00:00:00

  • Ventilation fraction during the first 30s of neonatal resuscitation.

    abstract:AIM:Approximately 5% of newborns receive positive pressure ventilation (PPV) for successful transition. Guidelines urge providers to ensure effective PPV for 30-60s before considering chest compressions and intravenous therapy. Pauses in this initial PPV may delay recovery of spontaneous respiration. The aim was to fin...


    pub_type: 杂志文章


    authors: Skåre C,Boldingh AM,Nakstad B,Calisch TE,Niles DE,Nadkarni VM,Kramer-Johansen J,Olasveengen TM

    更新日期:2016-10-01 00:00:00

  • Resuscitation of out-of-hospital cardiac arrest by Asian primary health-care physicians.

    abstract:AIM:To assess the experience, knowledge and attitudes of local primary health-care doctors towards resuscitation in out-of-hospital cardiac arrest. METHODS:We conducted a survey of general practitioners (GPs) working in both private and public sectors. The survey consisted of 29 questions and was self-administered. R...


    pub_type: 杂志文章


    authors: Ong ME,Chan YH,Ang HY,Lim SH,Tan KL

    更新日期:2005-05-01 00:00:00

  • Out-of-hospital thrombolysis during cardiopulmonary resuscitation in patients with high likelihood of ST-elevation myocardial infarction.

    abstract::Up to 90% of cardiac arrests are due to acute myocardial infarction or severe myocardial ischaemia. Thrombolysis is an effective treatment for ST-elevation myocardial infarction (STEMI), but there is no evidence or guideline to put forward a thrombolysis strategy during cardiopulmonary resuscitation (CPR). In two phys...


    pub_type: 杂志文章,多中心研究


    authors: Arntz HR,Wenzel V,Dissmann R,Marschalk A,Breckwoldt J,Müller D

    更新日期:2008-02-01 00:00:00

  • Pre-hospital Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) for exsanguinating pelvic haemorrhage.

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    pub_type: 杂志文章


    authors: Lendrum R,Perkins Z,Chana M,Marsden M,Davenport R,Grier G,Sadek S,Davies G

    更新日期:2019-02-01 00:00:00

  • Out-of-hospital cardiac arrest in patients with cardiac amyloidosis: presenting rhythms, management and outcomes in four patients.

    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...


    pub_type: 杂志文章


    authors: Hess EP,White RD

    更新日期:2004-01-01 00:00:00

  • The beneficial effect of basic life support on ventricular fibrillation mean frequency and coronary perfusion pressure.

    abstract:BACKGROUND AND OBJECTIVE:Chest compressions before initial defibrillation attempts have been shown to increase successful defibrillation. This animal study was designed to assess whether ventricular fibrillation mean frequency after 90 s of basic life support cardiopulmonary resuscitation (CPR) may be used as an indica...


    pub_type: 杂志文章


    authors: Achleitner U,Wenzel V,Strohmenger HU,Lindner KH,Baubin MA,Krismer AC,Mayr VD,Amann A

    更新日期:2001-11-01 00:00:00

  • Predictive power of serum NSE and OHCA score regarding 6-month neurologic outcome after out-of-hospital ventricular fibrillation and therapeutic hypothermia.

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    pub_type: 杂志文章,随机对照试验


    authors: Oksanen T,Tiainen M,Skrifvars MB,Varpula T,Kuitunen A,Castrén M,Pettilä V

    更新日期:2009-02-01 00:00:00

  • Crystalloid vs. hypertonic crystalloid-colloid solutions for induction of mild therapeutic hypothermia after experimental cardiac arrest.

    abstract:PURPOSE:To compare cerebral and hemodynamic consequences of different volumes of cold acetated Ringer's solution or cold hypertonic saline dextran administered in order to achieve mild hypothermia after cardiac arrest (CA) in a pig model of experimental cardiopulmonary resuscitation (CPR). METHODS:Using an experimenta...


    pub_type: 杂志文章


    authors: Miclescu A,Sharma HS,Wiklund L

    更新日期:2013-02-01 00:00:00

  • An international collaborative clinical study mechanism for resuscitation research.

    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...


    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Abramson NS,Safar P,Detre K,Kelsey S,Reinmuth O,Snyder J

    更新日期:1982-06-01 00:00:00

  • Sustained abdominal compression during CPR raises coronary perfusion pressures as much as vasopressor drugs.

    abstract:OBJECTIVES:This study investigated sustained abdominal compression as a means to improve coronary perfusion pressure (CPP) during cardiopulmonary resuscitation (CPR) and compared the resulting CPP augmentation with that achieved using vasopressor drugs. METHOD:During electrically induced ventricular fibrillation in an...


    pub_type: 杂志文章


    authors: Lottes AE,Rundell AE,Geddes LA,Kemeny AE,Otlewski MP,Babbs CF

    更新日期:2007-12-01 00:00:00