当前位置： SCI文献检索 > RESUSCITATION期刊下所有文献 > Prehospital thrombolytic treatment of massive pulmonary embolism with reteplase during cardiopulmonary resuscitation.

Prehospital thrombolytic treatment of massive pulmonary embolism with reteplase during cardiopulmonary resuscitation.

Abstract：

:A 52-year-old previously healthy man experienced acute severe dyspnoea after suffering from gastroenteritis for 3 days. After arrival of the ambulance, cardiac arrest with an initial rhythm of electro mechanical dissociation occurred. Circulation was restored after 10 min of cardiopulmonary resuscitation but soon cardiac arrest reoccurred. Based on a strong clinical suspicion of massive pulmonary embolism, thrombolytic treatment with heparin 5000 IU and reteplase 20 U, given as single boluses and heparin was continued as an infusion 1000 IU h(-1). After 7 min of continued resuscitation, circulation was restored and after 40 min the vital functions began to stabilize, thus indicating pulmonary reperfusion. The diagnosis of pulmonary embolism was confirmed by a ventilation-perfusion scan and by spiral computerised tomography. The patient was discharged from intensive care after 2 days with a cerebral performance category I. Based on previous calculations, the annual number of patients who present with massive pulmonary embolism leading to cardiac arrest (and thus who would theoretically be candidates for thrombolytic treatment) was estimated to be 0.7/100000 inhabitants in this emergency medical services system.

journal_name

Resuscitation

journal_title

Resuscitation

authors

Kuisma M,Silfvast T,Voipio V,Malmström R

doi

10.1016/s0300-9572(98)00066-5

subject

Has Abstract

pub_date

1998-07-01 00:00:00

pages

47-50

issue

1

eissn

0300-9572

issn

1873-1570

pii

S0300957298000665

journal_volume

38

pub_type

杂志文章,评审

相关文献

RESUSCITATION文献大全
  • Exercise related sudden cardiac death (SCD) in the young - Pre-mortal characterization of a Swedish nationwide cohort, showing a decline in SCD among athletes.

    abstract：AIMS:To study the frequency, etiology, and premortal abnormalities in exercise-related sudden cardiac death (SCD) in the young in Sweden. METHODS:All subjects with SCD in 10-35-year olds in Sweden during 2000-10, were included (n = 514). Information about each case was retrieved from death certifications, autopsy- and...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2019.09.022

    authors： Wisten A,Börjesson M,Krantz P,Stattin EL

    更新日期：2019-11-01 00:00:00

  • The contribution of comorbidity and medication use to poor outcome from out-of-hospital cardiac arrest at home locations.

    abstract：INTRODUCTION:Out-of-hospital cardiac arrest (OHCA) at home is associated with lower rates of shockable initial rhythm and survival than OHCA in a public location. We determined whether medical history and medication use explain the association between OHCA location and presence of shockable initial rhythm and survival ...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2020.03.011

    authors： Hulleman M,Oving I,Homma PCM,Beesems SG,Tan HL,Koster RW,Blom MT

    更新日期：2020-06-01 00:00:00

  • Novel relocation methods for automatic external defibrillator improve out-of-hospital cardiac arrest coverage under limited resources.

    abstract：BACKGROUND:Mathematical optimisation models have recently been applied to identify ideal Automatic External Defibrillator (AED) locations that maximise coverage of Out of Hospital Cardiac Arrest (OHCA). However, these fixed location models cannot relocate existing AEDs in a flexible way, and have nearly exclusively bee...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2018.01.055

    authors： Tierney NJ,Reinhold HJ,Mira A,Weiser M,Burkart R,Benvenuti C,Auricchio A

    更新日期：2018-04-01 00:00:00

  • Prevalence and effect of fever on outcome following resuscitation from cardiac arrest.

    abstract：OBJECTIVE:Evaluate the prevalence of fever in the first 48 h after cardiac arrest and its effect on outcomes. METHODS:Review of patients treated between 1/1/2005 and 6/30/2010. Fever was defined as T ≥ 38.0°C. We classified categories of post-cardiac arrest illness severity as (I) awake, (II) coma+mild cardiopulmonary...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2013.03.038

    authors： Gebhardt K,Guyette FX,Doshi AA,Callaway CW,Rittenberger JC,Post Cardiac Arrest Service.

    更新日期：2013-08-01 00:00:00

  • Aerosol generation during chest compression and defibrillation in a swine cardiac arrest model.

    abstract：AIM:It remains unclear whether cardiac arrest (CA) resuscitation generates aerosols that can transmit respiratory pathogens. We hypothesize that chest compression and defibrillation generate aerosols that could contain the SARS-CoV-2 virus in a swine CA model. METHODS:To simulate witnessed CA with bystander-initiated ...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2020.12.004

    authors： Hsu CH,Tiba MH,Boehman AL,McCracken BM,Leander DC,Francalancia SC,Pickell Z,Sanderson TH,Ward KR,Neumar RW

    更新日期：2020-12-15 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

  • Value analysis of continuous EEG in patients during therapeutic hypothermia after cardiac arrest.

    abstract：INTRODUCTION:Therapeutic hypothermia (TH) is standard of care after ventricular fibrillation cardiac arrest (CA). Continuous EEG monitoring (cEEG) is increasingly used during TH. Analysis regarding value of cEEG utilization in this population in the context of cost and outcome has not been performed. We compared outcom...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2014.01.019

    authors： Crepeau AZ,Fugate JE,Mandrekar J,White RD,Wijdicks EF,Rabinstein AA,Britton JW

    更新日期：2014-06-01 00:00:00

  • Cerebellar Purkinje cell neurodegeneration after cardiac arrest: effect of therapeutic hypothermia.

    abstract：AIMS:The cerebellum is among the brain regions most vulnerable to damage caused by cardiac arrest, and cerebellar Purkinje cell loss may contribute to neurologic dysfunction, including post-hypoxic myoclonus. However, it remains unknown whether cerebellar Purkinje cells are protected by post-cardiac arrest therapeutic ...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2012.05.022

    authors： Paine MG,Che D,Li L,Neumar RW

    更新日期：2012-12-01 00:00:00

  • ATP-MgCl2 pre-treatment in an animal model of asphyxial arrest.

    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

    authors： Hickey RW,Karasic RB,Bircher NG

    更新日期：1993-04-01 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 (...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/0300-9572(89)90029-4

    authors： Bertolini A,Ferrari W,Guarini S

    更新日期：1989-12-01 00:00:00

  • Low rates of immediate coronary angiography among young adults resuscitated from sudden cardiac arrest.

    abstract：AIM:Coronary artery disease (CAD) has recently been emphasized as a major cause of sudden cardiac arrest (SCA) in young adults. We aim to assess the rate of immediate coronary angiography performance in young patients resuscitated from SCA. METHODS:From May 2011 to May 2017, all cases of out-of-hospital SCA aged 18-40...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2019.12.005

    authors： Waldmann V,Karam N,Rischard J,Bougouin W,Sharifzadehgan A,Dumas F,Narayanan K,Sideris G,Voicu S,Gandjbakhch E,Jost D,Lamhaut L,Ludes B,Plu I,Beganton F,Wahbi K,Varenne O,Megarbane B,Algalarrondo V,Extramiana F,Lel

    更新日期：2020-02-01 00:00:00

  • Continuous electrodermal activity as a potential novel neurophysiological biomarker of prognosis after cardiac arrest--A pilot study.

    abstract：AIMS:Neurological outcome prognosis remains challenging in patients undergoing therapeutic hypothermia (TH) after cardiac resuscitation. Technological advances allow for a novel wrist-worn device to continuously record electrodermal activity (EDA), a measure of pure sympathetic activity. METHODS:A prospective cohort s...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2015.06.006

    authors： Alvarez V,Reinsberger C,Scirica B,O'Brien MH,Avery KR,Henderson G,Lee JW

    更新日期：2015-08-01 00:00:00

  • The association between manual mode defibrillation, pre-shock pause duration and appropriate shock delivery when employed by basic life support paramedics during out-of-hospital cardiac arrest.

    abstract：BACKGROUND:Pre-shock pause duration of <20s is associated with improved survival after cardiac arrest. Manual mode defibrillation has been associated with the shortest duration of pre-shock pause but is largely practiced by advanced life support paramedics (ALS) whereas defibrillator only paramedics (basic life support...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2015.02.022

    authors： Cheskes S,Hillier M,Byers A,Verbeek PR,Drennan IR,Zhan C,Morrison LJ

    更新日期：2015-05-01 00:00:00

  • Association of dispatcher-assisted bystander cardiopulmonary resuscitation with survival outcomes after pediatric out-of-hospital cardiac arrest by community property value.

    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

    authors： Chang I,Ro YS,Shin SD,Song KJ,Park JH,Kong SY

    更新日期：2018-11-01 00:00:00

  • Treatment and outcome in post-resuscitation care after out-of-hospital cardiac arrest when a modern therapeutic approach was introduced.

    abstract：BACKGROUND:The outcome among patients who are hospitalised alive after out-of-hospital cardiac arrest is still relatively poor. At present, there are no clear guidelines specifying how they should be treated. The aim of this survey was to describe the outcome for initial survivors of out-of-hospital cardiac arrest when...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2006.08.018

    authors： Werling M,Thorén AB,Axelsson C,Herlitz J

    更新日期：2007-04-01 00:00:00

  • Effects of PaCO2 derangements on clinical outcomes after cerebral injury: A systematic review.

    abstract：OBJECTIVE:Partial pressure of arterial carbon dioxide (PaCO2) is a major regulator of cerebral blood flow (CBF). Derangements in PaCO2 have been thought to worsen clinical outcomes after many forms of cerebral injury by altering CBF. Our aim was to systematically analyze the biomedical literature to determine the effec...

    journal_title：Resuscitation

    pub_type： 杂志文章,评审

    doi：10.1016/j.resuscitation.2015.03.015

    authors： Roberts BW,Karagiannis P,Coletta M,Kilgannon JH,Chansky ME,Trzeciak S

    更新日期：2015-06-01 00:00:00

  • Improving cannulation time for extracorporeal life support in refractory cardiac arrest of presumed cardiac cause - Comparison of two percutaneous cannulation techniques in the catheterization laboratory in a center without on-site cardiovascular surgery.

    abstract：BACKGROUND:Cardiac arrest (CA) without return of spontaneous circulation can be treated with veno-arterial extracorporeal membrane oxygenation (vaECMO) implemented surgically or percutaneously. We performed a study assessing time for vaECMO percutaneous cannulation in the catheterization laboratory. METHODS:Single-cen...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2017.11.057

    authors： Voicu S,Henry P,Malissin I,Dillinger J-G,Koumoulidis A,Magkoutis N,Yannopoulos D,Logeart D,Manzo-Silberman S,Péron N,Deye N,Megarbane B,Sideris G

    更新日期：2018-01-01 00:00:00

  • Survival after out-of-hospital cardiac arrest in relation to sex: a nationwide registry-based study.

    abstract：AIM:Crude survival has increased following an out-of-hospital cardiac arrest (OHCA). We aimed to study sex-related differences in patient characteristics and survival during a 10-year study period. METHODS:Patients≥12 years old with OHCA of a presumed cardiac cause, and in whom resuscitation was attempted, were identi...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2014.06.008

    authors： Wissenberg M,Hansen CM,Folke F,Lippert FK,Weeke P,Karlsson L,Rajan S,Søndergaard KB,Kragholm K,Christensen EF,Nielsen SL,Køber L,Gislason GH,Torp-Pedersen C

    更新日期：2014-09-01 00:00:00

  • Comparative assessment of the ventricular fibrillation detection algorithms in five semi-automatic or advisory defibrillators.

    abstract：:The sensitivity and specificity of ventricular fibrillation (VF) detection in three semi-automatic defibrillators (Laerdal Heartstart 3000, Spacelabs First Medic 610, Physio-Control Lifepak 300) and two advisory defibrillators (S&W DMS940, Marquette Responder 1500) were assessed with 25 ECG recordings, each of length ...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/0300-9572(93)90175-p

    authors： Murray A,Clayton RH,Campbell RW

    更新日期：1993-10-01 00:00:00

  • Macrophage-specific protein perforin-2 is associated with poor neurological recovery and reduced survival after sudden cardiac arrest.

    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

    authors： Kattel S,Bhatt H,Xu S,Gurung S,Pokharel S,Sharma UC

    更新日期：2020-10-01 00:00:00

  • Viewing an ultra-brief chest compression only video improves some measures of bystander CPR performance and responsiveness at a mass gathering event.

    abstract：BACKGROUND:CPR training at mass gathering events is an important part of health initiatives to improve cardiac arrest survival. However, it is unclear whether training lay bystanders using an ultra-brief video at a mass gathering event improves CPR quality and responsiveness. OBJECTIVE:To determine if showing a chest-...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2017.07.011

    authors： Beskind DL,Stolz U,Thiede R,Hoyer R,Robertson W,Brown J,Ludgate M,Tiutan T,Shane R,McMorrow D,Pleasants M,Kern KB,Panchal AR

    更新日期：2017-09-01 00:00:00

  • Association of intramyocardial high energy phosphate concentrations with quantitative measures of the ventricular fibrillation electrocardiogram waveform.

    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

    authors： Salcido DD,Menegazzi JJ,Suffoletto BP,Logue ES,Sherman LD

    更新日期：2009-08-01 00:00:00

  • Effectiveness of mask ventilation in a training mannikin. A comparison between the Oxylator EM100 and the bag-valve device.

    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

    authors： Osterwalder JJ,Schuhwerk W

    更新日期：1998-01-01 00:00:00

  • Decrease in the occurrence of ventricular fibrillation as the initially observed arrhythmia after out-of-hospital cardiac arrest during 11 years in Sweden.

    abstract：AIM:To describe the change in the occurrence of ventricular fibrillation as initially observed arrhythmia among patients suffering from out-of-hospital cardiac arrest in Sweden. PATIENTS:All patients included in the Swedish cardiac arrest registry between 1991 until 2001. The registry covers 85% of the population in S...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2003.11.003

    authors： Herlitz J,Engdahl J,Svensson L,Young M,Angquist KA,Holmberg S

    更新日期：2004-03-01 00:00:00

  • Ketamine improves survival and suppresses IL-6 and TNFalpha production in a model of Gram-negative bacterial sepsis in rats.

    abstract：OBJECTIVE:In a previous study, ketamine suppressed Escherichia coli-induced production of the cytokines interleukin (IL)-6 and tumor necrosis factor alpha (TNF). In other previous studies ketamine improved survival after E. coli inoculation. However, the relationship between cytokines and survival following ketamine tr...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2004.02.015

    authors： Shaked G,Czeiger D,Dukhno O,Levy I,Artru AA,Shapira Y,Douvdevani A

    更新日期：2004-08-01 00:00:00

  • Elimination of glutamate using CRRT for 72 h in patients with post-cardiac arrest syndrome: A randomized clinical pilot trial.

    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

    authors： Nee J,Jörres A,Krannich A,Leithner C,Schroeder T,Munk AL,Enghard P,Moore C,Steppan S,Storm C

    更新日期：2019-11-01 00:00:00

  • Comparisons of French and U.S.A. pediatric intensive care units.

    abstract：:Consecutive admissions to two pediatric intensive care units (PICUs) in France (n = 93) and the United States (n = 248) were compared using admission demographics, and daily therapeutic and severity of illness data. Analysis of the major demographic characteristics revealed that patients in the French PICU were younge...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/0300-9572(89)90066-x

    authors： Davis AL,Pollack MM,Cloup M,Cloup I,Wilkinson JD

    更新日期：1989-04-01 00:00:00

  • Echocardiographic left ventricular systolic dysfunction early after resuscitation from cardiac arrest does not predict mortality or vasopressor requirements.

    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

    authors： Jentzer JC,Chonde MD,Shafton A,Abu-Daya H,Chalhoub D,Althouse AD,Rittenberger JC

    更新日期：2016-09-01 00:00:00

  • Incidence and factors associated with cardiac arrest complicating emergency airway management.

    abstract：OBJECTIVE:Cardiac arrest (CA) is a rare but recognized complication of emergency airway management. Our aim was to measure the incidence of peri-intubation CA during emergency intubation and identify factors associated with this complication. METHODS:Retrospective cohort study of emergency endotracheal intubations per...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2013.07.022

    authors： Heffner AC,Swords DS,Neale MN,Jones AE

    更新日期：2013-11-01 00:00:00

  • Optimal training frequency for acquisition and retention of high-quality CPR skills: A randomized trial.

    abstract：AIM:Spaced training programs employ short, frequent CPR training sessions to improve provider skills. The optimum training frequency for CPR skill acquisition and retention has not been determined. We aimed to determine the training interval associated with the highest quality CPR performance at one year. METHODS:Part...

    journal_title：Resuscitation

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.resuscitation.2018.10.033

    authors： Anderson R,Sebaldt A,Lin Y,Cheng A

    更新日期：2019-02-01 00:00:00