CPR and postarrest care: overview, documentation, and databases.


:It is estimated that 350,000 people suffer a cardiac arrest each year in the United States, with one-half occurring out-of-hospital and the other half in-hospital. Overall survival is < 10% and has not changed significantly for decades. CPR is the umbrella term for attempts to restore organized cardiac contractility and functional blood flow. Physicians have studied resuscitation techniques for millennia. In 1964, Peter Safar published the first ABCs of Heart-Lung Resuscitation, which included: (1) first aid, (2) start spontaneous circulation, and (3) support recovery. Many of these principles were incorporated into the first official CPR guidelines developed by the American Heart Association in 1966. These guidelines have been updated periodically since then, with the most recent iteration developed in November 2010. Fundamental principles, such as early defibrillation, chest compressions performed at the appropriate rate and depth, and delivery of postarrest care, are affirmed in the recent guidelines update. In addition, a greater emphasis has been placed on quality of CPR, with the need to minimize interruptions, the reordering of CPR priorities to place chest compressions before ventilations, and the need for comprehensive postarrest care that includes both targeted temperature and hemodynamic management. Whether a cardiac arrest occurs out-of-hospital or in-hospital, the basic approach to CPR and postarrest care is identical. Documentation should be performed in a standardized fashion, using a consensus set of data elements known as the Utstein format, and can contribute to quality improvement, research, and billing efforts.






Gaieski DF,Abella BS,Goyal M




Has Abstract


2012-04-01 00:00:00
















  • Comparison of gastroesophageal reflux disease questionnaire and multichannel intraluminal impedance pH monitoring in identifying patients with chronic cough responsive to antireflux therapy.

    abstract:BACKGROUND:Empirical therapy has been recommended as an initial clinical approach for treating gastroesophageal reflux-induced chronic cough (GERC). This study compared the predictive accuracy of the Gastroesophageal Reflux Disease Questionnaire (GerdQ) with the accuracy of multichannel intraluminal impedance pH monito...


    pub_type: 杂志文章


    authors: Xu X,Chen Q,Liang S,Lv H,Qiu Z

    更新日期:2014-06-01 00:00:00

  • Sensitivity and Safety of Electromagnetic Navigation Bronchoscopy for Lung Cancer Diagnosis: Systematic Review and Meta-analysis.

    abstract:BACKGROUND:Bronchoscopy is a useful tool for the diagnosis of lesions near central airways; however, the diagnostic accuracy of these procedures for peripheral pulmonary lesions (PPLs) is a matter of ongoing debate. In this setting, electromagnetic navigation bronchoscopy (ENB) is a technique used to navigate and obtai...


    pub_type: 杂志文章


    authors: Folch EE,Labarca G,Ospina-Delgado D,Kheir F,Majid A,Khandhar SJ,Mehta HJ,Jantz MA,Fernandez-Bussy S

    更新日期:2020-10-01 00:00:00

  • Combined pressure control/high frequency ventilation in adult respiratory distress syndrome and sickle cell anemia.

    abstract::Acute chest syndrome complicating sickle cell anemia may progress to adult respiratory distress syndrome despite appropriate therapy. Extra-alveolar air leaks may complicate the care of these patients as conventional mechanical ventilation becomes increasingly difficult. We successfully treated a child with sickle cel...


    pub_type: 杂志文章


    authors: Baird JS,Johnson JL,Escudero J,Powars DR

    更新日期:1994-12-01 00:00:00

  • New procedure: bronchoscopic endobronchial sealing; a new mode of managing hemoptysis.

    abstract::Six patients with hemoptysis were treated by endobronchial sealing, with n-butyl cyanoacrylate, of the bleeding segment or subsegment. There was an immediate arrest of bleeding without any recurrence for a mean follow-up period of 127 (+/- 67.17) days. Endobronchial sealing appears to be an effective method of managin...


    pub_type: 杂志文章


    authors: Bhattacharyya P,Dutta A,Samanta AN,Chowdhury SR

    更新日期:2002-06-01 00:00:00

  • Pulse transit time improves detection of sleep respiratory events and microarousals in children.

    abstract:OBJECTIVES:To evaluate the additional information provided by pulse transit time (PTT), a noninvasive tool, when using during polysomnography for the diagnosis of sleep breathing disorders in a pediatric population. MAIN FINDINGS:Respiratory and microarousals events were scored twice. The first scoring was performed u...


    pub_type: 杂志文章


    authors: Pépin JL,Delavie N,Pin I,Deschaux C,Argod J,Bost M,Levy P

    更新日期:2005-03-01 00:00:00

  • A case of orthodeoxia caused by an atrial septal aneurysm.

    abstract::Platypnea-orthodeoxia is an uncommon syndrome that may occur due to the postpneumonectomy state, cirrhosis of the liver, recurrent pulmonary embolism, and intracardiac shunting. We describe a patient who was found to have a positional change in desaturation after being admitted for dehydration. Workup revealed an atri...


    pub_type: 杂志文章


    authors: Acharya SS,Kartan R

    更新日期:2000-09-01 00:00:00

  • Long-term effects of nitrendipine on hemodynamics and oxygen transport in patients with cor pulmonale.

    abstract::Recent studies have suggested that vasodilators may acutely improve pulmonary hemodynamics in patients with chronic obstructive pulmonary disease and cor pulmonale, but the effects of long-term therapy have not been assessed. We evaluated the hemodynamic and gas exchange effects of nitrendipine, a calcium channel bloc...


    pub_type: 杂志文章


    authors: Rubin LJ,Moser K

    更新日期:1986-01-01 00:00:00

  • Diaphragm Weakness in the Critically Ill: Basic Mechanisms Reveal Therapeutic Opportunities.

    abstract::The diaphragm is the primary muscle of inspiration. Its capacity to respond to the load imposed by pulmonary disease is a major determining factor both in the onset of ventilatory failure and in the ability to successfully separate patients from ventilator support. It has recently been established that a very large pr...


    pub_type: 杂志文章,评审


    authors: Petrof BJ

    更新日期:2018-12-01 00:00:00

  • Atmospheric pressure changes and outdoor temperature changes in relation to spontaneous pneumothorax.

    abstract:STUDY AIMS:To examine the influence of atmospheric pressure (AP) and temperature changes on the incidence of idiopathic spontaneous pneumothorax (SP). METHODS:From December 1991 through November 1993, 115 consecutive SP cases were selected. Patients were included after being in Amsterdam at least 1 full day before con...


    pub_type: 杂志文章


    authors: Smit HJ,Devillé WL,Schramel FM,Schreurs JM,Sutedja TG,Postmus PE

    更新日期:1999-09-01 00:00:00

  • Neural network prediction of obstructive sleep apnea from clinical criteria.

    abstract:STUDY OBJECTIVES:Clinical prediction models for the diagnosis of obstructive sleep apnea (OSA) have lacked the accuracy necessary to confidently replace polysomnography (PSG). Artificial neural networks are computer programs that can be trained to predict outcomes based on experience. This study was conducted to test t...


    pub_type: 杂志文章


    authors: Kirby SD,Eng P,Danter W,George CF,Francovic T,Ruby RR,Ferguson KA

    更新日期:1999-08-01 00:00:00

  • Steady antibiotic release from biodegradable beads in the pleural cavity: an in vitro and in vivo study.

    abstract:BACKGROUND:Inadequate localized drug concentrations and systemic adverse effects are among the concerns when regional infections are treated with systemic antibiotics. We designed and fabricated a poly(D,L)-lactide-co-glycolide (PLGA)-based biodegradable drug delivery system and evaluated the release of antibiotics bot...


    pub_type: 杂志文章


    authors: Liu KS,Liu SJ,Chen HY,Huang YK,Peng YJ,Wu RC,Ueng SW

    更新日期:2012-05-01 00:00:00

  • 8-Isoprostane, a marker of oxidative stress, is increased in exhaled breath condensate of patients with obstructive sleep apnea after night and is reduced by continuous positive airway pressure therapy.

    abstract:STUDY OBJECTIVES:Obstructive sleep apnea (OSA) is characterized by recurrent apnea during sleep that may compromise oxidative balance. Oxidative stress is increased in the blood and in the airways of OSA patients. DESIGN:The aim of this study was to investigate whether oxidative stress is determined by nocturnal apnea...


    pub_type: 杂志文章


    authors: Carpagnano GE,Kharitonov SA,Resta O,Foschino-Barbaro MP,Gramiccioni E,Barnes PJ

    更新日期:2003-10-01 00:00:00

  • Coronary artery aneurysm. A review of the literature with a report of 11 new cases.

    abstract::In a prospective study, 11 (1.5 percent) of 742 patients had angiographically proven coronary artery aneurysms. The clinical picture was similar to that of patients with severe coronary artery disease. The coronary artery aneurysms were multiple and were associated with extensive coronary atherosclerosis in ten of the...


    pub_type: 杂志文章


    authors: Falsetti HL,Carrol RJ

    更新日期:1976-05-01 00:00:00

  • Severe right ventricular outflow tract obstruction caused by an intracavitary cardiac neurilemoma: succesful surgical removal and postoperative diagnosis.

    abstract::A 32-year-old woman with a one-year history of progressive shortness of breath and chest pain was found to have a grade 4/6 systolic murmur at the base of the heart and left sternal border. Right ventricular enlargement was found by physical examination, ECG, and chest roentgenogram. Cardiac catheterization showed ele...


    pub_type: 杂志文章


    authors: Betancourt B,Defendini EA,Johnson C,De Jesús M,Pavía-Villamil A,Díaz Cruz A,Medina JC

    更新日期:1979-04-01 00:00:00

  • Echocardiographic findings in a patient with Candida endocarditis of the aortic valve.

    abstract::The echocardiographic appearance of fungal endocarditis of the aortic valve is described in a patient who subsequently died from this disease. In addition, the progressive growth of the vegetation on serial echocardiograms was recorded, and premature closure of the mitral valve was absent, notwithstanding perforation ...


    pub_type: 杂志文章


    authors: Arvan S,Cagin N,Levitt B,Kleid JJ

    更新日期:1976-08-01 00:00:00

  • Nebulized 3% hypertonic saline solution treatment in hospitalized infants with viral bronchiolitis.

    abstract:OBJECTIVE:To determine the utility of inhaled hypertonic saline solution to treat infants hospitalized with viral bronchiolitis. DESIGN:Randomized, double-blind, controlled trial. Fifty-two hospitalized infants (mean +/- SD age, 2.9 +/- 2.1 months) with viral bronchiolitis received either inhalation of epinephrine, 1....


    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Mandelberg A,Tal G,Witzling M,Someck E,Houri S,Balin A,Priel IE

    更新日期:2003-02-01 00:00:00

  • A 61-Year-Old Caribbean Man With Thrush and Acute Respiratory Failure.

    abstract:CASE PRESENTATION:A 61-year-old Caribbean man presented to the ED with dyspnea that had progressed over the previous week with associated cough and high fevers. Four days prior to admission, his primary care physician noted oral thrush and obtained a chest radiograph that revealed a right middle lobe infiltrate. He was...


    pub_type: 杂志文章


    authors: Gong J,Melamud A,Koenig S

    更新日期:2018-07-01 00:00:00

  • Measurement of dynamic hyperinflation after a 6-minute walk test in patients with COPD.

    abstract:BACKGROUND:Dynamic hyperinflation (DH) develops in patients with COPD during incremental exercise with a cycle ergometer. The aims of this study were to determine whether DH can be evidenced after walking with a handheld spirometer and to determine its functional consequences. METHODS:Fifty patients with COPD (39 men;...


    pub_type: 杂志文章


    authors: Callens E,Graba S,Gillet-Juvin K,Essalhi M,Bidaud-Chevalier B,Peiffer C,Mahut B,Delclaux C

    更新日期:2009-12-01 00:00:00

  • Optimizing coronary thrombolysis with i.v. administration of recombinant tissue plasminogen activator. Single bolus vs double bolus vs front-loading.

    abstract::This study was designed to compare the efficacy of coronary thrombolysis obtained with i.v. administration of three dose regimens of recombinant tissue plasminogen activator (rtPA). Although many studies have confirmed the efficacy of thrombolytic therapy in treatment of acute myocardial infarction, few prospective st...


    pub_type: 杂志文章


    authors: Prewitt RM,Schick U,Ducas J

    更新日期:1996-02-01 00:00:00

  • Reliability, repeatability, and sensitivity of the modified shuttle test in adult cystic fibrosis.

    abstract:STUDY OBJECTIVES:The purpose of this study was to investigate the test-retest reliability, repeatability, and sensitivity of the modified shuttle test (MST) in adult patients with cystic fibrosis (CF). DESIGN:: Prospective study. SETTING:Adult CF Unit, Belfast City Hospital. PATIENTS:: Adult patients with CF. INTER...


    pub_type: 杂志文章


    authors: Bradley J,Howard J,Wallace E,Elborn S

    更新日期:2000-06-01 00:00:00

  • Pictorial Review of Thoracic Parasitic Diseases: A Radiologic Guide.

    abstract::Parasitoses are infectious diseases of global distribution, with predominance in areas of poor sanitation. Parasites cause damage through direct tissue injury and the inflammatory response generated by their migration and establishment in various organs. Thoracic involvement by parasitic disease can generate both spec...


    pub_type: 杂志文章,评审


    authors: Fiorentini LF,Bergo P,Meirelles GSP,Capobianco J,Mohammed TL,Verma N,Marchiori E,Irion KL,Hochhegger B

    更新日期:2020-05-01 00:00:00

  • Maternal Distress During Pregnancy and Recurrence in Early Childhood Predicts Atopic Dermatitis and Asthma in Childhood.

    abstract:BACKGROUND:Early-life stress is becoming an important determinant of immune system programming. Maternal prenatal distress is found to be associated with atopic disease in offspring but the separate effects of postnatal distress are not well-studied. RESEARCH QUESTION:Does the likelihood of asthma and atopic dermatiti...


    pub_type: 杂志文章


    authors: van der Leek AP,Bahreinian S,Chartier M,Dahl ME,Azad MB,Brownell MD,Kozyrskyj AL

    更新日期:2020-07-01 00:00:00

  • Evaluating prethrombotic state in lung cancer using molecular markers.

    abstract::Clotting abnormalities are well-recognized complications that occur with high frequency in patients suffering from underlying malignant diseases. New and highly sensitive molecular markers of hemostasis, thrombin-antithrombin III complex (TAT III), D-dimer fragments (DD), and plasmin-alpha 2-antiplasmin complex (PIC) ...


    pub_type: 杂志文章


    authors: Gabazza EC,Taguchi O,Yamakami T,Machishi M,Ibata H,Suzuki S

    更新日期:1993-01-01 00:00:00

  • Solid or partly solid solitary pulmonary nodules: their characterization using contrast wash-in and morphologic features at helical CT.

    abstract:BACKGROUND:Solitary pulmonary nodule (SPN) evaluation based on analyses of combined wash-in (WI) and washout (WO) values obtained by helical dynamic CT (HDCT) scanning is useful for malignant SPN characterization, because this method has higher specificity and accuracy than that based on analyses of WI values only. How...


    pub_type: 临床试验,杂志文章


    authors: Lee KS,Yi CA,Jeong SY,Jeong YJ,Kim S,Chung MJ,Kim HY,Kim YK,Lee KH

    更新日期:2007-05-01 00:00:00

  • Daytime sleepiness in patients with congestive heart failure and Cheyne-Stokes respiration.

    abstract:STUDY OBJECTIVE:To determine whether patients with congestive heart failure who develop Cheyne-Stokes respiration (CSR) during sleep experience excessive daytime sleepiness. This was addressed by comparing sleep quality and daytime sleepiness in three groups: patients with CHF and CSR during sleep (CSR group), patients...


    pub_type: 杂志文章


    authors: Hanly P,Zuberi-Khokhar N

    更新日期:1995-04-01 00:00:00

  • Potential future therapies for the management of cough: ACCP evidence-based clinical practice guidelines.

    abstract:BACKGROUND:When the etiology of a patient's chronic cough is established, specific antitussive therapy that is aimed at a particular cause of cough is highly effective. Nevertheless, in certain situations, therapy with cough suppressants, which previously were classified as nonspecific antitussive therapy, and which ai...


    pub_type: 杂志文章,评审


    authors: Dicpinigaitis PV

    更新日期:2006-01-01 00:00:00

  • Air within the spinal canal in spontaneous pneumomediastinum.

    abstract::Spontaneous pneumomediastinum is an uncommon benign condition that is occasionally associated with air within the spinal canal. We describe a further case in a 14-year-old girl and suggest a classification system based on a detailed review of the previous literature. Forty-eight patients with spontaneous pneumomediast...


    pub_type: 杂志文章,评审


    authors: Belotti EA,Rizzi M,Rodoni-Cassis P,Ragazzi M,Zanolari-Caledrerari M,Bianchetti MG

    更新日期:2010-05-01 00:00:00

  • Pharmacologic therapy for pulmonary arterial hypertension in adults: CHEST guideline and expert panel report.

    abstract:OBJECTIVE:Choices of pharmacologic therapies for pulmonary arterial hypertension (PAH) are ideally guided by high-level evidence. The objective of this guideline is to provide clinicians advice regarding pharmacologic therapy for adult patients with PAH as informed by available evidence. METHODS:This guideline was bas...


    pub_type: 杂志文章,评审


    authors: Taichman DB,Ornelas J,Chung L,Klinger JR,Lewis S,Mandel J,Palevsky HI,Rich S,Sood N,Rosenzweig EB,Trow TK,Yung R,Elliott CG,Badesch DB

    更新日期:2014-08-01 00:00:00

  • Effect of filtration and concentration on the composition of bronchoalveolar lavage fluid.

    abstract::The effects of filtration and concentration on the cellular and protein composition of bronchoalveolar lavage fluids were examined in ten normal subjects and 11 patients with asthma. Filtration of lavage fluid preferentially removed bronchial epithelial cells, resulting in a relative increase in the proportion of alve...


    pub_type: 杂志文章


    authors: Lam S,LeRiche JC,Kijek K

    更新日期:1985-06-01 00:00:00

  • High frequency of atopic asthma in a pulmonary clinic population.

    abstract::Seventy-two consecutive adult asthmatic patients seen in the Pulmonary Clinic at Rhode Island Hospital were tested for atopy by prick test with 14 standard aeroallergens and by in vitro total and specific IgE determinations (FAST). A total of 58.3 percent of patients were found to be atopic by these tests. There was a...


    pub_type: 杂志文章


    authors: Kalliel JN,Goldstein BM,Braman SS,Settipane GA

    更新日期:1989-12-01 00:00:00