Clinical Physiology of Circulation

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery


Efficacy of resuscitationmeasures according to the algorithm notincluding artificial lung ventilation for cardiac arrestin intensive care units for the elderly patients

Authors: Bockeria L. A., Chicherin I. N.

Link: Clinical Physiology of Blood Circulaiton. 2010; (): -

Download
Full text:  

Abstract

Results of CPR of 28 patients have been analyzed to study efficacy of CPR technique without ventilation. In all cases there were sudden arrhythmic cardiac arrests in ICU. Attempts of CPR began immediately after cardiac arrest using the compression only technique (100 per min), than used defibrillation. Ventilation began only after 10 min of CPR, if patients remained without consciousness and did not breathe. The standard CPR with ventilation required for 4 persons (14.2%). 64% of patients maintained tone of larynx muscles and were capable to carry out spontaneous inspiration when compressions were stopped for defibrillation. Some of patients maintained consciousness during CPR, attempted to speak, later they recollected words of medical staff. ROSC was achieved in all cases. 2 patients did not survive before hospital discharge (7.1%).

References

1. Семиголовский, Н. Ю. Спорные вопросы сердечно-легочной реанимации (
2. Aufderheide, T. P. Death by hyperventilation: a common and life threatening problem during CPR / T. P. Aufderheide, K. G. Lurie // Crit. Care Med. - 2004. - Vol. 32 (Suppl.). - S. 345-S351.
3. Berg, R. A. Magnetic resonance imaging during untreated ventricular fibrillation reveals prompt right ventricular overdistention without left ventricular volume loss / R. A. Berg, V. L. Sorrell, K. B. Kern et al. // Circulation. - 2005. - Vol. 111. - P. 1136-1140.
4. Bohm, K. Survival is similar after standard treatment and chest compression only in out-of-hospital bystander CPR / K. Bohm, M. Rosenquist et al. // Circulation. - 2007. - Vol. 116. - P. 2908-2912.
5. Ewy, G. A. Cardiac arrest- guideline changes urgently needed / G. A. Ewy // Lancet. - 2007. - Vol. 369. - P. 882-884.
6. Ewy, G. A. Cardiocerebral resuscitation: the new cardiopulmonary resuscitation / G. A. Ewy // Circulation. - 2005. - Vol. 111. - P. 2134-2142.
7. Ewy, G. A. Continuous chest compression CPR for cardiac arrest / G. A. Ewy // Circulation. - 2007. - Vol. 116. - P. 2894-2896.
8. Ewy, G. A. Improved neurological outcome with continuous chest compression compared with 30:2 compression-to-ventilations CPR in realistic swine model of cardiac arrest / G. A. Ewy, M. Zuercher, R. W. Hilwig et al. // Circulation. - 2007. - Vol. 116. - P. 2525-2530.
9. Hallstrom, A. Cardiopulmonary resuscitation by chest compression alone or with mouth-to-mouth ventilation / A. Hallstrom, L. Cobb, E. Johnson, M. Copass // N. Engl. J. Med. - 2000. - Vol. 342. - P. 1546-1553.
10. Heidenreich, J. W. Single-rescuer cardiopulmonary resuscitation:
11. Imberti, R. Cerebral perfusion pressure and cerebral tissue oxygen tension in a patient during cardiopulmonary resuscitation / R. Imberti, G. Bellinzona, F. Riccardi et al. // Intensive Care Med. - 2003. - Vol. 29. - P. 1016-1019.
12. Iwami, T. Effectiveness of bystander-initiated cardiac-only resuscitation for patients with out-of hospital cardiac arrest / T. Iwami, T. Kawamura, A. Hirade et al. // Circulation. - 2007. - Vol. 116. - P. 2900-2907.
13. Kellum, M. J. Cardiocerebral resuscitation improves survival of patients with out-of-hospital cardiac arrest / M. J. Kellum, K. W. Kennedy, G. A. Ewy // Am. J. Med. - 2006. - Vol. 119. - P. 335-340.
14. Kern K. B. Cardiopulmonary resuscitation without ventilation / K. B. Kern // Crit. Care Med. - 2000. - Vol. 28. - P. 186-189.
15. Nolan, J. P. Airway techniques and ventilation strategies / J. P. Nolan, J. Soar // Curr. Opin. Crit. Care. - 2008. - Vol. 14. - P. 279-286.
16. Rea, T. D. Increasing use of cardiopulmonary resuscitation during out-of-hospital ventricular fibrillation arrest: survival implications of guideline changes / T. D. Rea, M. Helbock, S. Perry et al. // Circulation. - 2006. - Vol. 114. - P. 2760-2765.
17. Sanders, A. B. Survival and neurologic outcome after cardiopulmonary resuscitation with four different chest compression- ventilation ratios / A. B. Sanders, K. B. Kern, R. A. Berg et al. // Ann. Emerg. Med. - 2002. - Vol. 40. - P. 571-574.
18. SOS-KANTO study group. Cardiopulmonary resuscitation by bystanders with chest compression only: an observational study // Lancet. - 2007. - Vol. 369. - P. 920-926.
19. Steen, S. The critical importance of minimal delay between chest compressions and subsequent defibrillation: a hemodynamic explanation / S. Steen, Q. Liao, L. Pierre et al. // Resuscitation. - 2003. - Vol. 58. - P. 249-258.
20. Wik, L. Quality of cardiopulmonary resuscitation during outof- hospital cardiac arrest / L. Wik, J. Kramer-Johansen, H. Myklebust et al. // JAMA. - 2005. - Vol. 293. - P. 299-304.

 If you found mistakes, select text and press Alt+A