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; (): -

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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%).

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