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Cardiopulmonary Resuscitation

Cardio Pulmonary Resuscitation


Presentation

  • We present a case of azygosve in rupture in a middle-aged woman after repeated chest compression during 1 hour of CPR. She eventually presented with massive hemothorax due to azygos vein rupture diagnosed by computed tomography (CT).[ncbi.nlm.nih.gov]
  • We present a case of gastric perforation in a middle-aged patient after CPR performed by his family. He eventually presented with bloody vomitus and a tympanic abdomen.[ncbi.nlm.nih.gov]
  • We present the case of a 55-year-old female patient who initially presented with an ischaemic cerebral infarct with haemorrhagic transformation. Her clinical recovery was complicated by cardiac arrest secondary to massive pulmonary embolism.[ncbi.nlm.nih.gov]
  • RESULTS: Non-technical performance declined when external stressors were present (adjusted mean difference 3.9 points, 95% CI 2.4 to 5.5 points).[ncbi.nlm.nih.gov]
  • Reported mortality is high after surgical intervention, and patients may benefit from less invasive treatment strategies such as those presented in this case report.[ncbi.nlm.nih.gov]
Liver Dysfunction
  • The patient remained in a very good overall state of health without any signs of liver dysfunction. This case demonstrates that an extensive period of CPR is not an obligatory exclusion criterion for liver donation.[ncbi.nlm.nih.gov]
Heart Disease
  • METHODS: Between 1984 and 2015, all patients with congenital heart disease who received in or out-of-hospital CPR were identified from the database of congenital heart disease from the University Hospitals Leuven.[ncbi.nlm.nih.gov]
  • Stenting of vascular, extracardiac or lately intracardiac stenosis has become an established interventional treatment for a variety of problems in congenital or acquired heart disease.[ncbi.nlm.nih.gov]
  • Records on 1,297 people with witnessed out-of-hospital cardiac arrest, caused by heart disease and treated by both emergency medical technicians (EMTs) and paramedics, were examined to determine whether or not early cardiopulmonary resuscitation (CPR)[ncbi.nlm.nih.gov]
  • CONCLUSION: Family members of patients with heart disease could be an appropriate target population for CPR training, particularly in terms of recruitment and secondary propagation.[ncbi.nlm.nih.gov]
  • Abstract Extracorporeal cardiopulmonary resuscitation (eCPR) has been well described as a rescue therapy in refractory cardiac arrest among patients with congenital heart disease.[ncbi.nlm.nih.gov]
Chest Pain
  • He visited a local hospital's emergency department complaining of chest pain and dyspnea that had started 3 days earlier.[ncbi.nlm.nih.gov]
  • A 74-year-old male presented to the emergency room (ER) with a 2-day history of chest pain. While in the ER, he suffered witnessed cardiac arrest and resuscitative attempts were pursued for 60 min prior to declaring death.[ncbi.nlm.nih.gov]
  • A healthy 14-year-old presented to an emergency department in Alaska, complaining of shortness of breath, chest pain, and 72 hours of malaise and headache. On admission, her blood pressure was 80/50 mm Hg, and she had cool extremities.[ncbi.nlm.nih.gov]
  • In 1993 The American Heart Association began recommending a 325 mg Aspirin at the onset of chest pain or other symptoms of a severe heart attack.[snopes.com]
  • Call 999 or go to A&E if you: have an injury caused by a serious accident – such as a car accident have shortness of breath that is getting worse have chest pain that is getting worse have pain in your tummy or shoulder are coughing up blood It could[nhs.uk]
Left Ventricular Dysfunction
  • It is characterized by left ventricular dysfunction with a classic apical and midventricular wall motion abnormality (apical ballooning).[ncbi.nlm.nih.gov]
  • Prior left ventricular dysfunction was a predictor of do not resuscitate order. Initial shockable rhythm was a predictor of return of spontaneous circulation and survival.[ncbi.nlm.nih.gov]
Conjunctival Petechiae
  • Although potentially sinister findings, neck injury and conjunctival petechiae may also be seen in patients who have undergone CPR.[ncbi.nlm.nih.gov]
Myopathy
  • The authors report that a new oral interface designed for cardiopulmonary resuscitation and use during anesthesia permitted the successful extubation of an "unweanable" 27-yr-old woman with nemaline rod myopathy to continuous noninvasive ventilatory support[ncbi.nlm.nih.gov]
Upper Back Pain
  • He was diagnosed with variant angina, and subsequent imaging for evaluation of upper back pain revealed fractures of the fifth through eighth thoracic vertebrae. Multiple thoracic vertebral fractures are extremely rare.[ncbi.nlm.nih.gov]

Workup

  • Autopsy and histological workup in all three cases showed multiple circumscribed calcified and necrotic areas in progressive stages of organization within the myocardium.[ncbi.nlm.nih.gov]
Pneumoperitoneum
  • […] resuscitation-related visceral damage—details b Pneumothorax, n 6 2 4 Tension pneumothorax, n 1 1 — Pneumomediastinum/oesophagus haematoma, n 4 — — Pleural fluid/blood, n 1 3 3 Lung contusion/haematoma, n 1 — 1 Liver rupture, n 1 2 — Intracranial air embolism, n 1 — — Pneumoperitoneum[academic.oup.com]
Ischemic Changes
  • We conclude that these macro- and microscopic autopsy features appear to be related to reperfusion injuries in children as a consequence of hypoxic-ischemic changes occurring in the peri- and postresuscitation period.[ncbi.nlm.nih.gov]

Treatment

  • Finally, two of the five PE patients treated with ECLS were discharged from inpatient treatment without neurological dysfunction. The duration of ECLS therapy depends on the patient's condition.[ncbi.nlm.nih.gov]
  • Therefore, physician advice the patients be kept in intensive treatment with resuscitation and state of the art intensive care when sudden change in the general condition with this trisomy is observed.[ncbi.nlm.nih.gov]
  • Each of these includes a summary of the science and its quality based on Grading of Recommendations, Assessment, Development, and Evaluation criteria and treatment recommendations.[ncbi.nlm.nih.gov]
  • Standard treatment includes systemic thrombolysis. If this fails, surgical embolectomy or a percutaneous catheter-guided approach is advised in current guidelines.[ncbi.nlm.nih.gov]

Prognosis

  • Congenital chromosomal abnormality with trisomy 13 is known to be associated with poor life prognosis and lethal.[ncbi.nlm.nih.gov]
  • However, among parturients, witnessed in-hospital arrest is often reversible and has a better prognosis. We describe a successful clinical outcome after maternal cardiac arrest and 55 minutes of advanced cardiac life support.[ncbi.nlm.nih.gov]
  • Survivors of SCD had a worse prognosis when compared to an age, gender and disease-matched control group (5-year survival 76% vs. 98%; P 0.002).[ncbi.nlm.nih.gov]
  • The purpose of this study was to assess the incidence of exercise-related out-of-hospital cardiac arrest in the general population and to compare characteristics and prognosis of these cardiac arrests with non-exercise-related out-of-hospital cardiac[ncbi.nlm.nih.gov]
  • Rankin J Cerebral vascular accidents in patients over the age of 60, II: prognosis. Scott Med J. 1957;2200- 215 Google Scholar 15.[doi.org]

Etiology

  • Cardiac arrest can be subdivided into asphyxial and non asphyxial etiologies. An asphyxia arrest is caused by lack of oxygen in the blood and occurs in drowning and choking victims and in other circumstances.[ncbi.nlm.nih.gov]
  • , although the numbers are small, in patients with presumed nonasphyxial arrest (ie, a presumed arrest of cardiac etiology), compression-only CPR was as effective as conventional CPR.[doi.org]
  • Among 5272 adults with out-of-hospital cardiac arrest of cardiac etiology not observed by responding emergency medical personnel, 779 were excluded because bystander CPR was provided by a health care professional or the arrest occurred in a medical facility[ncbi.nlm.nih.gov]
  • For arrests of respiratory etiology, COCPR was administered in 9 of 150 patients (6%; 95% CI, 2.2%-9.8%).[doi.org]
  • Both studies excluded arrests that were probably of noncardiac etiology and patients with severe cardiogenic shock.[doi.org]

Epidemiology

  • Objective:: To study epidemiology and prognostic factors associated with cardiac arrest in the intensive care unit (ICU) in an average Brazilian center.[ncbi.nlm.nih.gov]
  • To verify the precise route of infection for the case, we conducted an in-depth epidemiological investigation in cooperation with the KCDC.[ncbi.nlm.nih.gov]
  • Key Words: cardiopulmonary resuscitation complications dispatcher epidemiology morbidity Received April 9, 2009; accepted September 21, 2009.[web.archive.org]
  • Topics of interest include the epidemiology of sudden death; management of ventilation; chest compression technique training; public access defibrillation; drug delivery during CPR; the latest drug therapies; and cardiac arrest in disease, pregnancy,[springer.com]
Sex distribution
Age distribution

Pathophysiology

  • However, the pathophysiology of the delayed return of spontaneous circulation remains enigmatic.[ncbi.nlm.nih.gov]
  • We discuss the pathophysiology of this unrecognised complication due to CPR.[ncbi.nlm.nih.gov]
  • This finding suggests that chronic conditions influence arrest pathophysiology and in turn could help guide resuscitation care.[doi.org]
  • These conditions are routinely excluded from cardiac arrest intervention studies because they have a different underlying pathophysiology, require a variety of interventions specific to the underlying condition and are known to have a prognosis different[ncbi.nlm.nih.gov]
  • "We still do not know the pathophysiological mechanism of hypothermia, which is necessary to developing the best way to rewarm hypothermia victims," Tveita explained.[eurekalert.org]

Prevention

  • To prevent neurological damage, therapeutic hypothermia was used, and she was cooled for 24 hours. After therapeutic hypothermia, her Glasgow coma score was 15, fortunately no sequela appeared.[ncbi.nlm.nih.gov]
  • Early recognition and interdisciplinary management are essential in the prevention of serious and potentially fatal complications.[ncbi.nlm.nih.gov]
  • In order to prevent delays and maximize efficiency, initial training, ongoing monitoring, and retraining programs should be offered to providers on a frequent and ongoing basis.[ncbi.nlm.nih.gov]
  • OBJECTIVES: During the outbreak of the Middle East Respiratory Syndrome (MERS) in Korea in 2015, the Korea Centers for Disease Control and Prevention (KCDC) confirmed a case of MERS in a healthcare worker in Daejeon, South Korea.[ncbi.nlm.nih.gov]
  • Author information 1 Department of Social and Preventive Medicine, Faculty of Medicine, Université Laval, Québec, QC, Canada. 2 Centre intégré en santé et services sociaux de Chaudière-Appalaches, Lévis, QC, Canada. 3 Centre de recherche sur les soins[ncbi.nlm.nih.gov]

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