Simplifying the diagnosis and management of pulseless electrical activity in adults: a qualitative review.

نویسنده

  • Norman A Desbiens
چکیده

OBJECTIVE The algorithms provided for advanced cardiac life support by the American Heart Association and the European Resuscitation Council Guidelines for Resuscitation for the diagnosis and treatment of pulseless electrical activity (PEA) correctly stress the importance of searching for potentially treatable causes, and suggest contributing factors that should be considered. This study sought evidence to support the factors that they mention in the algorithms. DATA SOURCE Human and animal studies in MEDLINE. STUDY SELECTION Putative causes of PEA along with the string "AND (PEA OR pulseless electrical activity OR electromechanical dissociation OR EMD)". DATA EXTRACTION Human studies documenting association and causation. DATA SYNTHESIS Qualitative. CONCLUSIONS Documentation for most putative causes is weak. Based on current documentation, a simplified rule is offered to direct resuscitators to treatable precipitants of PEA. It emphasizes the documented causes of PEA, has good pedagogical qualities, guides treatment, and is testable. Studies need to be performed to identify the best diagnostic and treatment strategies for PEA.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

The comparing of electrical activity pattern of major muscles involved in handball triple shooting in two groups of adolescents and adults

The aim of the study was to compare the electrical activity pattern of major muscles involved in handball triple shooting in two groups of adolescents and adults. Ten adolescent elite handball players playing in national club league (16.4 ± 0.69) and 10 adult handball players (23.55± 2.69) participated in this research. They performed triple shooting و assuming in a match situation and elect...

متن کامل

Pulseless electrical activity in a pediatric patient: a case report and review of causative factors and treatment.

Pulseless electrical activity, an arrhythmia that leads to cardiac arrest, is defined as the presence of organized electrical activity without a palpable pulse or arterial blood pressure. When this arrhythmia presents during anesthesia, it has become routine practice to initiate advanced cardiac life support according to the American Heart Association guidelines. This arrhythmia is usually asso...

متن کامل

music therapy as a non-pharmacological treatment for the elderly: A Systematic Review

Introduction: Musical stimuli affect emotions, cognition, and other human characteristics, in health or disease. Today, an increasing number of healthcare centers, rehabilitation facilities, and daily programs for older adults recognize music therapy as a Non-invasive and sustainable intervention useful intervention. This systematic review was conducted to investigate the applications of music...

متن کامل

Anesthesiology residents' performance of pediatric resuscitation during a simulated hyperkalemic cardiac arrest.

BACKGROUND Anesthesiologists are responsible for the management of perioperative cardiopulmonary arrest in children. This study used simulation to assess the pediatric resuscitation skills of experienced anesthesia residents. METHODS Nineteen anesthesia residents were evaluated using a pediatric pulseless electrical activity scenario. The authors used a standardized checklist to evaluate the ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Critical care medicine

دوره 36 2  شماره 

صفحات  -

تاریخ انتشار 2008