Thrombolysis and cardiopulmonary resuscitation: TROICA
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منابع مشابه
Thrombolysis in cardiac arrest: Initial enthusiasm tempered.
We read with great interest the comprehensive review advocating thrombolysis during cardiopulmonary resuscitation conducted by Professor Mysiak and co-workers [1]. However, we feel obliged to mention that an important contribution in this field was made last year. At the World Congress of Cardiology 2006 in Barcelona, the eagerly awaited results of the Thrombolysis in Cardiac Arrest (TROICA) tr...
متن کاملInternational multicentre trial protocol to assess the efficacy and safety of tenecteplase during cardiopulmonary resuscitation in patients with out-of-hospital cardiac arrest: the Thrombolysis in Cardiac Arrest (TROICA) Study.
Prehospital cardiac arrest has been associated with a very poor prognosis. Acute myocardial infarction and massive pulmonary embolism are the underlying causes of out-of-hospital cardiac arrest in 50-70% of patients. Although fibrinolysis is an effective treatment strategy for both myocardial infarction and pulmonary embolism, clinical experience for this therapy performed during resuscitation ...
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Neuronal injury following global cerebral ischemia continues to bea central problem of patients in the postresuscitation phase following cardiocirculatory arrest. In addition to measures focusing on rapid restoration of spontaneous circulation, the most effective treatment after cardiac arrest, as shown by large randomized trials,is the use of therapeutic mild hypothermia. Current guidelines of...
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An otherwise healthy 48-year-old woman presented in respiratory extremis from massive pulmonary embolism and promptly arrested. She underwent open-chest cardiopulmonary resuscitation followed by portable partial cardiopulmonary bypass and embolectomy but could not be resuscitated. Massive pulmonary embolism is frequently a desperate situation, but aggressive therapy with thrombolysis or embolec...
متن کاملThrombolysis with recombinant tissue plasminogen activator during cardiopulmonary resuscitation in fulminant pulmonary embolism. A case series.
OBJECTIVE To describe our outcomes using thrombolysis during the cardiopulmonary resuscitation (CPR) of patients in cardiorespiratory arrest (CA) caused by fulminant pulmonary embolism (FPE). DESIGN A case series. SETTING Intensive care units of a district hospital and a referral centre. PATIENTS Six patients that suffered CA secondary to an FPE. INTERVENTIONS Administration of recombin...
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