results ecls was initiated at a mean of 324.15 ± 197.8 (110 - 950) min from initial trauma. in 4 patients, ecls treatment failed due to an incapability to maintain adequate ecls flow and patient perfusion. in the other 16 patients efficiently supported by ecls, the cardiac index, mean arterial pressure, lactate concentration, pao2, paco2, and ph showed significant improvement with normal values...

BACKGROUND In a rural region with few medical resources, we have promoted the strategy that if an out-of-hospital cardiac arrest (OHCA) patient is likely reversible, he or she should be transported directly from the scene of cardiac arrest to the only tertiary care center where extracorporeal cardiopulmonary resuscitation (ECPR) is readily available. We investigated 1-month survival and neurolo...

BACKGROUND The phenomenon of autoresuscitation is rare, yet it is known to most emergency physicians. However, the pathophysiology of the delayed return of spontaneous circulation remains enigmatic. Among other causes hyperinflation of the lungs and excessively high positive end-expiratory pressure have been suggested, but reports including cardiopulmonary monitoring during cardiopulmonary resu...

BACKGROUND Epinephrine remains the drug of choice for cardiopulmonary resuscitation. The aim of the present study is to assess whether the combination of vasopressin and epinephrine, given their different mechanisms of action, provides better results than epinephrine alone in cardiopulmonary resuscitation. METHODS Ventricular fibrillation was induced in 22 Landrace/Large-White piglets, which ...

BACKGROUND Pneumoperitoneum after cardiopulmonary resuscitation may be due to mediastinal air tracking into the peritoneal cavity via the diaphragmatic hiatus or to gastric perforation. CASE REPORT A 79-year-old woman received Advanced Cardiac Life Support measures in the intensive care unit. Chest compressions and endotracheal intubation were performed; a stable cardiac rhythm and perfusion ...

Aktuální doporučené postupy pro resuscitaci vycházejí z konsenzuálních stanovisek a léčebných doporučení roku 2020. Byly uveřejněny jako Evropské resuscitační rady v roce 2021. Resuscitace dětí představuje samostatnou kapitolu týká se resuscitace věkovou kategorii 0-18 let s výjimkou novorozenců bezprostředně po porodu. Resuscitaci porodu je věnována samostatná ka...

BACKGROUND Despite many advances in resuscitation science the outcomes of sudden cardiac arrest (SCA) remain poor. The Minnesota Resuscitation Consortium (MRC) is a statewide integrated resuscitation program, established in 2011, to provide standardized, evidence-based resuscitation and post-resuscitation care. The objective of this study is to assess the outcomes of a state-wide integrated res...

We assessed the efficacy of conventional cardiopulmonary resuscitation (CPR) in 2week-old piglets. We determined intrathoracic vascular pressures, cerebral (CBF) and myocardial blood flows (MBF), and cerebral oxygen uptake during conventional CPR in this infant animal preparation and contrasted these results with those of previous work on adult animals. We further examined the effects of the in...