Continuous mechanical chest compression during in-hospital cardiopulmonary resuscitation of patients with pulseless electrical activity

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Fältnamn	Indikatorer	Metadata
000		03997naa a2200409 4500
001		oai:lup.lub.lu.se:148999f6-eef5-4403-b171-b7f65e77d222
003		SwePub
008		160401s2011 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
024	7	a https://lup.lub.lu.se/record/18700442 URI
024	7	a https://doi.org/10.1016/j.resuscitation.2010.10.0192 DOI
040		a (SwePub)lu
041		a engb eng
042		9 SwePub
072	7	a art2 swepub-publicationtype
072	7	a ref2 swepub-contenttype
100	1	a Bonnemeier, Hendrik4 aut
245	1 0	a Continuous mechanical chest compression during in-hospital cardiopulmonary resuscitation of patients with pulseless electrical activity
264	1	b Elsevier BV,c 2011
520		a Survival after in-hospital pulseless electrical activity (PEA) cardiac arrest is poor and has not changed during the last 10 years. Effective chest compressions may improve survival after PEA. We investigated whether a mechanical device (LUCAS (TM)-CPR) can ensure chest compressions during cardiac arrest according to guidelines and without interruption during transport, diagnostic procedures and in the catheter laboratory. Methods: We studied mechanical chest compression in 28 patients with PEA (pulmonary embolism (PE) n = 14; cardiogenic shock/acute myocardial infarction; n=9; severe hyperkalemia; n=2; sustained ventricular arrhythmias/electrical storm; n=3) in a university hospital setting. Results: During or immediately after CPR, 21 patients underwent coronary angiography and or pulmonary angiography. Successful return of a spontaneous circulation (ROSC) was achieved in 27 out of the 28 patients. Ten patients died within the first hour and three patients died within 2411 after CPR. A total of 14 patients survived and were discharged from hospital (13 without significant neurological deficit). Interestingly, six patients with PE did not have thrombolytic therapy due to contraindications. CT-angiography findings in these patients showed fragmentation of the thrombus suggesting thrombus breakdown as an additional effect of mechanical chest compressions. No patients exhibited any life-threatening device-related complications. Conclusion: Continuous chest compression with an automatic mechanical device is feasible, safe, and might improve outcomes after in-hospital-resuscitation of PEA. Patients with PE may benefit from effective continuous chest compression, probably due to thrombus fragmentation and increased pulmonary artery blood flow. (C) 2010 Elsevier Ireland Ltd. All rights reserved.
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Anestesi och intensivvård0 (SwePub)302012 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Anesthesiology and Intensive Care0 (SwePub)302012 hsv//eng
653		a Cardiopulmonary resuscitation
653		a Mechanical chest compression device
653		a Pulseless electrical activity
700	1	a Simonis, Gregor4 aut
700	1	a Olivecrona, Göranu Lund University,Lunds universitet,Kardiologi,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Cardiology,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine4 aut0 (Swepub:lu)kard-gol
700	1	a Weidtmann, Britta4 aut
700	1	a Götberg, Matthiasu Lund University,Lunds universitet,Kardiologi,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Cardiology,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine4 aut0 (Swepub:lu)kard-mgo
700	1	a Weitz, Gunther4 aut
700	1	a Gerling, Ivana4 aut
700	1	a Strasser, Ruth4 aut
700	1	a Frey, Norbert4 aut
710	2	a Kardiologib Sektion II4 org
773	0	t Resuscitationd : Elsevier BVg 82:2, s. 155-159q 82:2<155-159x 1873-1570x 0300-9572
856	4	u http://dx.doi.org/10.1016/j.resuscitation.2010.10.019y FULLTEXT
856	4 8	u https://lup.lub.lu.se/record/1870044
856	4 8	u https://doi.org/10.1016/j.resuscitation.2010.10.019

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By the author/editor: Bonnemeier, Hend ...; Simonis, Gregor; Olivecrona, Göra ...; Weidtmann, Britt ...; Götberg, Matthia ...; Weitz, Gunther; show more...; Gerling, Ivana; Strasser, Ruth; Frey, Norbert; show less...

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