Interposed abdominal compression-cardiopulmonary resuscitation after cardiac surgery
| Autor: | Jun Wang, Tian-Fa Li, Ji-ke Li |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Adult
Male Pulmonary and Respiratory Medicine China medicine.medical_specialty Time Factors medicine.medical_treatment education Return of spontaneous circulation Internal medicine Abdomen Pressure medicine Humans Hospital Mortality Prospective Studies cardiovascular diseases Cardiopulmonary resuscitation Cardiac Surgical Procedures Asystole health care economics and organizations Aged Surgical team business.industry Sudden cardiac arrest Recovery of Function Length of Stay Middle Aged medicine.disease Cardiopulmonary Resuscitation Patient Discharge Heart Arrest Cardiac surgery Treatment Outcome Ventricular fibrillation Pulseless electrical activity Cardiology Feasibility Studies Female Surgery medicine.symptom Cardiology and Cardiovascular Medicine business |
| Zdroj: | Interactive CardioVascular and Thoracic Surgery. 19:985-989 |
| ISSN: | 1569-9285 1569-9293 |
| DOI: | 10.1093/icvts/ivu255 |
| Popis: | The management of cardiac arrest after cardiac surgery differs from the management of cardiac arrest under other circumstances. In other studies, interposed abdominal compression-cardiopulmonary resuscitation (IAC-CPR) resulted in a better outcome compared with conventional CPR. The aim of the present study was to determine the feasibility, safety and efficacy of IAC-CPR compared with conventional CPR in patients with cardiac arrest after cardiac surgery.Data on all cardiac surgical patients who suffered a sudden cardiac arrest during the first 24 h after surgery were collected prospectively. Cardiac arrest was defined as the cessation of cardiac mechanical activity with the absence of a palpable central pulse, apnoea and unresponsiveness, including ventricular fibrillation, asystole and pulseless electrical activity. Forty patients were randomized to either conventional CPR (n = 21) or IAC-CPR (n = 19). IAC-CPR was initially performed by compressing the abdomen midway between the xiphoid and the umbilicus during the relaxation phase of chest compression. If spontaneous circulation was not restored after 10-15 min, the surgical team would immediately proceed to resternotomy. The endpoints of the study were safety, return of spontaneous circulation (ROSC)5 min, survival to hospital discharge and survival for 6 months.With IAC-CPR, there were more patients in terms of ROSC, survival to hospital discharge, survival for 6 months and fewer CPR-related injuries compared with patients who underwent conventional CPR.IAC-CPR is feasible and safe and may be advantageous in cases of cardiac arrest after cardiac surgery. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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