Incidence of regurgitation and pulmonary aspiration of gastric contents in survivors from out-of-hospital cardiac arrest
| Autor: | Anneli Piilonen, I Virkkunen, Arno Vuori, S Kujala, Arvi Yli-Hankala, V Kähärä, Ville Pettilä, J.-P Kääriä, Tom Silfvast, S Ryynänen |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
Male
Emergency Medical Services Resuscitation medicine.medical_specialty medicine.medical_treatment Pneumonia Aspiration Sensitivity and Specificity Risk Factors Internal medicine medicine Humans Survivors Cardiopulmonary resuscitation Aged Retrospective Studies business.industry Incidence Incidence (epidemiology) Retrospective cohort study General Medicine Middle Aged medicine.disease Cardiopulmonary Resuscitation Heart Arrest Radiography Pneumonia Anesthesiology and Pain Medicine medicine.anatomical_structure Pulmonary aspiration Pulmonary valve Regurgitation (digestion) Gastroesophageal Reflux Cardiology Female medicine.symptom business |
| Zdroj: | Acta Anaesthesiologica Scandinavica. 51:202-205 |
| ISSN: | 1399-6576 0001-5172 |
| DOI: | 10.1111/j.1399-6576.2006.01229.x |
| Popis: | Background: The regurgitation of gastric contents and subsequent pulmonary aspiration remain serious adverse events in cardiac arrest and cardiopulmonary resuscitation. The aim of this study was to determine the association between clinical signs of regurgitation and radiological findings consistent with aspiration in resuscitated out-of-hospital cardiac arrest (OHCA) patients admitted to hospital. Methods: The incidence of regurgitation was studied in 182 successfully resuscitated OHCA patients. The inclusion criterion was the restoration of spontaneous circulation after OHCA not caused by trauma or drug overdose. Results: The incidence of regurgitation was 20%. Regurgitation was associated with radiological findings consistent with aspiration with a high specificity (81%) and a low sensitivity (46%). Conclusions: Although there was a strong association between clinical regurgitation and radiological findings consistent with aspiration, our data suggest that regurgitation is not invariably followed by radiological findings compatible with aspiration. Radiological findings consistent with aspiration are relatively infrequent without preceding signs of regurgitation in resuscitated patients. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|