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Successful resuscitation with mechanical CPR, therapeutic hypothermia and coronary intervention during manual CPR after out-of-hospital cardiac arrest

Nielsen, Niklas LU ; Sandhall, Lennart; Scherstén, Fredrik LU ; Friberg, Hans LU and Olsson, Sven-Erik LU (2005) In Resuscitation 65(1). p.111-113
Abstract
A 62-year-old man suffered out-of-hospital cardiac arrest and was treated with mechanical compression-decompression during transport to the hospital. In the emergency department, 28 min after cardiac arrest, spontaneous circulation returned briefly but the patient rapidly became asystolic and mechanical compression-decompression was again applied. After further resuscitation a spontaneous circulation returned and the patient was transferred, deeply comatose, to the coronary intervention laboratory while therapeutic hypothermia was induced. In the laboratory the heart arrested again and coronary angiography was performed during manual CPR revealing a left main stem occlusion. After successful reperfusion of the heart the patient was... (More)
A 62-year-old man suffered out-of-hospital cardiac arrest and was treated with mechanical compression-decompression during transport to the hospital. In the emergency department, 28 min after cardiac arrest, spontaneous circulation returned briefly but the patient rapidly became asystolic and mechanical compression-decompression was again applied. After further resuscitation a spontaneous circulation returned and the patient was transferred, deeply comatose, to the coronary intervention laboratory while therapeutic hypothermia was induced. In the laboratory the heart arrested again and coronary angiography was performed during manual CPR revealing a left main stem occlusion. After successful reperfusion of the heart the patient was transferred to the intensive care unit with an intra-aortic balloon pump. The patient was treated with hypothermia for 24 h and awoke without neurological sequelae after a sustained intensive care period of 13 days. The present case is an example of how modern resuscitation principles implementing new clinical and experimental findings may strengthen the chain of survival during resuscitation. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
induced hypothermia, Heart arrest, mechanical CPR, coronary intervention
in
Resuscitation
volume
65
issue
1
pages
111 - 113
publisher
Elsevier
external identifiers
  • Scopus:15744365942
ISSN
1873-1570
language
English
LU publication?
yes
id
816e275d-6652-4b0f-b60d-f1ac76dacafc (old id 1584422)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/15797284
http://www.sciencedirect.com/science/article/pii/S0300957204004629
date added to LUP
2013-07-31 15:27:09
date last changed
2016-10-13 04:44:13
@misc{816e275d-6652-4b0f-b60d-f1ac76dacafc,
  abstract     = {A 62-year-old man suffered out-of-hospital cardiac arrest and was treated with mechanical compression-decompression during transport to the hospital. In the emergency department, 28 min after cardiac arrest, spontaneous circulation returned briefly but the patient rapidly became asystolic and mechanical compression-decompression was again applied. After further resuscitation a spontaneous circulation returned and the patient was transferred, deeply comatose, to the coronary intervention laboratory while therapeutic hypothermia was induced. In the laboratory the heart arrested again and coronary angiography was performed during manual CPR revealing a left main stem occlusion. After successful reperfusion of the heart the patient was transferred to the intensive care unit with an intra-aortic balloon pump. The patient was treated with hypothermia for 24 h and awoke without neurological sequelae after a sustained intensive care period of 13 days. The present case is an example of how modern resuscitation principles implementing new clinical and experimental findings may strengthen the chain of survival during resuscitation.},
  author       = {Nielsen, Niklas and Sandhall, Lennart and Scherstén, Fredrik and Friberg, Hans and Olsson, Sven-Erik},
  issn         = {1873-1570},
  keyword      = {induced hypothermia,Heart arrest,mechanical CPR,coronary intervention},
  language     = {eng},
  number       = {1},
  pages        = {111--113},
  publisher    = {ARRAY(0xbdedca0)},
  series       = {Resuscitation},
  title        = {Successful resuscitation with mechanical CPR, therapeutic hypothermia and coronary intervention during manual CPR after out-of-hospital cardiac arrest},
  volume       = {65},
  year         = {2005},
}