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

Nielsen, N; Sandhall, L; Schersten, F; Friberg, Hans LU and Olsson, SE (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-decompress ion 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-decompress ion 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)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
hypothermia, cardiac arrest, cardiopulmonary resuscitation, brain ischaemia, compression-decompression (mechanical compression-decompression), return of spontaneous circulation, active
in
Resuscitation
volume
65
issue
1
pages
111 - 113
publisher
Elsevier
external identifiers
  • wos:000228605000017
  • pmid:15797284
  • scopus:15744365942
ISSN
1873-1570
DOI
10.1016/j.resuscitation.2004.11.007
language
English
LU publication?
yes
id
3c59311a-c3c9-4f10-b478-6e8754f27607 (old id 244619)
date added to LUP
2007-10-05 10:40:46
date last changed
2017-10-01 03:55:16
@article{3c59311a-c3c9-4f10-b478-6e8754f27607,
  abstract     = {A 62-year-old man suffered out-of-hospital cardiac arrest and was treated with mechanical compression-decompress ion 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, N and Sandhall, L and Schersten, F and Friberg, Hans and Olsson, SE},
  issn         = {1873-1570},
  keyword      = {hypothermia,cardiac arrest,cardiopulmonary resuscitation,brain ischaemia,compression-decompression (mechanical compression-decompression),return of spontaneous circulation,active},
  language     = {eng},
  number       = {1},
  pages        = {111--113},
  publisher    = {Elsevier},
  series       = {Resuscitation},
  title        = {Successful resuscitation with mechanical CPR, therapeutic hypothermia and coronary intervention during manual CPR after out-of-hospital cardiac arrest},
  url          = {http://dx.doi.org/10.1016/j.resuscitation.2004.11.007},
  volume       = {65},
  year         = {2005},
}