| Adherence to CPR guidelines during perioperative cardiac arrest in a developing country. | |
| | |
MedLine Citation:
|
PMID: 16563595 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
MATERIALS AND METHODS: All perioperative cardiac arrests in adults that occurred in a 1-year-period were studied prospectively. All patients <15 years and cardiac arrests occurring outside the direct supervision of the anaesthetists were excluded. Time and duration of arrest, cardiac arrest rhythm and management were documented along with immediate outcome. RESULTS: Thirteen cardiac arrests occurred in 2147 perioperative cases (incidence: 6/1000). Seven patients had non ventricular fibrillation/pulseless ventricular tachycardia (VF/VT) rhythms. The mean age of patients was 30.23+/-11.06 years. Orotracheal intubation, manual ventilation with 100% O(2) and external chest compressions were instituted in all cases. The mean duration of arrest was 25.66+/-13.34 min. All patients received adrenaline (epinephrine) and atropine. The median interval between adrenaline doses was 7.5 min. Only one cycle of defibrillation was given to patients in VF/VT. Immediate survival occurred in five patients (38.46%). CONCLUSION: Anaesthetists in our hospital are not applying proper resuscitation guidelines. The lack of organised simulation practice resulted in deficient knowledge and skills. There is a need for continuing training in basic and advanced resuscitation for all anaesthetists according to the guidelines. |
| | |
Authors:
|
Ibironke Desalu; Olusola Kushimo; Olufunke Akinlaja |
Related Documents
:
|
7739955 - Transvenous right ventricular pacing during cardiopulmonary resuscitation of pediatric ... 9328965 - Pathogenesis of cardiac dysfunction during metabolic acidosis: therapeutic implications. 12080325 - A selective alpha(2)-adrenergic agonist for cardiac resuscitation. 16997785 - Feasibility of basic emergency medical technicians to perform selected advanced life su... 9229295 - Time course of coronary endothelial dysfunction in acute untreated rejection after hete... 6994925 - Serum enzymes and isoenzymes in the diagnosis and differential diagnosis of myocardial ... |
Publication Detail:
|
Type: Journal Article Date: 2006-03-23 |
Journal Detail:
|
Title: Resuscitation Volume: 69 ISSN: 0300-9572 ISO Abbreviation: Resuscitation Publication Date: 2006 Jun |
Date Detail:
|
Created Date: 2006-06-05 Completed Date: 2006-11-09 Revised Date: 2011-01-11 |
Medline Journal Info:
|
Nlm Unique ID: 0332173 Medline TA: Resuscitation Country: Ireland |
Other Details:
|
Languages: eng Pagination: 517-20 Citation Subset: IM |
Affiliation:
|
Department of Anaesthesia, College of Medicine, University of Lagos, P.M.B. 12003, Lagos, Nigeria. ronkedesalu@yahoo.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adrenergic Agonists
/
administration & dosage,
therapeutic use Adult Anti-Arrhythmia Agents / administration & dosage, therapeutic use Atropine / administration & dosage, therapeutic use Cardiopulmonary Resuscitation / methods* Epinephrine / administration & dosage, therapeutic use Guideline Adherence* Heart Arrest / drug therapy, epidemiology, therapy* Humans Incidence Intraoperative Period Nigeria Prospective Studies Survival Analysis Time Factors |
| Chemical | |
Reg. No./Substance:
|
0/Adrenergic Agonists; 0/Anti-Arrhythmia Agents; 51-43-4/Epinephrine; 51-55-8/Atropine |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The frequency ratio: an improved method to estimate ventricular fibrillation duration based on Fouri...
Next Document: Performance of department staff in the window between discovery of collapse to cardiac arrest team a...