Document Detail


Cardiac resuscitation with percutaneous cardiopulmonary support.
MedLine Citation:
PMID:  1354278     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Percutaneous cardiopulmonary support (CPS) was initiated in 9 patients to provide haemodynamic stability after failure of conventional resuscitation. 4 patients were in cardiogenic shock and 4 remained in asystole, with 1 in resistant ventricular fibrillation, after cardiac arrest. During CPS for those in cardiogenic shock, the mean intra-arterial pressures ranged from 65 to 100 mm Hg (mean 84), at flow rates of between 3 to 5 l/min (mean 3.9). 2 patients underwent technically successful coronary angioplasty. No patient in this group survived. In the cardiac arrest group, acceptable mean intra-arterial blood pressures were achieved (mean 95, range 90-100 mm Hg) at flow rates of between 2 to 3 l/min (mean 2.6). All 5 subjects underwent technically successful coronary angioplasty whilst on CPS. 4 survived. 2 were alive and well at 12 months follow-up, 1 of whom had returned to work; the third is alive and well at 4 months.
Authors:
M R Rees; T Browne; U M Sivananthan; S Whittaker; D Hick; S P Verma; L B Tan; G A Davies
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Lancet     Volume:  340     ISSN:  0140-6736     ISO Abbreviation:  Lancet     Publication Date:  1992 Aug 
Date Detail:
Created Date:  1992-09-17     Completed Date:  1992-09-17     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  2985213R     Medline TA:  Lancet     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  513-4     Citation Subset:  AIM; IM    
Affiliation:
Cardiac Research Unit, Killingbeck Hospital, Leeds, UK.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Cardiopulmonary Resuscitation / methods*
Catheterization
Female
Heart Arrest / therapy*
Humans
Life Support Systems
Male
Middle Aged
Shock, Cardiogenic / therapy*
Comments/Corrections
Comment In:
Lancet. 1992 Oct 10;340(8824):913   [PMID:  1357322 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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