Document Detail

Hepatic portal venous gas associated with poor outcome in out-of-hospital cardiac arrest patients.
MedLine Citation:
PMID:  15050763     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: To determine the incidence of sonographic hepatic portal venous gas (HPVG) and to clarify the relationship between the presence of HPVG and clinical outcomes in patients with out-of-hospital cardiac arrest (OHCA). METHODS: From April 2002 to January 2003, patients with non-traumatic OHCA were prospectively enrolled in a tertiary medical centre in Taipei, Taiwan. Emergency abdominal sonography during resuscitation was performed to detect the presence of HPVG within the first 10 min on arrival of the emergency department (ED). RESULTS: HPVG was detected in 16 (36%) of the 44 patients enrolled in this study. The patients with HPVG were older (P = 0.039), their cardiac arrest was witnessed less frequently (P = 0.01), they received more prolonged resuscitation (P = 0.008), and needed more accumulated doses of adrenaline (epinephrine) (P = 0.002). These patients had a considerably lower incidence of return of spontaneous circulation (ROSC) (P < 0.001), less survival to hospital admission (P < 0.001), less 24 h survival (P < 0.001) and less survival to discharge (P = 0.036). In a multiple regression analysis, HPVG was noted as an independent factor negatively associated with ROSC. CONCLUSION: HPVG is not uncommon in patients receiving resuscitation for OHCA and is associated with poor outcome in these patients.
Wan-Ching Lien; Wei-Tien Chang; Shih-Pei Huang; Han-Mo Chiu; Ting-I Lai; Te-I Weng; Cheng-Chung Fang; Hsiu-Po Wang; Wen-Jone Chen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Resuscitation     Volume:  60     ISSN:  0300-9572     ISO Abbreviation:  Resuscitation     Publication Date:  2004 Mar 
Date Detail:
Created Date:  2004-03-30     Completed Date:  2004-07-16     Revised Date:  2009-08-25    
Medline Journal Info:
Nlm Unique ID:  0332173     Medline TA:  Resuscitation     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  303-7     Citation Subset:  IM    
Department of Emergency Medicine, National Taiwan University Hospital Taipei No. 7, Chung-Shan South Road, Taipei 100, Taiwan.
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MeSH Terms
Cardiopulmonary Resuscitation
Gases / analysis
Heart Arrest / mortality*,  ultrasonography*
Liver / ultrasonography*
Portal Vein / ultrasonography*
Prospective Studies
Reg. No./Substance:

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