| Need for sedation in a patient undergoing active compression--decompression cardiopulmonary resuscitation. | |
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MedLine Citation:
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PMID: 7614304 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The authors report the case of a 57-year-old man with a history of ischemic heart disease who presented to the emergency department with an acute myocardial infarction and hypotension. Despite aggressive pharmacotherapy, the patient's heart rate decreased, and he developed pulseless electrical activity within 15 minutes of his arrival. Cardiopulmonary resuscitation (CPR) was begun with an active compression-decompression (ACD) device, and the patient became agitated, making purposeful movements. When ACD-CPR was discontinued for a rhythm check, the patient had no pulse and became motionless. Agitation and purposeful movements occurred on two subsequent occasions with the initiation of ACD-CPR. The patient required physical restraints, sedation, and paralysis for personnel to perform endotracheal intubation and facilitate treatment. The implications of this case are discussed. |
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Authors:
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J V Quinn; P C Hebert; I G Stiell |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Academic emergency medicine : official journal of the Society for Academic Emergency Medicine Volume: 1 ISSN: 1069-6563 ISO Abbreviation: Acad Emerg Med Publication Date: 1994 Sep-Oct |
Date Detail:
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Created Date: 1995-08-22 Completed Date: 1995-08-22 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9418450 Medline TA: Acad Emerg Med Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 463-6, discussion 466-7 Citation Subset: IM |
Affiliation:
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Division of Emergency Medicine, University of Ottawa, Canada. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Angina Pectoris Cardiopulmonary Resuscitation / methods* Conscious Sedation* Fatal Outcome Heart Arrest / therapy* Humans Male Middle Aged Psychomotor Agitation* / etiology |
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