Document Detail


Selective neurological recovery or dissociated cardiac death--to be or not to be--during cardiopulmonary resuscitation.
MedLine Citation:
PMID:  9571726     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Of 111 victims of circulatory arrest, 93 (84%) retained or regained some brain function during the resuscitation process. Twenty-six of these (24%) did not have spontaneous circulation restored, and a further 18 (16%) were left in cardiogenic shock and died within 24 h. Bradyarrhythmia or asystole during the resuscitation efforts or prolonged resuscitative attempts beyond 20 min were related to the irreversible failure of heart pump function. Individuals developing either this type of 'dissociated cardiac death' or cardiogenic shock could not be identified prior to resuscitation by the cause of the arrest nor by the initial cardiac arrhythmia. 'Dissociated cardiac death' and cardiogenic shock are major problems in cardiopulmonary resuscitation. A code of practice is urgently needed.
Authors:
E O Jørgensen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Resuscitation     Volume:  36     ISSN:  0300-9572     ISO Abbreviation:  Resuscitation     Publication Date:  1998 Feb 
Date Detail:
Created Date:  1998-06-19     Completed Date:  1998-06-19     Revised Date:  2009-08-25    
Medline Journal Info:
Nlm Unique ID:  0332173     Medline TA:  Resuscitation     Country:  IRELAND    
Other Details:
Languages:  eng     Pagination:  105-9     Citation Subset:  IM    
Affiliation:
Medical Department I/P, Bispebjerg Hospital, Copenhagen Health Services, Denmark.
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MeSH Terms
Descriptor/Qualifier:
Arrhythmias, Cardiac / epidemiology
Brain / physiopathology*
Cardiopulmonary Resuscitation*
Heart Arrest / epidemiology*,  therapy
Humans
Prognosis
Shock, Cardiogenic / epidemiology
Time Factors
Treatment Outcome

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


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