| Is internal massage superior to external massage for patients suffering a cardiac arrest after cardiac surgery? | |
| | |
MedLine Citation:
|
PMID: 18000024 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was whether open chest cardiac massage is superior to closed chest compressions in patients suffering cardiac arrest following cardiac surgery. Using the reported search, 527 papers were identified. Fifteen papers represented the best evidence on the subject and the author, journal, date and country of publication, patient group studied, study type, relevant outcomes, results and study comments and weaknesses were tabulated. The quality and level of evidence was assessed using the International Liaison Committee on Resuscitation guideline recommendations. We conclude that over 18 good quality animal studies have consistently demonstrated the superiority of open chest cardiac massage, with the cardiac index and coronary perfusion pressures often more than doubling. There are fewer human studies but they have shown that closed chest massage generates a cardiac index of around 0.6 l/min/m(2) which rises to 1.3 l/min/m(2) or more with open-chest-CPR, accompanied by even bigger improvements in coronary perfusion pressure. ILCOR recommends prompt conversion to open-chest-cardiac massage in patient's shortly post-cardiac surgery, and we would support this intervention if simple resuscitative efforts such as defibrillation, pacing or atropine fail, in order to significantly improve the quality of cardiopulmonary resuscitation. |
| | |
Authors:
|
Darragh Twomey; Moloy Das; Hariharan Subramanian; Joel Dunning |
Related Documents
:
|
2222714 - Cardiac dysrhythmias during nasal surgery--a comparison with lignocaine-adrenaline and ... 3222354 - Suckling stimulation modulates the maintenance of postpartum aggression in mice. 19349324 - Importance of the first link: description and recognition of an out-of-hospital cardiac... 2897074 - Fatal envenomation by chironex fleckeri, the north australian box jellyfish: the contin... 11436914 - Ventricular fibrillation following inhalation of glade air freshener. 2929434 - Severity of coronary artery disease among blacks with acute myocardial infarction. |
Publication Detail:
|
Type: Case Reports; Journal Article Date: 2007-11-13 |
Journal Detail:
|
Title: Interactive cardiovascular and thoracic surgery Volume: 7 ISSN: 1569-9285 ISO Abbreviation: Interact Cardiovasc Thorac Surg Publication Date: 2008 Feb |
Date Detail:
|
Created Date: 2008-01-31 Completed Date: 2008-02-14 Revised Date: 2008-02-27 |
Medline Journal Info:
|
Nlm Unique ID: 101158399 Medline TA: Interact Cardiovasc Thorac Surg Country: England |
Other Details:
|
Languages: eng Pagination: 151-6 Citation Subset: IM |
Affiliation:
|
Department of Cardiology, James Cook University Hospital, Middlesbrough, UK. darraghtwomey@doctors.org.uk |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Decision Making Heart Arrest / etiology, therapy* Heart Massage / methods* Heart Valve Prosthesis Implantation / adverse effects* Humans Male Middle Aged Postoperative Complications |
| Comments/Corrections | |
Comment In:
|
Interact Cardiovasc Thorac Surg. 2008 Feb;7(1):156-7
[PMID:
18234781
]
Interact Cardiovasc Thorac Surg. 2008 Feb;7(1):157 [PMID: 18234782 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Quality of life following primary vs. redo transthoracic paraesophageal hernia repairs.
Next Document: Marketing hygiene behaviours: the impact of different communication channels on reported handwashing...