Archive for the 'Cardiopulmonary Resuscitation' Category

28 Nov

In-hospital Cardiopulmonary Resuscitation during Asystole: Conclusion

The direct px activity of norepinephrine results in a stimulation of myocardial contractility, which may be further enhanced by the presence of atropine, which would diminish increases in reflex vagal tone. In the case of the profoundly hypotensive patient undergoing CPR, the net result is an increase in systemic blood pressure and cardiac output, and […]

27 Nov

In-hospital Cardiopulmonary Resuscitation during Asystole: Discussion

Survival statistics for CPR at NSUH during the study period are virtually identical to those reported by other institutions during the current decade. It has been suggested that the persistent low survival rates may be due to the increased use of CPR in patients who in the past would not have undergone such treatment. As […]

26 Nov

In-hospital Cardiopulmonary Resuscitation during Asystole: Results

Table 2 presents survival statistics for patients grouped according to whether or not the patient received norepinephrine and lidocaine drips, and/or a pacemaker. One patient was excluded from this analysis due to incomplete data. Patients who received norepinephrine and/or lidocaine drip, but not a pacemaker were significantly more likely to survive than were those who […]

25 Nov

In-hospital Cardiopulmonary Resuscitation during Asystole: Data Analysis

Data Analysis Data were analyzed to determine whether specific interventions employed during an arrest may be associated with improved 24-h survival rates among patients with an initial rhythm of asystole. Categorical variables were analyzed by cross-tabulation against status (alive vs expired) 24 h after initiation of CPR. For each table, the xa statistic was computed […]

24 Nov

In-hospital Cardiopulmonary Resuscitation during Asystole: Methods

Facilities and Code Procedures North Shore University Hospital (NSUH) is a 650-bed tertiary care facility in Manhasset, NY. At NSUH, basic CPR is initiated by personnel on the unit where the arrest occurs. A “code” (999) is announced on the overhead page system and a cardiac arrest team (CAT) is notified by pocket beepers. Those […]

23 Nov

In-hospital Cardiopulmonary Resuscitation during Asystole

Therapeutic Factors Associated with 24-hour Survival The efficacy of cardiopulmonary resuscitation (CPR) for in-hospital cardiac arrests has been studied at a number of hospitals since its introduction in I960. These studies have identified some of the demographic and clinical characteristics associated with outcome, as well as some of the sequelae of successful resuscitation. In light […]

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