Cardiac resuscitation

Cardiac resuscitation After open heart surgery, when epinephrine fails to improve... 

Intraventricular administration - In cardiac resuscitation, injection may be made into the ventricular cavity do not inject into the myocardium. Replace the IV needle with a suitable intracardiac needle. 

To minimize the risk of induced arrhythmia, patients initiated or reinitiated on Betapace or Betapace AF should be placed for a minimum of 3 days (on their maintenance dose) in a facility that can provide cardiac resuscitation, continuous electrocardiographic monitoring, and calculations of creatinine clearance. For detailed instructions regarding dose selection and special cautions for people with renal impairment, see Administration and Dosage. 

To minimize the risk of induced arrhythmia, initiate or re-initiate therapy for > 3 days in a facility that can provide cardiac resuscitation and ECG monitoring. 

Adrenaline is used in cardiac resuscitation to convert asystole prior to defibrillation. It is also used in acute hypotensive emergencies and low cardiac output states, especially in severe sepsis or following extracorporeal circulation in cardiac surgery. In anaphylactic shock the combination of powerful a (vasoconstriction) and 32 (bronchodilatation) effects may be life-saving (Appendix AAGBI protocol). Adrenaline is also used to relieve bronchoconstriction in bronchial asthma and status asthmaticus. Dose... 

Wijdicks EF, Campeau NG, Miller GM (2001) MR imaging in comatose survivors of cardiac resuscitation. Am J Neuro-radiol 22 1561-1565... 

In 1966, the same Baylor University group did some more interesting research with H202 and cardiac resuscitation. In fact, it was downright mind-boggling ... 

Urschel HC, Finney JW, Morale AR, et al Cardiac Resuscitation with Hydrogen Peroxide. Circ. 1965 31 (suppl II) 11-210. 

TABLE 12—1. Responsibilities of Cardiac Resuscitation Team Members... 

Redding JS, Pearson JW. Evaluation of drugs for cardiac resuscitation. Anaesthesia 1963 24 203-207. 

Omato JP, Gonzalez ER, Starke H, et al. Incidence and causes of hypokalemia associated with cardiac resuscitation. Am J Emerg Med 1985 3 503-506. 

Levy MM. An evidence-based evaluation of the use of sodium bicarbonate during cardiac resuscitation. Crit Care Clin 1998 14 457-483. Bjerneroth G. Tribonat A comprehensive summary of its properties. Crit Care Med 1999 27 1009-1013. 

Inappropriate use of IV verapamil Ventricular fibrillation Severe hypotension and/or myocardial ischemia Cardiac resuscitation (DC cardioversion) Misdiagnosis of VT as PSVT inappropriate use of verapamil... 

Ventricular fibrillation and subsequent death unless cardiac resuscitation follows promptly... 

Closed Chest Cardiac Resuscitation AppUcation of Closed Chest Cardiac Resuscitation The Cardiac and the Thoracic Pump Theories Animal Models Summary of This Section... 

Despite the suggestion that much remains unclear, CPR is not new. Initially known as closed-chest cardiac resuscitation (CCCR), an early report of CPR as performed today, in an 18-year-old woman, dates from 1858 [2], Following airway obstruction and hypoxia, cardiac arrest occurred. Artificial respiration and compressions on the anterior chest wall for 6 min resolved the incident successfully. Surprisingly little seems to have changed in CCCR since that early report. 

Closed-chest cardiac resuscitation quickly gained popularity as a procedure that lay people could perform, and a number of psychomotor aspects became important. The term CCCR gradually transformed to CPR, in order to emphasize the cardiac and pulmonary aspects in resuscitation, while de-emphasizing the suggestion that the heart was being pumped. The psychomotor skills, often synonymous with basic life support (BLS), became central issues on how CPR is performed, and it has been suggested that they are core issues in survival. 

Open-chest cardiac resuscitation was introduced in the 19th century as a surgical procedure to force the ventricles to expel their volumes. It was replaced through Kouwenhoven s influence, by the noninvasive CCCR procedure that gained popularity after 1960. Kouwenhoven s instructions on how to apply CCCR are taught today virtually intact, though it quickly had become apparent that survival rates left much to... 

Husveti, S. and EUis, H. lanos Balassa, pioneer of cardiac resuscitation. Anaesthesia, 24, 113-115, 1969. 

Klouche, K., Weil, M.H., Sun, S., Tang, W., Provoas, H., and Bisera, J. Stroke volumes generated by precordial compressions during cardiac resuscitation. Crit. Care Med., 30,2626-2631,2002. 

Ferris, C. D., 1966, Cardiac resuscitation by electronic stimulators. Final Report, University of Maryland, USPHS Grant HE-4595. 

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