scholarly journals A Novel Anatomic Landmark to Target the Left Ventricle During Chest Compressions in Cardiac Arrest

Cureus ◽  
2021 ◽  
Author(s):  
Paul A Olszynski ◽  
Rhonda Bryce ◽  
Qasim Hussain ◽  
Stephanie Dunn ◽  
Brandon Blondeau ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Left Ventricle ◽  
Chest Compressions ◽  
Anatomic Landmark

scholarly journals Cardiac arrest complicating cardiogenic shock: from pathophysiological insights to Impella-assisted cardiopulmonary resuscitation in a pheochromocytoma-induced Takotsubo cardiomyopathy—a case report

2021 ◽  
Vol 5 (3) ◽  
Author(s):  
Filippo Zilio ◽  
Simone Muraglia ◽  
Roberto Bonmassari
Keyword(s):  
Cardiac Arrest ◽  
Cardiopulmonary Resuscitation ◽  
Left Ventricle ◽  
Cardiogenic Shock ◽  
Takotsubo Cardiomyopathy ◽  
Perfusion Pressure ◽  
Coronary Perfusion Pressure ◽  
Left Ventricular ◽  
Coronary Perfusion ◽  
Refractory Cardiac Arrest

Abstract Background A ‘catecholamine storm’ in a case of pheochromocytoma can lead to a transient left ventricular dysfunction similar to Takotsubo cardiomyopathy. A cardiogenic shock can thus develop, with high left ventricular end-diastolic pressure and a reduction in coronary perfusion pressure. This scenario can ultimately lead to a cardiac arrest, in which unloading the left ventricle with a peripheral left ventricular assist device (Impella®) could help in achieving the return of spontaneous circulation (ROSC). Case summary A patient affected by Takotsubo cardiomyopathy caused by a pheochromocytoma presented with cardiogenic shock that finally evolved into refractory cardiac arrest. Cardiopulmonary resuscitation was performed but ROSC was achieved only after Impella® placement. Discussion In the clinical scenario of Takotsubo cardiomyopathy due to pheochromocytoma, when cardiogenic shock develops treatment is difficult because exogenous catecholamines, required to maintain organ perfusion, could exacerbate hypertension and deteriorate the cardiomyopathy. Moreover, as the coronary perfusion pressure is critically reduced, refractory cardiac arrest could develop. Although veno-arterial extra-corporeal membrane oxygenation (va-ECMO) has been advocated as the treatment of choice for in-hospital refractory cardiac arrest, in the presence of left ventricular overload a device like Impella®, which carries fewer complications as compared to ECMO, could be effective in obtaining the ROSC by unloading the left ventricle.

CPREzy™ improves performance of external chest compressions in simulated cardiac arrest

Resuscitation ◽  
2007 ◽  
Vol 72 (1) ◽  
pp. 100-107 ◽  
Author(s):  
Stefan K. Beckers ◽  
Max H. Skorning ◽  
Michael Fries ◽  
Johannes Bickenbach ◽  
Stephan Beuerlein ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Chest Compressions ◽  
External Chest Compressions

Mechanical chest compressions with trapezoidal waveform improve haemodynamics during cardiac arrest

Resuscitation ◽  
2011 ◽  
Vol 82 (2) ◽  
pp. 213-218 ◽  
Author(s):  
Jo Kramer-Johansen ◽  
Morten Pytte ◽  
Ann-Elin Tomlinson ◽  
Kjetil Sunde ◽  
Elizabeth Dorph ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Chest Compressions

scholarly journals Leaning during chest compressions impairs cardiac output and left ventricular myocardial blood flow in piglet cardiac arrest

2010 ◽  
Vol 38 (4) ◽  
pp. 1141-1146 ◽  
Author(s):  
Mathias Zuercher ◽  
Ronald W. Hilwig ◽  
James Ranger-Moore ◽  
Jon Nysaether ◽  
Vinay M. Nadkarni ◽  
...  
Keyword(s):  
Blood Flow ◽  
Cardiac Arrest ◽  
Cardiac Output ◽  
Myocardial Blood Flow ◽  
Left Ventricular ◽  
Chest Compressions

scholarly journals CONTINUOUS CHEST COMPRESSIONS AND ASYNCHRONOUS VENTILATION WITH 21% OR 100% OXYGEN IN SEVERELY ASPHYXIATED PIGLETS WITH CARDIAC ARREST

2015 ◽  
Vol 31 (10) ◽  
pp. S121-S122
Author(s):  
A. Solevag ◽  
G. Schmölzer ◽  
M. O’Reilly ◽  
M. Lu ◽  
T. Lee ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Chest Compressions

Effectiveness of a Dispatcher-Assisted Cardiopulmonary Resuscitation Program Developed by the Thailand National Institute of Emergency Medicine (NIEMS)

2021 ◽  
pp. 1-6
Author(s):  
Chuenruthai Angkoontassaneeyarat ◽  
Chaiyaporn Yuksen ◽  
Chetsadakon Jenpanitpong ◽  
Pemika Rukthai ◽  
Marisa Seanpan ◽  
...  
Keyword(s):  
Health Care ◽  
Emergency Medicine ◽  
Cardiac Arrest ◽  
Cardiopulmonary Resuscitation ◽  
Health Care Providers ◽  
Care Providers ◽  
Chest Compressions ◽  
Threatening Condition ◽  
Life Threatening

Abstract Background: Out-of-hospital cardiac arrest (OHCA) is a life-threatening condition with an overall survival rate that generally does not exceed 10%. Several factors play essential roles in increasing survival among patients experiencing cardiac arrest outside the hospital. Previous studies have reported that implementing a dispatcher-assisted cardiopulmonary resuscitation (DA-CPR) program increases bystander CPR, quality of chest compressions, and patient survival. This study aimed to assess the effectiveness of a DA-CPR program developed by the Thailand National Institute for Emergency Medicine (NIEMS). Methods: This was an experimental study using a manikin model. The participants comprised both health care providers and non-health care providers aged 18 to 60 years. They were randomly assigned to either the DA-CPR group or the uninstructed CPR (U-CPR) group and performed chest compressions on a manikin model for two minutes. The sequentially numbered, opaque, sealed envelope method was used for randomization in blocks of four with a ratio of 1:1. Results: There were 100 participants in this study (49 in the DA-CPR group and 51 in the U-CPR group). Time to initiate chest compressions was statistically significantly longer in the DA-CPR group than in the U-CPR group (85.82 [SD = 32.54] seconds versus 23.94 [SD = 16.70] seconds; P <.001). However, the CPR instruction did not translate into better performance or quality of chest compressions for the overall sample or for health care or non-health care providers. Conclusion: Those in the CPR-trained group applied chest compressions (initiated CPR) more quickly than those who initiated CPR based upon dispatch-based CPR instructions.

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