Review and Outcome of Prolonged Cardiopulmonary Resuscitation

Critical Care Research and Practice
Houssein YounessJean Keddissi

Abstract

The maximal duration of cardiopulmonary resuscitation (CPR) is unknown. We report a case of prolonged CPR. We have then reviewed all published cases with CPR duration equal to or more than 20 minutes. The objective was to determine the survival rate, the neurological outcome, and the characteristics of the survivors. Measurements and Main Results. The CPR data for 82 patients was reviewed. The median duration of CPR was 75 minutes. Patients mean age was 43 ± 21 years with no significant comorbidities. The main causes of the cardiac arrests were myocardial infarction (29%), hypothermia (21%), and pulmonary emboli (12%). 74% of the arrests were witnessed, with a mean latency to CPR of 2 ± 6 minutes and good quality chest compression provided in 96% of the cases. Adjunct therapy included extracorporeal membrane oxygenation (18%), thrombolysis (15.8%), and rewarming for hypothermia (19.5%). 83% were alive at 1 year, with full neurological recovery reported in 63 patients. Conclusion. Patients undergoing prolonged CPR can survive with good outcome. Young age, myocardial infarction, and potentially reversible causes of cardiac arrest such as hypothermia and pulmonary emboli predict a favorable result, especially when the arrest is wi...Continue Reading

References

Mar 1, 1975·Lancet·B Jennett, M Bond
Jan 1, 1979·Journal of Chronic Diseases·D L Sackett
Sep 1, 1992·Anaesthesia·M D Stoneham, S J Squires
Nov 1, 1991·The Journal of Emergency Medicine·L CraddockW Pluss
Mar 1, 1990·Annals of Emergency Medicine·D MartinC G Brown
Mar 28, 1980·JAMA : the Journal of the American Medical Association·F S Southwick, P H Dalglish
Jul 1, 1981·Critical Care Medicine·J Gómez-ArnauF Avello
Aug 1, 1994·Annals of Emergency Medicine·G Quick, B Bastani
May 1, 1997·Journal of Accident & Emergency Medicine·D J SteedmanC Campanella
Jul 1, 1997·European Heart Journal·M Kuisma, A Alaspää
Mar 1, 1994·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·A I Jones, I J Swann
Apr 27, 2000·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·E D BaileyD C Cone
May 29, 2000·Archives of Internal Medicine·I KürkciyanA N Laggner
Jan 6, 2001·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·F ChristiaensC Verborgh
Mar 20, 2001·Annals of Noninvasive Electrocardiology : the Official Journal of the International Society for Holter and Noninvasive Electrocardiology, Inc·A J MossG G Knickerbocker
Oct 6, 2001·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·F X DuchateauJ Marty
Nov 24, 2001·Resuscitation·S Cooper, P Macnaughton
May 7, 2002·British Journal of Anaesthesia·B SzekelyM Fischler
Feb 19, 2003·Resuscitation·Joseph P OrnatoUNKNOWN PAD Trial Investigators
Sep 12, 2003·Journal of Cardiothoracic and Vascular Anesthesia·Murali ChakravarthyVivek Jawali
Mar 10, 2005·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Gianfranco de RoseAngelo Fanciulli
Apr 9, 2005·European Journal of Anaesthesiology·V FodaleL B Santamaria
Jul 21, 2005·Resuscitation·Angelika BeckhoffWolfgang Ummenhofer
Dec 3, 2005·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Robert B KellyNeal J Thomas
Dec 28, 2005·Resuscitation·Daniel M FatovichMichael J Paech
Feb 7, 2006·Resuscitation·Sven Bercker, Stefan Poloczek
Feb 25, 2006·Emergency Medicine Journal : EMJ·A ShethS A Conrad
Feb 25, 2006·Emergency Medicine Journal : EMJ·R WiseN Rawlinson
Aug 30, 2006·The American Journal of Emergency Medicine·Huei-Tsair ChenChee-Fah Chong

❮ Previous
Next ❯

Citations

Sep 12, 2018·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Clare Welbourn, Nikolaos Efstathiou

❮ Previous
Next ❯

Methods Mentioned

BETA
sedation

Related Concepts

Related Feeds

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.