Neurological prognosis of 6 cases after chest compression during general anesthesia
Introduction Data on the outcomes after chest compression (CC) of patients who are under general anesthesia (GA) are limited. The present study aimed to evaluate the neurological outcomes in patients who received CC while under GA. Methods The patients who received CC while under GA, between 2010 an...
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| Veröffentlicht in: | Journal of anesthesia 2018-04, Vol.32 (2), p.259-262 |
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| creator | Hirotsu, Akiko Suizu, Yu Shichino, Tsutomu |
| description | Introduction
Data on the outcomes after chest compression (CC) of patients who are under general anesthesia (GA) are limited. The present study aimed to evaluate the neurological outcomes in patients who received CC while under GA.
Methods
The patients who received CC while under GA, between 2010 and 2015, in Kyoto Medical Center were surveyed retrospectively. The primary outcome was poor neurologic function or death, as defined by a cerebral performance category score (CPC) score of 3–5 on day 28.
Results
Six patients received CC while under GA, and four patients had poor neurological outcomes with a CPC score of 4 or 5 on day 28. All these patients required emergency operation because of their primary disease.
Conclusion
Even if the patients were monitored and immediately managed under GA, ineffective management of preoperative conditions tended to result in the poor neurological prognosis. |
| doi_str_mv | 10.1007/s00540-018-2449-0 |
| format | Article |
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Data on the outcomes after chest compression (CC) of patients who are under general anesthesia (GA) are limited. The present study aimed to evaluate the neurological outcomes in patients who received CC while under GA.
Methods
The patients who received CC while under GA, between 2010 and 2015, in Kyoto Medical Center were surveyed retrospectively. The primary outcome was poor neurologic function or death, as defined by a cerebral performance category score (CPC) score of 3–5 on day 28.
Results
Six patients received CC while under GA, and four patients had poor neurological outcomes with a CPC score of 4 or 5 on day 28. All these patients required emergency operation because of their primary disease.
Conclusion
Even if the patients were monitored and immediately managed under GA, ineffective management of preoperative conditions tended to result in the poor neurological prognosis.</description><identifier>ISSN: 0913-8668</identifier><identifier>EISSN: 1438-8359</identifier><identifier>DOI: 10.1007/s00540-018-2449-0</identifier><identifier>PMID: 29335893</identifier><language>eng</language><publisher>Tokyo: Springer Japan</publisher><subject>Adolescent ; Aged ; Aged, 80 and over ; Anesthesia, General - adverse effects ; Anesthesiology ; Cardiopulmonary Resuscitation ; Cerebral Infarction - etiology ; Complications and side effects ; Critical Care Medicine ; Electrocardiography ; Emergency Medicine ; Encephalocele - etiology ; Fatal Outcome ; Female ; General anesthesia ; Heart Arrest - complications ; Heart Arrest - therapy ; Humans ; Hypoxia, Brain - etiology ; Intensive ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Nervous system diseases ; Pain Medicine ; Patient outcomes ; Prognosis ; Retrospective Studies ; Risk Factors ; Special Article ; Thoracic surgery</subject><ispartof>Journal of anesthesia, 2018-04, Vol.32 (2), p.259-262</ispartof><rights>Japanese Society of Anesthesiologists 2018</rights><rights>COPYRIGHT 2018 Springer</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c452t-688e55ddd9979c4f1770393a7b0fc321baea4fd9d2e7d6f1f4b944d9056f5a893</cites><orcidid>0000-0003-4664-0479</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00540-018-2449-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00540-018-2449-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29335893$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hirotsu, Akiko</creatorcontrib><creatorcontrib>Suizu, Yu</creatorcontrib><creatorcontrib>Shichino, Tsutomu</creatorcontrib><title>Neurological prognosis of 6 cases after chest compression during general anesthesia</title><title>Journal of anesthesia</title><addtitle>J Anesth</addtitle><addtitle>J Anesth</addtitle><description>Introduction
Data on the outcomes after chest compression (CC) of patients who are under general anesthesia (GA) are limited. The present study aimed to evaluate the neurological outcomes in patients who received CC while under GA.
Methods
The patients who received CC while under GA, between 2010 and 2015, in Kyoto Medical Center were surveyed retrospectively. The primary outcome was poor neurologic function or death, as defined by a cerebral performance category score (CPC) score of 3–5 on day 28.
Results
Six patients received CC while under GA, and four patients had poor neurological outcomes with a CPC score of 4 or 5 on day 28. All these patients required emergency operation because of their primary disease.
Conclusion
Even if the patients were monitored and immediately managed under GA, ineffective management of preoperative conditions tended to result in the poor neurological prognosis.</description><subject>Adolescent</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anesthesia, General - adverse effects</subject><subject>Anesthesiology</subject><subject>Cardiopulmonary Resuscitation</subject><subject>Cerebral Infarction - etiology</subject><subject>Complications and side effects</subject><subject>Critical Care Medicine</subject><subject>Electrocardiography</subject><subject>Emergency Medicine</subject><subject>Encephalocele - etiology</subject><subject>Fatal Outcome</subject><subject>Female</subject><subject>General anesthesia</subject><subject>Heart Arrest - complications</subject><subject>Heart Arrest - therapy</subject><subject>Humans</subject><subject>Hypoxia, Brain - etiology</subject><subject>Intensive</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Nervous system diseases</subject><subject>Pain Medicine</subject><subject>Patient outcomes</subject><subject>Prognosis</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Special Article</subject><subject>Thoracic surgery</subject><issn>0913-8668</issn><issn>1438-8359</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc9rFDEUx4NU7Nr2D_AigV68ZE0mPyY5ltKqUPSgnkM2eRlTZiZrsnPwvzfLrIKwSA6B8Pm-vPc-CL1hdMso7d9XSqWghDJNOiEMoS_QhgmuiebSXKANNYwTrZS-RK9rfaaUKsb4K3TZGc6lNnyDvn6GpeQxD8m7Ee9LHuZcU8U5YoW9q1Cxiwco2P-AesA-T_sCtaY847CUNA94gBlKy7q5AQ1K7hq9jG6scHO6r9D3x4dv9x_J05cPn-7vnogXsjsQpTVIGUIwpjdeRNb3lBvu-h2Nnnds58CJGEzooA8qsih2RohgqFRRutb9FXq31m1t_1za73ZK1cM4tlbyUi0z2sheaMUaeruigxvBpjnmQ3H-iNs7ybmQSmjdKHKGOg2YZ4ipPf_Db8_w7QSYkj8bYGvAl1xrgWj3JU2u_LKM2qNSuyq1Tak9KrW0Zd6eplx2E4S_iT8OG9CtQN0fhUCxz3kpc9v8f6r-BrmWqrY</recordid><startdate>20180401</startdate><enddate>20180401</enddate><creator>Hirotsu, Akiko</creator><creator>Suizu, Yu</creator><creator>Shichino, Tsutomu</creator><general>Springer Japan</general><general>Springer</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-4664-0479</orcidid></search><sort><creationdate>20180401</creationdate><title>Neurological prognosis of 6 cases after chest compression during general anesthesia</title><author>Hirotsu, Akiko ; Suizu, Yu ; Shichino, Tsutomu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c452t-688e55ddd9979c4f1770393a7b0fc321baea4fd9d2e7d6f1f4b944d9056f5a893</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adolescent</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anesthesia, General - adverse effects</topic><topic>Anesthesiology</topic><topic>Cardiopulmonary Resuscitation</topic><topic>Cerebral Infarction - etiology</topic><topic>Complications and side effects</topic><topic>Critical Care Medicine</topic><topic>Electrocardiography</topic><topic>Emergency Medicine</topic><topic>Encephalocele - etiology</topic><topic>Fatal Outcome</topic><topic>Female</topic><topic>General anesthesia</topic><topic>Heart Arrest - complications</topic><topic>Heart Arrest - therapy</topic><topic>Humans</topic><topic>Hypoxia, Brain - etiology</topic><topic>Intensive</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Nervous system diseases</topic><topic>Pain Medicine</topic><topic>Patient outcomes</topic><topic>Prognosis</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Special Article</topic><topic>Thoracic surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hirotsu, Akiko</creatorcontrib><creatorcontrib>Suizu, Yu</creatorcontrib><creatorcontrib>Shichino, Tsutomu</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of anesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hirotsu, Akiko</au><au>Suizu, Yu</au><au>Shichino, Tsutomu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Neurological prognosis of 6 cases after chest compression during general anesthesia</atitle><jtitle>Journal of anesthesia</jtitle><stitle>J Anesth</stitle><addtitle>J Anesth</addtitle><date>2018-04-01</date><risdate>2018</risdate><volume>32</volume><issue>2</issue><spage>259</spage><epage>262</epage><pages>259-262</pages><issn>0913-8668</issn><eissn>1438-8359</eissn><abstract>Introduction
Data on the outcomes after chest compression (CC) of patients who are under general anesthesia (GA) are limited. The present study aimed to evaluate the neurological outcomes in patients who received CC while under GA.
Methods
The patients who received CC while under GA, between 2010 and 2015, in Kyoto Medical Center were surveyed retrospectively. The primary outcome was poor neurologic function or death, as defined by a cerebral performance category score (CPC) score of 3–5 on day 28.
Results
Six patients received CC while under GA, and four patients had poor neurological outcomes with a CPC score of 4 or 5 on day 28. All these patients required emergency operation because of their primary disease.
Conclusion
Even if the patients were monitored and immediately managed under GA, ineffective management of preoperative conditions tended to result in the poor neurological prognosis.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>29335893</pmid><doi>10.1007/s00540-018-2449-0</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0003-4664-0479</orcidid></addata></record> |
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| ispartof | Journal of anesthesia, 2018-04, Vol.32 (2), p.259-262 |
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| language | eng |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Adolescent Aged Aged, 80 and over Anesthesia, General - adverse effects Anesthesiology Cardiopulmonary Resuscitation Cerebral Infarction - etiology Complications and side effects Critical Care Medicine Electrocardiography Emergency Medicine Encephalocele - etiology Fatal Outcome Female General anesthesia Heart Arrest - complications Heart Arrest - therapy Humans Hypoxia, Brain - etiology Intensive Male Medicine Medicine & Public Health Middle Aged Nervous system diseases Pain Medicine Patient outcomes Prognosis Retrospective Studies Risk Factors Special Article Thoracic surgery |
| title | Neurological prognosis of 6 cases after chest compression during general anesthesia |
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