Hemodynamic-directed cardiopulmonary resuscitation during in-hospital cardiac arrest
Abstract Cardiopulmonary resuscitation (CPR) guidelines assume that cardiac arrest victims can be treated with a uniform chest compression (CC) depth and a standardized interval administration of vasopressor drugs. This non-personalized approach does not incorporate a patient's individualized r...
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| Veröffentlicht in: | Resuscitation 2014-08, Vol.85 (8), p.983-986 |
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| container_title | Resuscitation |
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| creator | Sutton, Robert M Friess, Stuart H Maltese, Matthew R Naim, Maryam Y Bratinov, George Weiland, Theodore R Garuccio, Mia Bhalala, Utpal Nadkarni, Vinay M Becker, Lance B Berg, Robert A |
| description | Abstract Cardiopulmonary resuscitation (CPR) guidelines assume that cardiac arrest victims can be treated with a uniform chest compression (CC) depth and a standardized interval administration of vasopressor drugs. This non-personalized approach does not incorporate a patient's individualized response into ongoing resuscitative efforts. In previously reported porcine models of hypoxic and normoxic ventricular fibrillation (VF), a hemodynamic-directed resuscitation improved short-term survival compared to current practice guidelines. Skilled in-hospital rescuers should be trained to tailor resuscitation efforts to the individual patient's physiology. Such a strategy would be a major paradigm shift in the treatment of in-hospital cardiac arrest victims. |
| doi_str_mv | 10.1016/j.resuscitation.2014.04.015 |
| format | Article |
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This non-personalized approach does not incorporate a patient's individualized response into ongoing resuscitative efforts. In previously reported porcine models of hypoxic and normoxic ventricular fibrillation (VF), a hemodynamic-directed resuscitation improved short-term survival compared to current practice guidelines. Skilled in-hospital rescuers should be trained to tailor resuscitation efforts to the individual patient's physiology. Such a strategy would be a major paradigm shift in the treatment of in-hospital cardiac arrest victims.</description><identifier>ISSN: 0300-9572</identifier><identifier>EISSN: 1873-1570</identifier><identifier>DOI: 10.1016/j.resuscitation.2014.04.015</identifier><identifier>PMID: 24783998</identifier><language>eng</language><publisher>Ireland: Elsevier Ireland Ltd</publisher><subject>Animals ; Arterial blood pressure ; Cardiac arrest ; Cardiopulmonary resuscitation ; Cardiopulmonary Resuscitation - methods ; Emergency ; Heart Arrest - physiopathology ; Heart Arrest - therapy ; Hemodynamics ; Humans</subject><ispartof>Resuscitation, 2014-08, Vol.85 (8), p.983-986</ispartof><rights>Elsevier Ireland Ltd</rights><rights>2014 Elsevier Ireland Ltd</rights><rights>Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.</rights><rights>2014 Published by Elsevier Ireland Ltd. 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c682t-9aa8b4fb926c44089034f20e8695d20bc18d1a01662283a2874166c244d213ce3</citedby><cites>FETCH-LOGICAL-c682t-9aa8b4fb926c44089034f20e8695d20bc18d1a01662283a2874166c244d213ce3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.resuscitation.2014.04.015$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3536,27903,27904,45974</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24783998$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sutton, Robert M</creatorcontrib><creatorcontrib>Friess, Stuart H</creatorcontrib><creatorcontrib>Maltese, Matthew R</creatorcontrib><creatorcontrib>Naim, Maryam Y</creatorcontrib><creatorcontrib>Bratinov, George</creatorcontrib><creatorcontrib>Weiland, Theodore R</creatorcontrib><creatorcontrib>Garuccio, Mia</creatorcontrib><creatorcontrib>Bhalala, Utpal</creatorcontrib><creatorcontrib>Nadkarni, Vinay M</creatorcontrib><creatorcontrib>Becker, Lance B</creatorcontrib><creatorcontrib>Berg, Robert A</creatorcontrib><title>Hemodynamic-directed cardiopulmonary resuscitation during in-hospital cardiac arrest</title><title>Resuscitation</title><addtitle>Resuscitation</addtitle><description>Abstract Cardiopulmonary resuscitation (CPR) guidelines assume that cardiac arrest victims can be treated with a uniform chest compression (CC) depth and a standardized interval administration of vasopressor drugs. This non-personalized approach does not incorporate a patient's individualized response into ongoing resuscitative efforts. In previously reported porcine models of hypoxic and normoxic ventricular fibrillation (VF), a hemodynamic-directed resuscitation improved short-term survival compared to current practice guidelines. Skilled in-hospital rescuers should be trained to tailor resuscitation efforts to the individual patient's physiology. Such a strategy would be a major paradigm shift in the treatment of in-hospital cardiac arrest victims.</description><subject>Animals</subject><subject>Arterial blood pressure</subject><subject>Cardiac arrest</subject><subject>Cardiopulmonary resuscitation</subject><subject>Cardiopulmonary Resuscitation - methods</subject><subject>Emergency</subject><subject>Heart Arrest - physiopathology</subject><subject>Heart Arrest - therapy</subject><subject>Hemodynamics</subject><subject>Humans</subject><issn>0300-9572</issn><issn>1873-1570</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNUk1r3DAQFaWl2ab9C8XQSy_ejD5syRQCISRNINBD0_OglbSJtra0kezA_vtocRK6ORUGJEZv3hvNG0K-UVhSoO3JZplcnrLxox59DEsGVCyhBG3ekQVVkte0kfCeLIAD1F0j2RH5lPMGAHjTyY_kiAmpeNepBbm9ckO0u6AHb2rrkzOjs5XRyfq4nfohBp121YFgZafkw13lQ30f87Zk-7lAm0qnAh0_kw9r3Wf35fk8Jn8uL27Pr-qbXz-vz89uatMqNtad1mol1quOtUYIUB1wsWbgVNs1lsHKUGWpLl9uGVNcMyVFuRsmhGWUG8ePyenMu51Wg7PGhTHpHrfJD6VrjNrj4Uvw93gXH7GISWhVIfj-TJDiw1Q6x8Fn4_peBxenjLQRvJVKSVmgP2aoSTHn5NavMhRw7wtu8GBMuPcFoQRtSvXXfzt9rX0xogAuZoAr83r0LmEhcsG42RO00f-n0OkbHtP74I3u_7qdy5s4pVAsQYqZIeDv_YrsN4QKgAYo409mMb4y</recordid><startdate>20140801</startdate><enddate>20140801</enddate><creator>Sutton, Robert M</creator><creator>Friess, Stuart H</creator><creator>Maltese, Matthew R</creator><creator>Naim, Maryam Y</creator><creator>Bratinov, George</creator><creator>Weiland, Theodore R</creator><creator>Garuccio, Mia</creator><creator>Bhalala, Utpal</creator><creator>Nadkarni, Vinay M</creator><creator>Becker, Lance B</creator><creator>Berg, Robert A</creator><general>Elsevier Ireland Ltd</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><scope>5PM</scope></search><sort><creationdate>20140801</creationdate><title>Hemodynamic-directed cardiopulmonary resuscitation during in-hospital cardiac arrest</title><author>Sutton, Robert M ; Friess, Stuart H ; Maltese, Matthew R ; Naim, Maryam Y ; Bratinov, George ; Weiland, Theodore R ; Garuccio, Mia ; Bhalala, Utpal ; Nadkarni, Vinay M ; Becker, Lance B ; Berg, Robert A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c682t-9aa8b4fb926c44089034f20e8695d20bc18d1a01662283a2874166c244d213ce3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Animals</topic><topic>Arterial blood pressure</topic><topic>Cardiac arrest</topic><topic>Cardiopulmonary resuscitation</topic><topic>Cardiopulmonary Resuscitation - methods</topic><topic>Emergency</topic><topic>Heart Arrest - physiopathology</topic><topic>Heart Arrest - therapy</topic><topic>Hemodynamics</topic><topic>Humans</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sutton, Robert M</creatorcontrib><creatorcontrib>Friess, Stuart H</creatorcontrib><creatorcontrib>Maltese, Matthew R</creatorcontrib><creatorcontrib>Naim, Maryam Y</creatorcontrib><creatorcontrib>Bratinov, George</creatorcontrib><creatorcontrib>Weiland, Theodore R</creatorcontrib><creatorcontrib>Garuccio, Mia</creatorcontrib><creatorcontrib>Bhalala, Utpal</creatorcontrib><creatorcontrib>Nadkarni, Vinay M</creatorcontrib><creatorcontrib>Becker, Lance B</creatorcontrib><creatorcontrib>Berg, Robert A</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><collection>PubMed Central (Full Participant titles)</collection><jtitle>Resuscitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sutton, Robert M</au><au>Friess, Stuart H</au><au>Maltese, Matthew R</au><au>Naim, Maryam Y</au><au>Bratinov, George</au><au>Weiland, Theodore R</au><au>Garuccio, Mia</au><au>Bhalala, Utpal</au><au>Nadkarni, Vinay M</au><au>Becker, Lance B</au><au>Berg, Robert A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hemodynamic-directed cardiopulmonary resuscitation during in-hospital cardiac arrest</atitle><jtitle>Resuscitation</jtitle><addtitle>Resuscitation</addtitle><date>2014-08-01</date><risdate>2014</risdate><volume>85</volume><issue>8</issue><spage>983</spage><epage>986</epage><pages>983-986</pages><issn>0300-9572</issn><eissn>1873-1570</eissn><abstract>Abstract Cardiopulmonary resuscitation (CPR) guidelines assume that cardiac arrest victims can be treated with a uniform chest compression (CC) depth and a standardized interval administration of vasopressor drugs. 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| fulltext | fulltext |
| identifier | ISSN: 0300-9572 |
| ispartof | Resuscitation, 2014-08, Vol.85 (8), p.983-986 |
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| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Animals Arterial blood pressure Cardiac arrest Cardiopulmonary resuscitation Cardiopulmonary Resuscitation - methods Emergency Heart Arrest - physiopathology Heart Arrest - therapy Hemodynamics Humans |
| title | Hemodynamic-directed cardiopulmonary resuscitation during in-hospital cardiac arrest |
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