Cardiac Arrest Updates: Striving to Improve Outcomes

Updated:Mar 27,2011
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Factors impacting Pediatric and Adult Outcomes; Peds-temperature patterns; Adult-AED; BMI; Vasopressor use and Periop Insights from Get With The Guidelines-Resuscitation


Temperature Patterns in the Early Post-Resuscitation Period after Pediatric In-Hospital Cardiac Arrest
 

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  • Body temperature changes occur with circadian rhythms, pyrogens, or insults to the body.
  • Hyperthermia in the post cardiac arrest syndrome is associated with less favorable outcomes.
  • Aggressive fever therapy as recommended by 2005 AHA Guidelines for CPR and ECC is often not implemented. 

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AED and Survival after In-Hospital Cardiac Arrest

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  • Treatment for shockable rhythms of sudden cardiac arrest is defibrillation.
  • Pre-hospital automated external defibrillators (AEDs) use has been associated with improved survival.
  • AED use to treat in-hospital cardiac arrest was not associated with improved survival

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Body Mass Index (BMI) and Survival After In-Hospital Cardiac Arrest (IHCA)


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  • There are reported associations between body mass index (BMI) and some cardiovascular conditions
  • Is there an association between BMI and survival after cardiac arrest (CA)?
  • BMI of patients influenced survival after in-hospital cardiac arrest

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Delayed Time to Defibrillation after Intraoperative and Periprocedural Cardiac Arrest

 
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  • A common process goal is timely defibrillation of a cardiac arrest (CA) shockable rhythm
  • Intraoperative and periprocedural cardiac arrest may have unique clinical issues
  • Patients with CA in the intraoperative setting had no difference in survival with delayed defibrillation

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Effect of Vasopressor-Requiring Circulatory Failure on Outcomes of Critically Ill Patients Who Received Cardiopulmonary Resuscitation

  
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  • Use of vasopressors to treat hypotension prior to a cardiac arrest (CA) has been reported to substantially increase odds of death
  • Previous studies on vasopressor use and CA were limited by sample size
  • Patients who require vasopressor support immediately prior to an IHCA have poorer outcome

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