Approaches to modern management of cardiac arrest

Adgey, A. A. J.; Johnston, Paul

doi:10.1136/hrt.80.4.397

Cited by 7 publications

(7 citation statements)

References 60 publications

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“…A review article published by Adgey and Johnston in 1999 assessed earlier publications and concluded that use of buffer solutions should be limited to cardiac arrests where there is documented severe acidosis, and should be given blindly only after prolonged resuscitation, or in cardiac arrest associated with hyperkalemia or tricyclic antidepressant overdose [ 13 ].…”

Section: Literature Search Resultsmentioning

confidence: 99%

Use of Sodium Bicarbonate in Cardiac Arrest: Current Guidelines and Literature Review

et al. 2016

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The aim of the review was to summarize the literature over the last 25 years regarding bicarbonate administration in out-of-hospital cardiac arrest. A PubMed search was conducted using the terms “bicarbonates” and “cardiac arrest”, limited to human studies and reviews published in English (or at least with a meaningful abstract in English) in the last 25 years. Clinical and experimental data raised questions regarding the safety and effectiveness of sodium bicarbonate (SB) administration during cardiac arrest. Earlier advanced cardiac life support (ACLS) guidelines recommended routine bicarbonate administration as part of the ACLS algorithm, but recent guidelines no longer recommend its use. The debate in the literature is ongoing, but at the present time, SB administration is only recommended for cardiac arrest related to hypokalemia or overdose of tricyclic antidepressants. Several studies challenge the assumption that bicarbonate administration is beneficial for treatment of acidosis in cardiac arrest. At the present time, there is a trend against using bicarbonates in cardiac arrest, and this trend is supported by guidelines published by professional societies and organizations.

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Section: Literature Search Resultsmentioning

confidence: 99%

Use of Sodium Bicarbonate in Cardiac Arrest: Current Guidelines and Literature Review

et al. 2016

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“…30 Therefore, biphasic shocks have less injurious effect on the myocardial oxidative metabolism and haemodynamic performance than monophasic shocks. 15,26,29 Hence, biphasic waveforms are now the choice of most manufacturers. 27 Along with these documented benefits for the patient, the benefits extend to use by the nurse.…”

Section: Waveformsmentioning

confidence: 99%

“…Frequently, ward nurses are first on the scene at a cardiac arrest and perform basic life support (BLS) while waiting for the ALS team to arrive to defibrillate the person 5,7–14 . Data indicates that decreasing the time from collapse to defibrillation increases the chances of the patient's survival 6,15 . One means of achieving early defibrillation is the adoption of user‐friendly defibrillators where rhythm recognition skills are not required.…”

Section: Introductionmentioning

confidence: 99%

“…5,[7][8][9][10][11][12][13][14] Data indicates that decreasing the time from collapse to defibrillation increases the chances of the patient's survival. 6,15 One means of achieving early defibrillation is the adoption of user-friendly defibrillators where rhythm recognition skills are not required.…”

Section: Introductionmentioning

confidence: 99%

“…6,7 AEDs developed for use by non-health personnel in the out-of-hospital milieu are also suitable for use within the hospital. 15,[17][18][19] Even with the presence of skilled staff and continuous monitoring of patients in the hospital, response times from collapse to defibrillation are reportedly disappointing. 6,7,20 It is reasonable to assume that survival rates would improve significantly even in monitored settings if the use of AEDs became standard practice.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The benefits and use of shock advisory defibrillators in hospitals

Dwyer

Williams

Jacobs

2004

Int J of Nursing Practice

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Survival to discharge following a cardiac arrest is dependent on rapid and effective basic and advanced life support. Paramount to a rapid response is access to sufficiently trained health care providers, who have a duty to perform basic life support and initiate early defibrillation. In hospitals, defibrillation remains the domain of specially prepared staff and the type of defibrillator used might be crucial to rapid and effective defibrillation. The advent of automatic external defibrillators has increased the range of people who can use a defibrillator successfully. For nurses, arguably a lack of familiarity about the benefits of and the use of automatic external defibrillators are the greatest barriers to nurse-initiated defibrillation programmes. This paper explores the use of automatic external defibrillators, their relationship to the associated defibrillator waveforms and the benefits of their use by registered nurses within the hospital setting.

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Antiarrhythmic therapy during cardiac arrest electrical defibrillation and antiarrhythmic drugs

Behrens

Zabel

2002

Die Notfalltherapie Bei Akutem Kreislaufstillstand

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Approaches to modern management of cardiac arrest

Cited by 7 publications

References 60 publications

Use of Sodium Bicarbonate in Cardiac Arrest: Current Guidelines and Literature Review

Use of Sodium Bicarbonate in Cardiac Arrest: Current Guidelines and Literature Review

The benefits and use of shock advisory defibrillators in hospitals

Antiarrhythmic therapy during cardiac arrest electrical defibrillation and antiarrhythmic drugs

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