Delayed return of spontaneous circulation (the Lazarus phenomenon) after cessation of out-of-hospital cardiopulmonary resuscitation

Kuisma, Markku; Salo, Ari; Puolakka, Jyrki; Nurmi, Jouni; Kirves, Hetti; Väyrynen, Taneli; Boyd, James

doi:10.1016/j.resuscitation.2017.07.022

Cited by 16 publications

(19 citation statements)

References 15 publications

(18 reference statements)

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“…1). All the references were retrospective case reports of which five [2,13,[23][24][25] described two patients, and one [26] described a series of five patients (Additional file 1: Table S1). Brief clinical details of the cases included in this review are reported in Additional file 2.…”

Section: Resultsmentioning

confidence: 99%

“…Although the biblical Lazarus rose from the dead without resuscitation attempts, there are no case reports of it occurring in someone who has died without CPR performed beforehand [9,33]. Almost all cases of autoresuscitation occurred after CPR following non-traumatic CA; there is only one report following traumatic CA [34] and four others associated with major haemorrhage [26,[35][36][37]. Therefore, it has been suggested that autoresuscitation is due to the medical interventions that were performed during resuscitation, but their effectiveness was delayed for some reason [38].…”

Section: Discussionmentioning

confidence: 99%

“…not asystole. Therefore, caution is advised before abandoning resuscitation in the presence of an ECG that is potentially treatable or compatible with life [26].…”

Section: Discussionmentioning

confidence: 99%

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Autoresuscitation (Lazarus phenomenon) after termination of cardiopulmonary resuscitation - a scoping review

Gordon

Pasquier

Brugger

et al. 2020

Scand J Trauma Resusc Emerg Med

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Background: Autoresuscitation describes the return of spontaneous circulation after termination of resuscitation (TOR) following cardiac arrest (CA). We aimed to identify phenomena that may lead to autoresuscitation and to provide guidance to reduce the likelihood of it occurring. Materials and methods: We conducted a literature search (Google Scholar, MEDLINE, PubMed) and a scoping review according to PRISMA-ScR guidelines of autoresuscitation cases where patients undergoing CPR recovered circulation spontaneously after TOR with the following criteria: 1) CA from any cause; 2) CPR for any length of time; 3) A point was reached when it was felt that the patient had died; 4) Staff declared the patient dead and stood back. No further interventions took place; 5) Later, vital signs were observed. 6) Vital signs were sustained for more than a few seconds, such that staff had to resume active care. Results: Sixty-five patients with ROSC after TOR were identified in 53 articles (1982-2018), 18 (28%) made a full recovery. Conclusions: Almost a third made a full recovery after autoresuscitation. The following reasons for and recommendations to avoid autoresuscitation can be proposed: 1) In asystole with no reversible causes, resuscitation efforts should be continued for at least 20 min; 2) CPR should not be abandoned immediately after unsuccessful defibrillation, as transient asystole can occur after defibrillation; 3) Excessive ventilation during CPR may cause hyperinflation and should be avoided; 4) In refractory CA, resuscitation should not be terminated in the presence of any potentially-treatable cardiac rhythm; 5) After TOR, the casualty should be observed continuously and ECG monitored for at least 10 min.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Autoresuscitation (Lazarus phenomenon) after termination of cardiopulmonary resuscitation - a scoping review

Gordon

Pasquier

Brugger

et al. 2020

Scand J Trauma Resusc Emerg Med

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“…Autoresuscitation, also known as delayed return of spontaneous circulation (ROSC) or the Lazarus phenomenon, is the unassisted ROSC after cardiac arrest 1 . Autoresuscitation in people was first described in 1982; it is considered to be an exceptionally rare phenomenon, with a reported incidence of 5.95/1,000 in out‐of‐hospital cardiac arrest 2 . The authors of a meta‐analysis published in 2015 identified approximately 45 human cases that occurred after futile CPR or after life support was discontinued, and those patients were clinically dead for a range of seconds to 7 minutes before autoresuscitation occurred.…”

Section: Introductionmentioning

confidence: 99%

Autoresuscitation and pheochromocytoma multisystem crisis in a dog

Kato

Mallard

2021

J Vet Emergen Crit Care

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Objective: To describe the clinical course of a dog with a pheochromocytoma multisystem crisis that exhibited autoresuscitation after cardiac arrest. Case Summary: An approximately 10-year-old male neutered terrier mix dog presented for collapse. Abdominal imaging was suggestive of a pheochromocytoma, and clinical pathology data and thoracic imaging suggested the presence of a multisystem crisis. The dog developed cardiopulmonary arrest that was followed by autoresuscitation. New or Unique Information Provided:To the authors' knowledge, this is the first report of autoresuscitation in a dog. The phenomenon may have been associated with a pheochromocytoma multisystem crisis. K E Y W O R D Scanine, Lazarus phenomenon, return of spontaneous circulation INTRODUCTIONAutoresuscitation, also known as delayed return of spontaneous circulation (ROSC) or the Lazarus phenomenon, is the unassisted ROSC after cardiac arrest. 1 Autoresuscitation in people was first described in 1982; it is considered to be an exceptionally rare phenomenon, with a reported incidence of 5.95/1,000 in out-of-hospital cardiac arrest. 2The authors of a meta-analysis published in 2015 identified approximately 45 human cases that occurred after futile CPR or after life support was discontinued, and those patients were clinically dead for a range of seconds to 7 minutes before autoresuscitation occurred. Additionally, 3 patients recovered fully with minimal impairments, 1 recovered with severe impairments, and the rest died anywhere from seconds after autoresuscitation to up to 34 days later. 3 The dog in this report had a pheochromocytoma and exhibited features of a metabolic crisis secondary to that tumor. Pheochromocytomas are tumors of neuroectoderm chromaffin cells of the adrenal medulla that secrete catecholamines. Considered uncom-

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“…Most of the people experience this phenomenon have the same condition as Lazarus. Lazarus is a Syndrome with spontaneous circulation even in some people with unsuccessful cardiopulmonary resuscitation [3], [4], [5], [6].…”

Section: Introduction General Datamentioning

confidence: 99%

A Survey on the Causes of Resurrection of Defunct “Lazarus Phenomenon” From Acupuncture Perspective

Ahangarkelai¹

2020

Int. J. Res. Granthaalayah

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Background and Objective: Every year in the world, a significant number of people who have passed a way for different reasons, revive. In many of these cases, medical science has no answer for the phenomenon. This study investigates the causes of temporary death and revival from acupuncture perspective. Methods: This research is a descriptive study done in 2017. The samples are chosen among individuals in the world whose resurrection has been reported by the media. A check list was prepared by consulting the experts which contains age, gender, cause of death, death duration, cause of revival, place of revival, consciousness after death and governmental verification of death. Data were reported using SPSS (19) software. Results: Death caused by heart disease and accidents is 20 (17.4 %) for each. 20 (17.4%) of the individuals who have resurrected were between the ages 20 to 40. Death duration was 24 hours for 17 people (14.8 %) and 1 to 30 minutes in 14 cases (12.2 %). Place of revival was hospital in 27 cases (23.5 %), morgue in 23 cases (20 %), autopsy lab in 6 cases (5.2 %) and tomb in 31 cases (27 %). 17 individuals (14.8 %) were conscious about their death before revival. Conclusions: It seems that major changes should be made in death prevention and specification in the world medical system. Correct recognition between temporary and permanent death can save many of the dead. Acupuncture points GV26 and Ki1 may have good impact on revival. More researches in this area can provide basic solutions for health policy determiners in the world.

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Delayed return of spontaneous circulation (the Lazarus phenomenon) after cessation of out-of-hospital cardiopulmonary resuscitation

Cited by 16 publications

References 15 publications

Autoresuscitation (Lazarus phenomenon) after termination of cardiopulmonary resuscitation - a scoping review

Autoresuscitation (Lazarus phenomenon) after termination of cardiopulmonary resuscitation - a scoping review

Autoresuscitation and pheochromocytoma multisystem crisis in a dog

A Survey on the Causes of Resurrection of Defunct “Lazarus Phenomenon” From Acupuncture Perspective

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