External cardiopulmonary resuscitation preserves brain viability after prolonged cardiac arrest in dogs

Angelos, Mark G.; Šafář, Peter; Reich, Harvey

doi:10.1016/0735-6757(91)90209-3

Cited by 14 publications

(1 citation statement)

References 56 publications

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“…The first line of action is the immediate recognition of cardiac arrest and activation of the CPR without delay. There are evidence that prompt recognition of cardiopulmonary arrest and swift instigation of CPR helps to double patient's chance of survival and protection of brain viability for as much as 10 minutes after delayed circulation [7]. However, specific training to acquire the skills is presumed to have been inculcated while undergoing undergraduate medical training during clinical exposures.…”

Section: Introductionmentioning

confidence: 99%

Knowledge, Attitude and Experience of Cardiopulmonary Resuscitation among Medical and Healthcare Professional Students in a Nigerian Medical College

Ativie

Awotidebe

Omeru

et al. 2018

JAMMR

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Skills in resuscitation are needed in emergency health care services. However, little is known about level of knowledge of resuscitation techniques among healthcare professional students (HCPS) in Nigeria. This study assessed knowledge, attitude and experience of cardiopulmonary resuscitation (CPR) among medical and HCPS undergoing training in a Nigerian medical college. The cross-sectional study purposively recruited 300 clinical HCPS from a Nigerian university studying in various health disciplines. Socio-demographic data and information on knowledge, attitude and experience were obtained using a validated CPR questionnaire. However, only 261 copies of the questionnaire were completed and valid for analysis yielding a response rate of 87.8%. Data were analyzed using descriptive and inferential statistics. Alpha level was set at p < .05. Results show that the mean age of respondents was 24.6±4.6 years. Students from the Department of Medicine constituted about a third, (30.9%) while less than half, (44.4%) were in year four of study. Less than a quarter, (21.4%) had good knowledge of CPR. A majority, (77.4%) had never practiced CPR, however, (74.9%) had positive attitude towards CPR. There was a significant association between knowledge and department of respondents (χ 2 =80.973; p= .001) and year of study (χ 2 =47.799; p = .003). Furthermore, there was a significant association between experience and year of study (χ 2 =9.195; p =.002). Surveyed medical and healthcare professional students in clinical level had poor knowledge and low level of experience. They however had a positive attitude towards cardiopulmonary resuscitation techniques. Curriculum review detailing practical skills of cardiopulmonary resuscitation techniques among healthcare professional students is recommended.

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Section: Introductionmentioning

confidence: 99%

Knowledge, Attitude and Experience of Cardiopulmonary Resuscitation among Medical and Healthcare Professional Students in a Nigerian Medical College

Ativie

Awotidebe

Omeru

et al. 2018

JAMMR

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Brain Resuscitation in the Drowning Victim

Warner

Knape

2006

Handbook on Drowning

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. This manuscript is dedicated to the memory of Peter Safar, M.D. Peter Safar combined genius, incredible purpose, elegance, and humanism to move the collective fields of acute medicine to a new level. His work in resuscitation medicine, critical care, anesthesiology, emergency medicine, and disaster medicine saved countless lives. As a mentor he taught us a great deal. Peter left us with an important message-in both clinical care and research: namely, to always ask, "what is your intervention or research doing for the patient?" Whether physician or scientist, it is a critical message never to forget.Portions of this manuscript are being reproduced in the Handbook of Drowning. Bierens JJ (ed.). Springer, 2nd Edition. NIH Public Access AbstractDrowning is a leading cause of accidental death. Survivors may sustain severe neurologic morbidity. There is negligible research specific to brain injury in drowning making current clinical management non-specific to this disorder. This review represents an evidence-based consensus effort to provide recommendations for management and investigation of the drowning victim. Epidemiology, brain-oriented prehospital and intensive care, therapeutic hypothermia, neuroimaging/monitoring, biomarkers, and neuroresuscitative pharmacology are addressed. When cardiac arrest is present, chest compressions with rescue breathing are recommended due to the asphyxial insult. In the comatose patient with restoration of spontaneous circulation, hypoxemia and hyperoxemia should be avoided, hyperthermia treated, and induced hypothermia (32-34 °C) considered. Arterial hypotension/hypertension should be recognized and treated. Prevent hypoglycemia and treat hyperglycemia. Treat clinical seizures and consider treating nonconvulsive status epilepticus. Serial neurologic examinations should be provided. Brain imaging and serial biomarker measurement may aid prognostication. Continuous electroencephalography and N20 somatosensory evoked potential monitoring may be considered. Serial biomarker measurement (e.g., neuron specific enolase) may aid prognostication. There is insufficient evidence to recommend use of any specific brain-oriented neuroresuscitative pharmacologic therapy other than that required to restore and maintain normal physiology. Following initial stabilization, victims should be transferred to centers with expertise in age-specific postresuscitation neurocritical care. Care should be documented, reviewed, and quality improvement assessment performed. Preclinical research should focus on models of asphyxial cardiac arrest. Clinical research should focus on improved cardiopulmonary resuscitation, re-oxygenation/ reperfusion strategies, therapeutic hypothermia, neuroprotection, neurorehabilitation, and consideration of drowning in advances made in treatment of other central nervous system disorders.

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Cerebral Resuscitation from Temporary Complete Global Brain Ischemia

Šafář

2003

Cerebral Blood Flow

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External cardiopulmonary resuscitation preserves brain viability after prolonged cardiac arrest in dogs

Cited by 14 publications

References 56 publications

Knowledge, Attitude and Experience of Cardiopulmonary Resuscitation among Medical and Healthcare Professional Students in a Nigerian Medical College

Knowledge, Attitude and Experience of Cardiopulmonary Resuscitation among Medical and Healthcare Professional Students in a Nigerian Medical College

Brain Resuscitation in the Drowning Victim

Cerebral Resuscitation from Temporary Complete Global Brain Ischemia

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