Le phénomène de Lazare

Vaux, J.; Revaux, François; Hauter, A.; Chollet-Xémard, C.; Marty, J.

doi:10.1007/s13341-013-0284-3

Cited by 2 publications

(3 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…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%

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

Gordon

Pasquier

Brugger

et al. 2020

Scand J Trauma Resusc Emerg Med

View full text Add to dashboard Cite

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.

show abstract

Section: Resultsmentioning

confidence: 99%

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

Gordon

Pasquier

Brugger

et al. 2020

Scand J Trauma Resusc Emerg Med

View full text Add to dashboard Cite

show abstract

“…Of these, three case reports were missed by our previous systematic reviews. 35 , 37 , 38 To assess our primary outcome (i.e., observation time following cessation of circulation), risk of bias, and certainty in evidence to date, we also included the three observational studies 40 – 42 identified prior to this review update in our results synthesis.…”

Section: Resultsmentioning

confidence: 99%

“…Ten case reports (71%) described autoresuscitation events in a total of 11 patients following unsuccessful CPR. 28 – 30 , 33 – 39 Six patients had an out-of-hospital cardiac arrest (OHCA) 29 , 33 , 34 , 37 , 39 and five an in-hospital cardiac arrest. 28 , 30 , 35 , 36 , 38 Most patients were adults ( n = 10; age range, 25–79 yr).…”

Section: Resultsmentioning

confidence: 99%

Autoresuscitation after circulatory arrest: an updated systematic review

Zorko

Shemie

Hornby

et al. 2023

Can J Anesth/J Can Anesth

View full text Add to dashboard Cite

Purpose Current practice in organ donation after death determination by circulatory criteria (DCD) advises a five-minute observation period following circulatory arrest, monitoring for unassisted resumption of spontaneous circulation (i.e., autoresuscitation). In light of newer data, the objective of this updated systematic review was to determine whether a five-minute observation time was still adequate for death determination by circulatory criteria. Source We searched four electronic databases from inception to 28 August 2021, for studies evaluating or describing autoresuscitation events after circulatory arrest. Citation screening and data abstraction were conducted independently and in duplicate. We assessed certainty in evidence using the GRADE framework. Principal findings Eighteen new studies on autoresuscitation were identified, consisting of 14 case reports and four observational studies. Most studies evaluated adults ( n = 15, 83%) and patients with unsuccessful resuscitation following cardiac arrest ( n = 11, 61%). Overall, autoresuscitation was reported to occur between one and 20 min after circulatory arrest. Among all eligible studies identified by our reviews ( n = 73), seven observational studies were identified. In observational studies of controlled withdrawal of life-sustaining measures with or without DCD ( n = 6), 19 autoresuscitation events were reported in 1,049 patients (incidence 1.8%; 95% confidence interval, 1.1 to 2.8). All resumptions occurred within five minutes of circulatory arrest and all patients with autoresuscitation died. Conclusion A five-minute observation time is sufficient for controlled DCD (moderate certainty). An observation time greater than five minutes may be needed for uncontrolled DCD (low certainty). The findings of this systematic review will be incorporated into a Canadian guideline on death determination. Study registration PROSPERO (CRD42021257827); registered 9 July 2021. Supplementary Information The online version contains supplementary material available at 10.1007/s12630-023-02411-8.

show abstract

Le phénomène de Lazare

Cited by 2 publications

References 10 publications

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

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

Autoresuscitation after circulatory arrest: an updated systematic review

Contact Info

Product

Resources

About