An observational cohort study on outcomes of patients admitted to intensive care unit following cardiac arrest

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<ul><li><p>Posters S67</p><p>AP-086Pediatrics out of hospital cardiac arrest survival</p><p>J.M. Navalpotro Pascual, A.A. Mateos Rodrguez</p><p>Emergency Medical Service of Madrid, SUMMA112, Spain</p><p>Introduction: To describe the epidemiology of paediatric out-of-hospital cardiac arrest in Madrid and survival to hospital arrival.</p><p>Methods: Retrospective observational study between January2002 and December 2003, of 582 CPR attempts.</p><p>Results: There were 18 paediatric cases (3.1% of total cardiacarrests). Six (33.3%) had ROSC on hospital arrival. 66.7% were male.76.5% had bradycardia or asystole and 23.5% VF/pulseless VT. Sur-vival was 75% for VF/pulseless VT and 23.1% for bradycardia orasystole. In 22.2% of case clinical staff were present and in 33.3%there were no witnesses. The survival when sanitary staff witnessedthe cardiac arrest was 50%, and for the group in which not-sanitarypersons were present were less than 25% and when there was nowitness was 33%. Survival if resuscitation started before the arrivalof the emergency unit was 38.5% compared with 0% if this did notoccur. Most cardiac arrests in our series were caused by trauma.</p><p>Conclusion: Out-of-hospital cardiac arrest is less common inchildren compared to adults. The overall survival rate is betterin children than adults. When CPR was not started before thearrival of the emergency services there were no survivors. If cardiacarrest occurred in the presence of the emergency service, survivalimproved. Survival was best in trauma patients.</p><p>doi:10.1016/j.resuscitation.2008.03.205</p><p>AP-087Radiological assessment of the paediatric chest: Need forrevising current guidelines for chest compression?</p><p>Pei-Chieh Kao, Wen-Chu Chiang, Chi-Wei Yang,Yueh-Ping Liu, Chien-Chang Lee, Chow-In Ko Patrick,Shyh-Jye Chen, Shyr-Chyr Chen, Matthew Huei-Ming Ma</p><p>Emergency Medicine, National Taiwan University Hospital, Taiwan</p><p>Introduction: The current guidelines on neonatal and paedi-atric resuscitation recommend a compression depth of 1/3 to 1/2of the anteriorposterior chest diameter (APD). However, therehas been little evidence supporting such manoeuvre. This studywas conducted to assess the actual depth of chest compressions inneonatal and paediatric populations if current guidelines are strictlyfollowed.</p><p>Methods: Chest computerised tomography (CT) of 12 neonatal( 11.1). Patients with 2 organ fail-ixfold increase in hospital mortality (OR 6.8; 95% CIACHE 2, age; gender did not predict outcome. Mostharged from hospital were alive at 1 (80%) and 2 yearsorking age group (</p></li><li><p>S68 Posters</p><p>3. Pittas AG, Siegel RD, Lau J. Insulin therapy for critically ill hospitalized patients: ameta-analysis of randomized controlled trials. Arch Intern Med 2004;164:200511.</p><p>4. Karnofsky DA, Abelmann WH, Craver LF, Burchenal JH. The use of the nitrogen mustardsin the palliative treatment of carcinoma. Cancer 1948;1:63456.</p><p>doi:10.1016/j.resuscitation.2008.03.207</p><p>AP-089Sevouraneearly post-r</p><p>N. Russi, P. T</p><p>DepartmentGermany</p><p>Introducimportant ctially succescardiac arrethetics reduin beating hpost-conditigiven eitherever, up to nischemia duwhether Sevfunction aft</p><p>MethodsAnimal Caredomized eit5min startinwithout Sevobrillation,taneous circfraction (EFa Millar cath</p><p>Results:group fromno increase aCA were 258no signicanincreased to</p><p>Conclusioadministratimyocardial fcation of Sevapproach af</p><p>doi:10.1016/</p><p>AP-090The rate oftheoretical</p><p>I. Turner, S.</p><p>Pacemaker</p><p>Introducin arterial prand venousof the right vThe aims ofthe circulatirelative impon the raterecovery is irestoring no</p><p>Methodstricle (RV),</p><p>pericardium. The circulatory system components included large tosmall arteries and veins as well as the capillary bed. Cardiac arrestwas simulated by stopping all active cardiac contraction and incor-porated changes in vascular resistance and compliance. Recoverywas simulated by starting active contractions dependent on the</p><p>LV cavity pressures and sizes and the degree of ischaemiased chamber stiffness and reduced contractility).Results:ulation mimicked clinical results with a sharp then gradual</p><p>aortic pressure along with RV dilation. After 10 s of cardiache recovery of arterial blood pressure was rapid (</p></li></ul>


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