Abstract |
Cardiopulmonary resuscitation ( CPR) guidelines assume that cardiac arrest victims can be treated with a uniform chest compression (CC) depth and a standardized interval administration of vasopressor drugs. This non-personalized approach does not incorporate a patient's individualized response into ongoing resuscitative efforts. In previously reported porcine models of hypoxic and normoxic ventricular fibrillation (VF), a hemodynamic-directed resuscitation improved short-term survival compared to current practice guidelines. Skilled in-hospital rescuers should be trained to tailor resuscitation efforts to the individual patient's physiology. Such a strategy would be a major paradigm shift in the treatment of in-hospital cardiac arrest victims.
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Authors | Robert M Sutton, Stuart H Friess, Matthew R Maltese, Maryam Y Naim, George Bratinov, Theodore R Weiland, Mia Garuccio, Utpal Bhalala, Vinay M Nadkarni, Lance B Becker, Robert A Berg |
Journal | Resuscitation
(Resuscitation)
Vol. 85
Issue 8
Pg. 983-6
(Aug 2014)
ISSN: 1873-1570 [Electronic] Ireland |
PMID | 24783998
(Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't, Review)
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Copyright | Copyright © 2014 Elsevier Ireland Ltd. All rights reserved. |
Topics |
- Animals
- Cardiopulmonary Resuscitation
(methods)
- Heart Arrest
(physiopathology, therapy)
- Hemodynamics
- Humans
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