Showing papers in "Resuscitation in 1989"

TL;DR: Bystander CPR was performed in 33% of recorded cases by lay people in 406 cases (family members 178, other lay people 228) and by bystanding health care workers in 592 cases (nurses 86, doctors 506).

TL;DR: The results of intensive therapy and temporary organ substitution by hemoperfusion through a suspension of active hepatocytes in 126 patients suffering from acute hepatic insufficiency (AHI) induced by virus B hepatitis, virus non-A, non-B hepatitis, acute toxic hepatitis, active liver cirrhosis, sepsis leptospirosis long-term subhepatic jaundice are presented.

TL;DR: The influence on attitude shows that fear to apply CPR increased significantly after one training session and does not significantly lower after the second training, and attitude seems to be rather person-linked, for no correlation was found with age, theoretical knowledge or practical skill scoring.

TL;DR: The objectives of primary shock therapy are to reestablish precapillary pressure, arteriolar vasomotion and to open the occluded microvascular pathways in order to re establish the surface area needed for exchange of nutrients and drainage of waste product.

TL;DR: The hypothesis that SECPR can produce adequate CBF if started immediately, but not if started after a long period of cardiac arrest (no flow, stasis) is tested.

TL;DR: There is no relationship between the glycemia on admission and the duration of cardiopulmonary resuscitation (CPR), however, there is a positive but weak correlation between the dose of adrenaline administered during CPR and the glycerol on admission.

TL;DR: The model shows that immediately after hyperosmotic infusion, water shifts into the plasma first from red blood cells and endothelium and then from the interstitium and tissue cells, and support the significant role of an osmotic mechanism during hyperOSmotic resuscitation in quickly restoring blood volume.

TL;DR: In this paper, the authors present the following time goals for Belgian EMS-MICU systems: duration of complete CA less or equal to 4 min (introduction time less than or equal equal to 1 min and response time of BLS less than and equal to 3 min).

TL;DR: The data support a negative effect on long-term survival with recuperation of consciousness from infusion of more than 1 mEq/kg body weight of sodium-bicarbonate during CPR, and the mechanisms of this negative effect at the level of the brain can be drawn.

TL;DR: It is concluded that, when evaluating the effectiveness of CPR, the variables of witnessing of arrest, presenting arrest rhythm, and respective response times must be controlled or analyzed.

TL;DR: Evaluated methods for assessment of quality of the CPR techniques revealed that this approach was biased both by the status of the health care provider and by the outcome of the patient, and it was evident that the well-accepted standards and guidelines for CPR and emergency cardiac care are poorly applied.

TL;DR: The studies on the mechanism of action indicate that the ACTH-induced reversal of hemorrhagic shock is an extra-hormonal, adrenal-independent effect, and in animals treated with ACTH within 5-10 min after bleeding, blood reinfusion retains its effectiveness and reverse shock even if performed 2-5 h later.

TL;DR: There was no statistical difference between either group when compared for age, response time, resuscitation time, witnessing of arrest or distribution of presenting rhythms, and no significant effect in neurologic outcome among saved cardiac arrest victims was found in the paramedic program studied.

TL;DR: This study attempts to provide some insight into the demographic profile of the patients in EMD by reviewing historical and resuscitative parameters to help create a demographic profile.

TL;DR: In this paper, the authors identify indices which might be of help in the decision making to continue or to discontinue CPR in patients without any virtual chance for long-term survival (LTS).

TL;DR: EPS early (10 min) after initially successful resuscitation is more effective in predicting no-success than success, while EPS during resuscitation results in a comparable amount of information, whether used to predict success, alive and conscious 14 days post-CPR or no- success.

TL;DR: The obstruction of capillaries was largely due to trapped granulocytes, suggesting that these leukocytes play a key role in the capillary no-reflow phenomenon and survival from hemorrhagic shock.

TL;DR: It is timely to look more closely at the methods the authors are teaching to determine whether some modifications could eliminate dangers to rescuers and also avoid certain risks to a victim without significantly reducing the degree of effectiveness they attribute to currently-accepted methods.

TL;DR: In this article, an analysis of the Belgian CPCR registry was made according to some pre-CPR conditions, including age, witnessed event or not, pre-arrest health state, underlying disease, site of cardiac arrest, type of respiratory arrest, and type of cardiac failure.

TL;DR: Since ACTH-(l-241) is known to be practically devoid of acute toxicity and it is reported to be well tolerated by humans up to 100 mg i.v. [3], it has been administered to patients with shock.

TL;DR: Arteriovenous pH and PCO2 gradients can develop during low cardiac output states and there is a transient hypercarbic arterial acidosis following volume resuscitation that may have deleterious effects on cardiac and cerebral function in the early post-resuscitative period.

TL;DR: Administration of PBN and of the steroid ensures survival after otherwise lethal shock, prevents microcirculatory troubles, and maintains stability of cell membranes, which strongly support the role of oxygen-derived free radicals in the pathogenesis and pathophysiology of circulatory shock.

TL;DR: In this paper, the effect of methylprednisolone (MP) on brain enzyme changes was investigated in a rat model with apneic asphyxia to cardiac arrest (CA).

TL;DR: It is reported here that ACTH-1 241 has a therapeutic effect in hemorrhagic shock in man and may play the role of endogenous ‘physiological’ antagonists of opioids.

TL;DR: Radiography proved correct placement of the proximal and distal balloons in accordance with design theory and hyperinflation experiments documented expansion of the proxy balloon into the oral cavity rather than towards the epiglottis.

TL;DR: Fifty-six patients with elevated intracranial pressure caused by cerebrovascular accident, head injury, etc., were the subjects of this study, and barbiturate therapy was instituted using thiamylal, and the complications caused by barbenurate therapy were recorded.

TL;DR: Electrocardiographic characteristics and/or changes in response to treatment may have predictive value in evaluating patients with EMD, and wide complex rhythms without atrial activity were most highly associated with unsuccessful resuscitation.

TL;DR: The analysis of 161 consecutive patients seen in the period 1983-1987 at the University Hospital of Gent indicates that patients with such electrolyte disturbances do not have a worse prognosis, while the data suggest that the prognosis may be worse in this group of patients.

TL;DR: Naloxone's reversal of the hypotension is consistent with the central involvement of endogenous opioid peptides in this phenomenon and thus in the pathogenesis of hypotension during blood loss.

TL;DR: In this paper, the incidence of postischemic recovery of evoked potentials and of spontaneous EEG activity was determined and related to the following variables: anesthesia (barbiturate or halothane/nitrous oxide), completeness of ischemia, body temperature, plasma glucose, arterial pH, blood gases, blood osmolality, postischemia BP, and cerebral blood flow (CBF).