Review and Outcome of Prolonged Cardiopulmonary Resuscitation
The maximal duration of cardiopulmonary resuscitation (CPR) is unknown. We report a case of prolonged CPR. We have then reviewed all published cases with CPR duration equal to or more than 20 minutes. The objective was to determine the survival rate, the neurological outcome, and the characteristics...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Critical Care Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2016/7384649 |
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| _version_ | 1832563218226085888 |
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| author | Houssein Youness Tarek Al Halabi Hussein Hussein Ahmed Awab Kellie Jones Jean Keddissi |
| author_facet | Houssein Youness Tarek Al Halabi Hussein Hussein Ahmed Awab Kellie Jones Jean Keddissi |
| author_sort | Houssein Youness |
| collection | DOAJ |
| description | The maximal duration of cardiopulmonary resuscitation (CPR) is unknown. We report a case of prolonged CPR. We have then reviewed all published cases with CPR duration equal to or more than 20 minutes. The objective was to determine the survival rate, the neurological outcome, and the characteristics of the survivors. Measurements and Main Results. The CPR data for 82 patients was reviewed. The median duration of CPR was 75 minutes. Patients mean age was 43 ± 21 years with no significant comorbidities. The main causes of the cardiac arrests were myocardial infarction (29%), hypothermia (21%), and pulmonary emboli (12%). 74% of the arrests were witnessed, with a mean latency to CPR of 2 ± 6 minutes and good quality chest compression provided in 96% of the cases. Adjunct therapy included extracorporeal membrane oxygenation (18%), thrombolysis (15.8%), and rewarming for hypothermia (19.5%). 83% were alive at 1 year, with full neurological recovery reported in 63 patients. Conclusion. Patients undergoing prolonged CPR can survive with good outcome. Young age, myocardial infarction, and potentially reversible causes of cardiac arrest such as hypothermia and pulmonary emboli predict a favorable result, especially when the arrest is witnessed and followed by prompt and good resuscitative efforts. |
| format | Article |
| id | doaj-art-5f8835c293fe444c956608163893b919 |
| institution | Kabale University |
| issn | 2090-1305 2090-1313 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Critical Care Research and Practice |
| spelling | doaj-art-5f8835c293fe444c956608163893b9192025-02-03T01:20:40ZengWileyCritical Care Research and Practice2090-13052090-13132016-01-01201610.1155/2016/73846497384649Review and Outcome of Prolonged Cardiopulmonary ResuscitationHoussein Youness0Tarek Al Halabi1Hussein Hussein2Ahmed Awab3Kellie Jones4Jean Keddissi5University of Oklahoma, 920 Stanton L Young Boulevard, WP 1310, Oklahoma City, OK 73104, USALebanese American University, LebanonUniversity of Oklahoma, 920 Stanton L Young Boulevard, WP 1310, Oklahoma City, OK 73104, USAUniversity of Oklahoma, 920 Stanton L Young Boulevard, WP 1310, Oklahoma City, OK 73104, USAUniversity of Oklahoma, 920 Stanton L Young Boulevard, WP 1310, Oklahoma City, OK 73104, USAUniversity of Oklahoma, 920 Stanton L Young Boulevard, WP 1310, Oklahoma City, OK 73104, USAThe maximal duration of cardiopulmonary resuscitation (CPR) is unknown. We report a case of prolonged CPR. We have then reviewed all published cases with CPR duration equal to or more than 20 minutes. The objective was to determine the survival rate, the neurological outcome, and the characteristics of the survivors. Measurements and Main Results. The CPR data for 82 patients was reviewed. The median duration of CPR was 75 minutes. Patients mean age was 43 ± 21 years with no significant comorbidities. The main causes of the cardiac arrests were myocardial infarction (29%), hypothermia (21%), and pulmonary emboli (12%). 74% of the arrests were witnessed, with a mean latency to CPR of 2 ± 6 minutes and good quality chest compression provided in 96% of the cases. Adjunct therapy included extracorporeal membrane oxygenation (18%), thrombolysis (15.8%), and rewarming for hypothermia (19.5%). 83% were alive at 1 year, with full neurological recovery reported in 63 patients. Conclusion. Patients undergoing prolonged CPR can survive with good outcome. Young age, myocardial infarction, and potentially reversible causes of cardiac arrest such as hypothermia and pulmonary emboli predict a favorable result, especially when the arrest is witnessed and followed by prompt and good resuscitative efforts.http://dx.doi.org/10.1155/2016/7384649 |
| spellingShingle | Houssein Youness Tarek Al Halabi Hussein Hussein Ahmed Awab Kellie Jones Jean Keddissi Review and Outcome of Prolonged Cardiopulmonary Resuscitation Critical Care Research and Practice |
| title | Review and Outcome of Prolonged Cardiopulmonary Resuscitation |
| title_full | Review and Outcome of Prolonged Cardiopulmonary Resuscitation |
| title_fullStr | Review and Outcome of Prolonged Cardiopulmonary Resuscitation |
| title_full_unstemmed | Review and Outcome of Prolonged Cardiopulmonary Resuscitation |
| title_short | Review and Outcome of Prolonged Cardiopulmonary Resuscitation |
| title_sort | review and outcome of prolonged cardiopulmonary resuscitation |
| url | http://dx.doi.org/10.1155/2016/7384649 |
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