Resuscitation
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Hypoxia and hyperoxia following resuscitation from out-of-hospital cardiac arrest (OHCA)may cause harm by exacerbating secondary brain injury. Our objective was to retrospectively examine theassociationof prehospital post-ROSC hypoxia and hyperoxia with the primary outcome of survival to discharge home. ⋯ Prehospital post-ROSC hypoxia and hyperoxia were associated with worse outcomes in this dataset.
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Cerebral edema following cardiac arrest is a well-known complication of resuscitation and portends a poor outcome. We identified predictors of post-cardiac arrest cerebral edema and tested the association of cerebral edema with discharge outcome. ⋯ Our study identified several risk factors associated with the development of cerebral edema following cardiac arrest. Further studies are needed to determine the benefits of early interventions in these high-risk patients.
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Editorial Comment
CPR capnography: It's not where you've been, but where you're going.
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Clinical Trial
Anteroposterior pacer pad position is better than anterolateral for transcutaneous cardiac pacing.
Transcutaneous cardiac pacing (TCP) is a lifesaving procedure for patients with certain types of unstable bradycardia. We aimed to assess the difference in the pacing thresholds between the anteroposterior (AP) and anterolateral (AL) pacer pad positions. The second aim was to characterize the severity of chest wall muscle contractions during TCP. ⋯ gov Identifier: NCT03898050 https://clinicaltrials.gov/ct2/show/NCT03898050.