Search results for "Cardiac Arrest"
New report lists 10 steps to improving in-hospital cardiac arrest care
The American Heart Association and international organizations offered the steps with the aim of reducing the high morbidity and mortality and worldwide variation in quality of care found with in-hospital cardiac arrest.
https://acphospitalist.acponline.org/archives/2023/11/22/new-report-lists-10-steps-to-improving-in-hospital-cardiac-arrest-care.htm
22 Nov 2023
AHA issues interim advice on temperature management after out-of-hospital cardiac arrest
The science advisory from the American Heart Association (AHA) considers existing and recent evidence on patients who are unresponsive after out-of-hospital cardiac arrest and is meant to provide guidance to clinicians until upcoming new guidelines are published.
https://acphospitalist.acponline.org/archives/2023/08/23/aha-issues-interim-advice-on-temperature-management-after-out-of-hospital-cardiac-arrest.htm
23 Aug 2023
Epinephrine delays defibrillation, lowers survival in shockable in-hospital cardiac arrest
More than one in four patients with in-hospital cardiac arrest due to ventricular fibrillation or pulseless ventricular tachycardia were treated with epinephrine before the first defibrillation, according to a Get With The Guidelines study.
https://acphospitalist.acponline.org/weekly/archives/2021/11/17/3.htm
17 Nov 2021
No difference found for moderate vs. mild hypothermia for comatose survivors of out-of-hospital cardiac arrest
There may not be a single, optimal target temperature for all patients with cardiac arrest, noted the authors of a trial that compared target temperatures of 31 °C and 34 °C. The effects of therapeutic hypothermia could be modulated by several clinical variables, they suggested.
https://acphospitalist.acponline.org/weekly/archives/2021/10/27/4.htm
27 Oct 2021
Vasopressin, steroids during resuscitation improved return of circulation during in-hospital cardiac arrest
Administering vasopressin and methylprednisolone after epinephrine increased the likelihood of return of spontaneous circulation compared with placebo in a randomized trial in Denmark; however, given the uncertain effect on survival, the treatment is not ready for usual care, an editorial said.
https://acphospitalist.acponline.org/weekly/archives/2021/10/06/4.htm
6 Oct 2021
Study confirms factors predicting survival after resuscitation from cardiac arrest
Age older than 85 years, time to return of spontaneous circulation greater than 30 minutes, and nonventricular tachycardia/ventricular fibrillation as the presenting rhythm were the strongest independent predictors of in-hospital mortality after cardiac arrest, a study found.
https://acphospitalist.acponline.org/weekly/archives/2021/01/27/4.htm
27 Jan 2021
Low-performing hospitals can improve quality for in-hospital cardiac arrest over time
A study found that while percentile rankings for risk-standardized survival rates remained generally consistent during follow-up periods at 45.2% of 166 study hospitals, 21.4% of bottom-performing hospitals exhibited substantial improvements on this quality metric.
https://acphospitalist.acponline.org/weekly/archives/2020/09/16/4.htm
16 Sep 2020
AHA updates guidelines on resuscitation of patients with cardiac arrest
A focused update from the American Heart Association (AHA) offers new recommendations on the use of advanced airways, vasopressors, and extracorporeal cardiopulmonary resuscitation during cardiac arrest.
https://acphospitalist.acponline.org/weekly/archives/2019/11/20/1.htm
20 Nov 2019
Moderate hypothermia improved neurologic outcomes after cardiac arrest with nonshockable rhythm
Mortality was similar whether patients were randomized to a target temperature of 33 °C or 37 °C, but those in the former group were more likely to have a favorable Cerebral Performance Category score at 90 days.
https://acphospitalist.acponline.org/weekly/archives/2019/10/09/4.htm
9 Oct 2019
AHA updates guidelines on use of antiarrhythmic drugs during and after cardiac arrest
Amiodarone or lidocaine may be considered for ventricular fibrillation/pulseless ventricular tachycardia that is unresponsive to defibrillation, the American Heart Association (AHA) now recommends.
https://acphospitalist.acponline.org/weekly/archives/2018/11/14/1.htm
14 Nov 2018
Score predicts risk of cardiovascular death in patients who survive CPR
The factors in the new score are pre-existing coronary artery disease, nonshockable rhythm, initial ejection fraction below 30%, shock at presentation, and ischemic time above 25 minutes.
https://acphospitalist.acponline.org/weekly/archives/2017/11/01/3.htm
1 Nov 2017
48 hours of targeted temperature management led to similar outcomes as 24 hours
Patients who were kept at 33 °C for 48 hours after cardiac arrest had a slight, but not significant, improvement in cognitive performance at six months.
https://acphospitalist.acponline.org/weekly/archives/2017/08/02/3.htm
2 Aug 2017
Studies of resuscitation guidelines address timing of shocks, epinephrine
An editorial noted that the finding of widespread non-adherence with clinical guidelines should prompt those responsible for organizing or delivering advanced life support to review their practice and ensure that it is informed by the latest clinical guidelines.
https://acphospitalist.acponline.org/weekly/archives/2016/04/13/2.htm
13 Apr 2016
Therapeutic hypothermia in comatose patients with non-shockable initial rhythms may lead to better outcomes
Twenty-nine percent of patients who underwent hypothermia survived to hospital discharge, compared to 15% who received standard care.
https://acphospitalist.acponline.org/weekly/archives/2015/11/25/2.htm
25 Nov 2015