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Can focused echocardiographic evaluation in life support (FEEL) be used to predict resuscitation outcome or termination of resuscitation (TOR)? A prospective trial

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The purpose of this study is to figure out the relationship between ROSC and cardiac activity findings by echocardiography(echo) in cardiac arrest patients, and investigate the cardiac standstill period can be used as indicator for termination resuscitation... Echo performed every 2 minute simultaneously with pulse check within 10 second throughout the arrest, which was managed by the usual advanced cardiac life-support treatment guidelines... We obtained sub-xiphoid or parasternal long axis view of echo... During 10 months, 33 patients were enrolled in the study... Witness arrest patients were 22 (66.7%), 12 (36.3%) patients received bystander CPR... Interval from EMS call to EMS scene arrival is 8±3 minutes, Interval from EMS call to EMS hospital arrival is 23±6 minutes. 17 (51.5%) patients attained ROSC, and 1 (3%) patient discharged in cerebral performance category 1... Repetitive cardiac standstill periods in ROSC group and no ROSC group were 2.9±2.4 minutes versus 18.9±8.4 minutes, respectively (p<0.001)... A receiver operating curve was generated to determine the accuracy of echocardiographic cardiac standstill period for predicting no ROSC... The Area under the ROC curve was 0.985 (p<0.01)... Figure 1... If over 8 minutes repetitive cardiac standstill was identified by echo during the CPR, termination of resuscitation could be considered.

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Mentions: During 10 months, 33 patients were enrolled in the study. Witness arrest patients were 22 (66.7%), 12 (36.3%) patients received bystander CPR. Interval from EMS call to EMS scene arrival is 8±3 minutes, Interval from EMS call to EMS hospital arrival is 23±6 minutes. 17 (51.5%) patients attained ROSC, and 1 (3%) patient discharged in cerebral performance category 1. Repetitive cardiac standstill periods in ROSC group and no ROSC group were 2.9±2.4 minutes versus 18.9±8.4 minutes, respectively (p<0.001). Cardiac standstill period over 8 minutes predicted eventual no ROSC with a sensitivity of 86.7% and a specificity of 100%. A receiver operating curve was generated to determine the accuracy of echocardiographic cardiac standstill period for predicting no ROSC. The Area under the ROC curve was 0.985 (p<0.01). Figure 1.


Can focused echocardiographic evaluation in life support (FEEL) be used to predict resuscitation outcome or termination of resuscitation (TOR)? A prospective trial
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4401501&req=5

Mentions: During 10 months, 33 patients were enrolled in the study. Witness arrest patients were 22 (66.7%), 12 (36.3%) patients received bystander CPR. Interval from EMS call to EMS scene arrival is 8±3 minutes, Interval from EMS call to EMS hospital arrival is 23±6 minutes. 17 (51.5%) patients attained ROSC, and 1 (3%) patient discharged in cerebral performance category 1. Repetitive cardiac standstill periods in ROSC group and no ROSC group were 2.9±2.4 minutes versus 18.9±8.4 minutes, respectively (p<0.001). Cardiac standstill period over 8 minutes predicted eventual no ROSC with a sensitivity of 86.7% and a specificity of 100%. A receiver operating curve was generated to determine the accuracy of echocardiographic cardiac standstill period for predicting no ROSC. The Area under the ROC curve was 0.985 (p<0.01). Figure 1.

View Article: PubMed Central - HTML

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

The purpose of this study is to figure out the relationship between ROSC and cardiac activity findings by echocardiography(echo) in cardiac arrest patients, and investigate the cardiac standstill period can be used as indicator for termination resuscitation... Echo performed every 2 minute simultaneously with pulse check within 10 second throughout the arrest, which was managed by the usual advanced cardiac life-support treatment guidelines... We obtained sub-xiphoid or parasternal long axis view of echo... During 10 months, 33 patients were enrolled in the study... Witness arrest patients were 22 (66.7%), 12 (36.3%) patients received bystander CPR... Interval from EMS call to EMS scene arrival is 8±3 minutes, Interval from EMS call to EMS hospital arrival is 23±6 minutes. 17 (51.5%) patients attained ROSC, and 1 (3%) patient discharged in cerebral performance category 1... Repetitive cardiac standstill periods in ROSC group and no ROSC group were 2.9±2.4 minutes versus 18.9±8.4 minutes, respectively (p<0.001)... A receiver operating curve was generated to determine the accuracy of echocardiographic cardiac standstill period for predicting no ROSC... The Area under the ROC curve was 0.985 (p<0.01)... Figure 1... If over 8 minutes repetitive cardiac standstill was identified by echo during the CPR, termination of resuscitation could be considered.

No MeSH data available.