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Neurogenic stunned myocardium is a potentially lethal cause of sudden cardiogenic distress due to an acute medical condition, the most common cause is aneurysmal subarachnoid hemorrhage in adults. Only two cases of hydrocephalus-induced NSM have been reported by two pediatric cases. Here the authors explore a third case in a 14-year-old boy who presented with severe headache, decreased level of consciousness, and shock in the context of acute hydrocephalus secondary to fourth ventricular outlet obstruction 3 years after standard-risk medulloblastoma therapy. His ventricles swelled in size over the past week, and his cardiac function returned to normal. All other causes of heart failure were ruled out, except for his remarkable response to CSF diversion, which clarified the diagnosis of NSM secondary to hydrocephalus. This case demonstrates the importance of prompt CSF diversion and cardiac care for acute hemocephalus in the pediatric population.
Source link: https://doi.org/10.3171/2019.2.peds18711
Abstract OBJECTIVES: Cardiac surgery with hypothermic circulatory arrest is associated with neurological morbidity of variable severity, and electroencephalography is a useful proxy measure of brain injury. We conducted a literature review to investigate the use of perioperative EEG monitoring in cardiac surgery involving HCA. Any language has been searched since 1985 in any language, including METHODS Medline, Embase, Central, and LILACS databases were searched to find studies utilizing perioperative EEG during surgery with HCA in all age groups. RESULTS Fourty single-centre studies with a total of 3287 patients undergoing surgery were found in fourteen studies. The majority of these were observational cohort studies, with only one specifically comparing EEG use with no use. EEG is used to detect cortical ischaemia and seizures, as well as neurological abnormalities, and can aid in intraoperative cerebral protection. The development of high-quality clinical trials could be made possible by the use of a standardized framework for performing EEG and reporting result metrics.
Source link: https://doi.org/10.1093/icvts/ivac198
Using reports from the German Resuscitation Registry and the TraumaRegister DGU00ae of the German Trauma Society, this article explored the results after a tragic cardiac arrest in Germany. Methods In this series, patients with OHCA from 01. 2014 to 31. 12. 2019 secondary to significant injuries, and areas where cardiopulmonary resuscitation was established were eligible for inclusion. In 28. 7% of the patients, 240 patients were admitted to hospital with ROSC and 147 with continuing CPR, with 28. 7% achieving ROSC. Of all patients resuscitated after a horrific OHCA visit, 27. 3% died in hospital. Conclusion The infrequent occurrence of low overall survival was a case of low overall survival. Additional efforts are required to determine reversible cardiac arrest causes and provide targeted trauma resuscitation on scene.
Source link: https://doi.org/10.1186/s12873-022-00714-5
Though out-of-hospital CA is widely distributed, recent data on in-hospital CA, and particularly cardiac arrest in the emergency department, are scarce, particularly cardiac arrest in the emergency department. This study was designed to determine the incidence, prevalence, and medical characteristics of unexpected CA in the ED, as well as those of anticipated CA in the ED. CA occurring in patients in non-critical ED-care settings and not requiring strict surveillance, according to Weed, unexpected CA in the ED is CA occurring in patients in non-critical ED-care areas, which have been identified as not requiring strict monitoring. A retrospective review of cases from 201620132018 was done, in comparison to other patients in the ED who are experiencing CA in the ED. This report revealed that 34. 5% of CA diagnosed in the ED and 8. 4% of all CA treated in the ED, with 38 cases of unexpected CA in this report. A group of potentially avoidable CA and deaths in the ED stands out. The study protocol was approved by the author's institute's local ethics committee The study protocol was accepted by the author's institute's local ethics committee.
Source link: https://doi.org/10.21203/rs.3.rs-1946568/v1
We wanted to find out what happened during the initial administration of unannounced inhospital cardiac arrests and explanations for successful or inadequate initial resuscitation efforts. We analyzed quantitative results from simulations and qualitative results from transcribed debriefings to determine key actions from simulations and qualitative findings. Time to first chest compression after diagnosing the cardiac arrest and beginning chest compressions was 37 s, the first chest compressions from diagnosis of cardiac arrest was 37 s, when calling the cardiac arrest team was 144 s, and first shock was 221 s. Conclusion using in situ simulated cardiac arrests, we found that key aspects such as chest compressions, naming the cardiac arrest team, and defibrillation were postponed.
Source link: https://doi.org/10.1186/s41077-022-00225-0
ObjectivesLow Scottish survival rates after out-of-hospital cardiac arrest resulted in the development of the Scottish out-of-hospital cardiac arrest scheme in 2015. According to SAS results, there were 58 incidents involving ApproachAll in the OHCA between 2011 and 2020, where resuscitation has been attempted. This data linkage was enabled by direct and probabilistic linkage owing to the Community Health Index, a unique identifier used across all health information in Scotland. Compared 2014-15 and 2018-19 results, confounder adjusted logistic regression revealed increased odds of bCPR and 30days survival rates, as well as Confounder adjusted logistic regression. Initial estimates show that during the COVID-19 pandemic bCPR years, the percentages remained stable, but 30-day survival rates dropped to 6. 9%. ConclusionThe introduction of the Scottish OHCA's plan and subsequent attempts to raise bCPR and 30 days survival rates have resulted in an increase in bCPR and 30 days survival rates.
Source link: https://doi.org/10.23889/ijpds.v7i3.2045
Dr. Harvey Cushing's role in medicine goes well beyond neurosurgery's role. This paper examines Cushing's decision in the case of HW, an adolescent boy with a craniopharyngioma involving the third ventricle. During the surgery, HW suffered a heart arrest, but Cushing did not give up. Analyzing Cushing's behavior in HWU2019s case provides valuable lessons for neurosurgeons today, particularly the importance of adopting proactive attitudes and, in some cases, going through painful situations to save a life.
Source link: https://doi.org/10.3171/2019.11.jns192487
According to several journal papers, robotic medical devices such as chest compression manipulators, which improved the quality during cardiopulmonary resuscitation in hospitals and because the number of studies focusing on the outcome based on systematic reviews results will be discussed in hospitals. Methods: This is a systematic review of all existing studies that were published on the use of Cardiopulmonary resuscitation CPR quality in Patients with cardiac arrest by using Robotics/ Artificial Intelligence in hospitals. The final review included 22 papers that made it through the full text screening and into the final review. During CPR in hospitals, the aim of this study was to assess and improve patient outcomes for patients with cardiac arrest using robotics/artificial intelligence.
Source link: https://doi.org/10.23958/ijirms/vol07-i09/1502
This research was designed to investigate the characteristics and outcomes of OHCA patients before and after the COVID-19 pandemic in Thailand. Methods This single-center, retrospective cohort study used results from electronic medical records and EMS paper records to analyze human behavior. The number of emergency department reports of spontaneous circulation and physiology in OHCA patients before and during the COVID-19 pandemic in Thailand were found by all OHCA patients who visited Ramathibodi Hospital before COVID-19 and COVID-19. During the COVID-19 period, the ED ROSC was considerably smaller than during the COVID-19 period. In addition, the witness accounts and mode of chest compression were very different between the two groups. Trial registration in the Thai Clinical Trial Registry The trial was retrospectively registered on December 7, 2021 to 2007, registration number TCTR20211207006.
Source link: https://doi.org/10.1186/s12245-022-00444-2
In nearly a third of the comatose cardiac arrest survivors, aims seizures and status epilepticus have been identified. Although the literature is extremely comprehensive regarding SE with motor symptoms in those patients, no information about nonconvulsive SE is available. Methods The medical research PubMed was searched for the most important journals relating to the emergence and success of NCSE in comatose post-resuscitated adult patients. Results We found 11 cohort studies involving 1092 patients with SE in 29-96 percent but NCSE in 1u201320%, with NCSE in 1u201320%. Withing the first hours after ROSC, we found no study that reported EEG to detect or exclude NCSE in patients with coma prior to the introduction of TTM or without sedation. Since ROSC, NCSE after ROSC is both rare and unsystematic, but they do have a positive outcome in every fourth patient receiving NCSE after ROSC, according to the researchers.
Source link: https://doi.org/10.1007/s00415-022-11368-5
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