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- M Ruiz-Bailén, E Aguayo-de-Hoyos, M C Serrano-Córcoles, M A Díaz-Castellanos, J L Fierro-Rosón, J A Ramos-Cuadra, M Rodríguez-Elvira, and J M Torres-Ruiz.
- Intensive Care Unit, Critical Care and Emergencies Department, Hospital de Poniente, El Ejido, Almeria, Spain. mrb1604@teleline.es
- Resuscitation. 2001 Oct 1; 51 (1): 97-101.
ObjectiveTo describe our outcomes using thrombolysis during the cardiopulmonary resuscitation (CPR) of patients in cardiorespiratory arrest (CA) caused by fulminant pulmonary embolism (FPE).DesignA case series.SettingIntensive care units of a district hospital and a referral centre.PatientsSix patients that suffered CA secondary to an FPE.InterventionsAdministration of recombinant tissue plasminogen activator during usual CPR manoeuvres when there was a strong suspicion of FPE. Permission for the thrombolytic therapy was sought from family members in all cases.ResultsFour out of the six patients survived and remain symptom-free. The thrombolysis was not associated with any fatal complications.ConclusionsEarly thrombolysis during CPR manoeuvres for CA apparently caused by an FPE may reduce the mortality rate among these patients.
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