Resuscitation
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There are a variety of manual bagging devices used for neonatal resuscitation. To our knowledge, there has been no comparison of the ability of different operators to utilize such devices for the delivery of predetermined inspiratory and end-expiratory pressures. In addition, the use of prolonged inflation may be of benefit for infants who require bag and mask ventilation, and there has been no evaluation of the ability of a variety of operators to reliably deliver such breaths using currently available equipment. ⋯ Our experience suggests that the Neopuff, a purpose-built neonatal resuscitator ventilator, facilitates the delivery of the desired airway pressures while maximizing the operators ability to obtain and maintain a patent airway, and facilitates the delivery of prolonged inflations. Further research is required to determine the clinical benefit of end-expiratory pressure and prolonged inflations in neonatal resuscitation.
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Comparative Study
Hyperthermia: is it an ominous sign after cardiac arrest?
To clarify the clinical characteristics of hyperthermia at an early stage after resuscitation from cardiac arrest (CA). ⋯ Hyperthermia at an early stage after resuscitation from CA may be associated with the outcome of brain death.
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Comparative Study
Thrombolytic treatment of acute myocardial infarction after out-of-hospital cardiac arrest.
To investigate the safety and efficacy of thrombolytic treatment for an acute myocardial infarction (AMI) immediately after resuscitation in the out-of-hospital setting. ⋯ Thrombolytic treatment is a safe and effective treatment in AMI even after out-of-hospital cardiopulmonary resuscitation.
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Comparative Study
Clinical application of rapid quantitative determination of cardiac troponin-T in an emergency department setting.
We analysed the clinical use of Troponin-T compared to creatine kinase MB in a non-trauma emergency department setting. ⋯ Troponin T has proved to be an useful method for diagnosing myocardial damage in routine clinical use in the non-trauma emergency department.