Resuscitation
-
Multicenter Study Observational Study
The optic nerve sheath diameter as a useful tool for early prediction of outcome after cardiac arrest: A prospective pilot study.
Optic nerve sheath diameter (ONSD) measurement could detect increased intracranial pressure, and might predict outcome in post-cardiac arrest (CA) patients. We assessed the ability of bedside ONSD ultrasonographic measurement performed within day 1 after CA occurrence to predict in-hospital survival in patients treated with therapeutic hypothermia (TH). ⋯ ONSD seems a promising tool to early assess outcome in post-CA patients treated with TH.
-
Therapeutic hypothermia (TH) has increasingly become a part of the current standard of care for treating patients with cardiac arrest (CA). However, little is known regarding the association between TH and long-term quality of life (QoL) in adult survivors of CA. We conducted a systematic review to investigate the association between TH implementation and long-term QoL outcomes in adult survivors of CA following hospital discharge. ⋯ In this systematic review, the included studies do not suggest any association between TH implementation in CA with long-term QoL in CA survivors. Further larger scale studies are needed to investigate the sustainability of TH effects long term in this patient population.
-
Randomized Controlled Trial
Smartwatches as chest compression feedback devices: A feasibility study.
Recently, there have been attempts to use smartphones and smartwatches as the feedback devices to improve the quality of chest compressions. In this study, we compared chest compression depth feedback accuracy between a smartphone and a smartwatch in a hands-only cardiopulmonary resuscitation scenario, using a manikin with a displacement sensor system. ⋯ The smartwatch-based chest compression depth feedback was more accurate than smartphone-based feedback.
-
Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) decisions are made in hospitals throughout the globe. International variation in clinicians' perception of DNACPR decision-making and implementation and the factors influencing such variation has not previously been explored. ⋯ The majority of countries surveyed make some form of DNACPR decision but differing cultures and economic status contribute towards a heterogeneity of approaches to resuscitation decision-making. Adequacy of relevant medical education and national policy are two areas that were regularly identified as impacting upon the processes of DNACPR decision-making and implementation.