Resuscitation
-
Review Meta Analysis
Prone cardiopulmonary resuscitation: A scoping and expanded grey literature review for the COVID-19 pandemic.
Prone CPR is an acceptable choice in the setting of COVID-19 where turning a patient supine may create delays or added risk to patient or staff.
pearl -
Review Meta Analysis
Effects of real-time feedback on cardiopulmonary resuscitation quality on outcomes in adult patients with cardiac arrest: A systematic review and meta-analysis.
To investigate the relationship between the implementation of real-time audiovisual cardiopulmonary resuscitation (CPR) feedback devices with cardiac arrest patient outcomes, such as return of spontaneous circulation (ROSC), short-term survival, and neurological outcome. ⋯ Prospero registration ID CRD42020155388.
-
Review Meta Analysis
Pre-Arrest and Intra-Arrest Prognostic Factors Associated with Survival Following Traumatic Out-of-Hospital Cardiac Arrest-A Systematic Review and Meta-Analysis.
To summarize the prognostic associations of pre- and intra-arrest factors with return of spontaneous circulation (ROSC) and survival (in-hospital or 30 days) after traumatic out-of-hospital cardiac arrest. ⋯ This review provides very low to moderate certainty evidence that pre- and intra-arrest prognostic factors following penetrating or blunt traumatic OHCA predict ROSC and survival. This evidence is primarily based on unadjusted data. Further well-designed studies with larger cohorts are warranted to test the adjusted prognostic ability of pre- and intra-arrest factors and guide therapeutic decision-making.
-
Review Meta Analysis
Oxygenation and Ventilation Targets after Cardiac Arrest: A Systematic Review and Meta-Analysis.
To perform a systematic review and meta-analysis of the literature on oxygenation and ventilation targets after successful resuscitation from cardiac arrest in order to inform an update of international guidelines. ⋯ We identified a large number of studies related to oxygenation and ventilation targets in cardiac arrest. The majority of studies did not reach statistical significance and were limited by excessive risk of bias. Point estimates of individual studies generally favored normoxemia and normocapnia.
-
Review Meta Analysis
Paediatric traumatic out-of-hospital cardiac arrest: A systematic review and meta-analysis.
In this study, we sought to quantitatively describe the survival outcomes, incidence rates, and predictors of survival after paediatric traumatic out-of-hospital cardiac arrest (OHCA). ⋯ Survival outcomes of paediatric traumatic OHCA are poor and existing studies report varying incidence rates. The absence of large prospective and international registry data hinders the development of novel strategies to improve survival rates.