Resuscitation
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Randomized Controlled Trial
Mechanical ventilation with ten versus twenty breaths per minute during cardio-pulmonary resuscitation for out-of-hospital cardiac arrest: A randomised controlled trial.
This study sought to assess the effects of increasing the ventilatory rate from 10 min-1 to 20 min-1 using a mechanical ventilator during cardio-pulmonary resuscitation (CPR) for out-of-hospital cardiac arrest (OHCA) on ventilation, acid-base-status, and outcomes. ⋯ gov Identifier: NCT04657393.
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Merigo and colleagues argue that the meta-analyses and systematic reviews published in scientific journals in recent years is excessive, and that the primary goal is often more author-centric rather than to advance science. We agree that author benefits are not trivial, but some are foundational and important, especially for trainees. Trainees learn how to judge the quality of published evidence and create a comprehensive understanding in a selected topic, allowing for skill acquisition and a strong base for later work. This can stoke a future career and better insights by many, starting with the people who create these pieces.
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Survival following pediatric out-of-hospital cardiac arrest (OHCA) has improved over the past 2 decades but data on survivors' long-term outcomes are limited. We aimed to evaluate long-term outcomes in pediatric OHCA survivors more than one year after cardiac arrest. ⋯ Survivors of pediatric OHCA with unfavorable outcome at discharge have more impaired function multiple years post-arrest. Survivors with favorable outcome may experience impairments and significant healthcare needs not fully captured by the PCPC at hospital discharge.