Mayo Clinic proceedings
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Mayo Clinic proceedings · Jun 2005
ReviewOutcomes after ventricular fibrillation out-of-hospital cardiac arrest: expanding the chain of survival.
Coronary heart disease is the most common cause of death in the United States, with ventricular fibrillation (VF) the most common initial rhythm when cardiac disease causes arrest. Survival after VF out-of-hospital cardiac arrest (OHCA) depends on a sequence of events called the chain of survival, which Includes rapid access to emergency medical services, cardiopulmonary resuscitation, defibrillation, and advanced care. Because of widespread implementation of defibrillation programs, more patients survive VF OHCAs, making subsequent care of these patients important. ⋯ These cohorts may have the greatest response to short-term and long-term therapies for cardiac rehabilitation. With these approaches, long-term survival and quality of life after VF OHCA are favorable. Broadening the focus of the chain of survival to include in-hospital and long-term care will further improve favorable outcomes achieved in an early defibrillation program.
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Mayo Clinic proceedings · Jun 2005
Comparative StudyDuration of anesthesia and venous thromboembolism after hip and knee arthroplasty.
To determine whether longer duration of anesthesia predisposes patients undergoing orthopedic surgery to venous thromboembolism (VTE). ⋯ We found a marked association between the duration of anesthesia and postoperative VTE in patients undergoing Joint arthroplasty. Although it is possible that unmeasured intraoperative variables account for this relationship, we suggest that duration of anesthesia may be an important risk factor for postoperative VTE after orthopedic surgery.
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Mayo Clinic proceedings · Jun 2005
Biography Historical ArticleDoyle, Holmes, and Watson--a "special" trinity.