Cardiopulmonary Resuscitation CPR Publications (20378)


Cardiopulmonary Resuscitation CPR Publications

Sci Rep
Sci Rep 2017 Jan 18;7:40875. Epub 2017 Jan 18.
Department of Anesthesia and Intensive Care, University Hospital Marburg, Baldingerstrasse, 35033 Marburg, Germany.
Enferm Intensiva
Enferm Intensiva 2017 Jan 13. Epub 2017 Jan 13.
Universidad del País Vasco/Euskal Herriko Unibertsitatea, Leioa, Bizkaia, España; Hospital Universitario de Basurto, Bilbao, Bizkaia, España. Electronic address:
Am J Emerg Med
Am J Emerg Med 2017 Jan 11. Epub 2017 Jan 11.
Department of Emergency Medicine and Disaster, Medical University Bialystok, Bialystok, Poland.
Artif Organs
Artif Organs 2017 Jan;41(1):11-16
Department of Surgery, Division of Pediatric Surgery, Morgan Stanley Children's Hospital of New York-Presbyterian, Columbia University Medical Center, New York, NY, USA.

Lower-extremity ischemia is a significant complication in children on femoral venoarterial extracorporeal membrane oxygenation (VA ECMO). Our institution currently routinely uses distal perfusion catheters (DPCs) in all femoral arterial cannulations in attempts to reduce ischemia. We performed a single-center, retrospective review of pediatric patients supported with femoral VA ECMO from January 2005 to November 2015. Read More

The outcomes of patients with prophylactic DPC placement at cannulation (prophylactic DPC) were compared to a historical group with DPCs placed in response only to clinically evident ischemic changes (reactive DPC). Ischemic complication requiring invasive intervention (fasciotomy or amputation) was the primary outcome. Twenty-nine patients underwent a total of 31 femoral arterial cannulations, 17 with prophylactic DPC and 14 with reactive DPC. Ischemic complications requiring invasive intervention developed in 2 of 17 (12%) prophylactic DPC patients versus 4 of 14 (29%) reactive DPC. In the reactive DPC group, 7 of 14 (50%) had ischemic changes postcannulation, six underwent DPC placement, and three out of six of these patients still required invasive intervention. One of the seven patients had ischemic changes, did not undergo DPC, and required amputation. While a greater percentage of patients in the prophylactic group was cannulated during extracorporeal cardiopulmonary resuscitation (ECPR), statistical significance was not otherwise demonstrated. We demonstrate feasibility of superficial femoral artery (SFA) access in pediatric patients. We note fewer ischemic complications with prophylactic DPC placement, and observe that salvaging a limb with a reactive DPC was only successful 50% of the time. Although there was no statistical difference in the primary outcome between the two groups, limitations and confounding factors include small sample size and a greater percentage of patients in the prophylactic DPC group cannulated with ECPR in progress.


The article on cardiopulmonary resuscitation in end of life care (art&science August 22) was thought-provoking, most notably for its focus on the ethical, legal and professional issues associated with any decisions taken in these circumstances. Read More

Am J Emerg Med
Am J Emerg Med 2016 Dec 13. Epub 2016 Dec 13.
Department of Emergency Medicine, Medical University of Warsaw, Warsaw, Poland. Electronic address:
J. Trop. Pediatr.
J Trop Pediatr 2017 Jan 14. Epub 2017 Jan 14.
Department of Child & Adolescent Health, Faculty of Medical Sciences, University of the West Indies, Mona, St. Andrew, Jamaica

This study aimed to determine challenges associated with neonatal transport in Jamaica, a resource-limited setting.
This was a prospective descriptive study of neonates transported to the University Hospital of the West Indies (UHWI) over a 15 month period. Data on the clinical status of the neonates before, during and at the end of transport, as well as on accompanying staff and equipment, were collected. Read More

Neonatal demographics, reason for transfer and outcome at 48 h and at discharge were also collected. Descriptive analyses were performed.
Fifty neonates were transferred to the UHWI; the most common reason for transfer was for respiratory support [30 (60%)]. The most common mode of transport was by road ambulance [42 (84%)]. Seventeen (34%) neonates experienced at least one adverse event during transport. On arrival, 27 (54%) neonates required warming, 42 (84%) fluid resuscitation and 14 (28%) cardiopulmonary resuscitation (CPR). Eighteen (36%) neonates died. The need for CPR on arrival predicted mortality (odds ratio: 2.3, confidence interval: 0.01-0.75, p = 0.02). A lack of appropriate equipment and adequately trained personnel was also noted.
Ensuring pre-transport stabilization of neonates, the availability of adequately trained staff and the provision of appropriate equipment must be urgently addressed to improve the outcome of neonatal transport in resource-limited settings like Jamaica.

Emerg Med Australas
Emerg Med Australas 2017 Jan 13. Epub 2017 Jan 13.
Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.

To provide contemporary Australian data on the public's training in cardiopulmonary resuscitation (CPR) and awareness of hands-only CPR.
A cross-sectional telephone survey in April 2016 of adult residents of the Australian state of Victoria was conducted. Primary outcomes were rates of CPR training and awareness of hands-only CPR. Read More

Of the 404 adults surveyed (mean age 55 ± 17 years, 59% female, 73% metropolitan residents), 274 (68%) had undergone CPR training. Only 50% (n = 201) had heard of hands-only CPR, with most citing first-aid courses (41%) and media (36%) as sources of information. Of those who had undergone training, the majority had received training more than 5 years previously (52%) and only 28% had received training or refreshed training in the past 12 months. Most received training in a formal first-aid class (43%), and received training as a requirement for work (67%). The most common reasons for not having training were: they had never thought about it (59%), did not have time (25%) and did not know where to learn (15%). Compared to standard CPR, a greater proportion of respondents were willing to provide hands-only CPR for strangers (67% vs 86%, P < 0.001).
From an Australian perspective, there is still room for improvement in CPR training rates and awareness of hands-only CPR. Further promotion of hands-only CPR and self-instruction (e.g. DVD kits or online) may see further improvements in CPR training and bystander CPR rates.

Int J Artif Organs
Int J Artif Organs 2017 Jan 12. Epub 2017 Jan 12.
Division of Pediatric Cardiology, Children's Healthcare of Atlanta, Emory University, Atlanta, GA - USA.

Idiopathic infantile arterial calcification is a rare cause of infantile ischemic cardiac failure with extremely poor prognosis. We present the first case report of successful extracorporeal membrane oxygenation support and outcome in a child with idiopathic infantile arterial calcification (IIAC). This 6-week-old infant presented with cardiogenic shock and circulatory collapse. Read More

The patient underwent extracorporeal cardiopulmonary resuscitation, allowing stabilization, diagnosis, and treatment with etidronate, followed by successful discharge to home.

Cardiol Young
Cardiol Young 2017 Jan;27(S1):S101-S103
Department of Pediatrics,Division of Pediatric Cardiology,Ann & Robert H. Lurie Children's Hospital of Chicago,Northwestern University School of Medicine,Chicago,Illinois,United States of America.

Recent experiences with lay public cardiopulmonary resuscitation and use of ambulatory external defibrillators have been demonstrated to improve survival from out-of-hospital cardiac arrests from an abysmal 10% or less to as high as 30%. Though rare, sudden cardiac arrest in presumably healthy young people have been highly publicised over the last 25 years and have motivated the institution of school- and community-based programmes that facilitate first-responder resuscitation, including defibrillation. These efforts often begin at a grass roots level (usually parent-inspired advocacy groups) and through collaborative activities involving the schools, local businesses, and local administrative agencies are now having a meaningful impact in selected communities. Read More

The current focus of these activities is on school- and sports venue-based ambulatory external defibrillator programmes and formal cardiopulmonary resuscitation education in high schools. The extension of these programmes to the level of state mandates has been slower, and even when enacted, public funding has usually not been approved.