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Survival after avalanche-induced cardiac arrest

التفاصيل البيبلوغرافية
العنوان: Survival after avalanche-induced cardiac arrest
المؤلفون: Jean François Payen, Pierre Bouzat, Sébastien Thomas, Guillaume Debaty, Julien Brun, Yvonnick Boué, Albrice Levrat, Marc Blancher
المساهمون: Université Grenoble Alpes - UFR Médecine (UGA UFRM), Université Grenoble Alpes [2016-2019] (UGA [2016-2019]), Neuro-imagerie fonctionnelle et métabolique (ANTE-INSERM U836, équipe 5), Grenoble Institut des Neurosciences (GIN), Université Joseph Fourier - Grenoble 1 (UJF)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Joseph Fourier - Grenoble 1 (UJF)-Institut National de la Santé et de la Recherche Médicale (INSERM), Service d'anesthésie-réanimation, Université Joseph Fourier - Grenoble 1 (UJF)-CHU Grenoble-Hôpital Michallon, Laboratoire brestois de mécanique et des systèmes (LBMS), École Nationale d'Ingénieurs de Brest (ENIB)-Université de Brest (UBO)-École Nationale Supérieure de Techniques Avancées Bretagne (ENSTA Bretagne), Centre Hospitalier Annecy-Genevois [Saint-Julien-en-Genevois], Sciences Po Grenoble - Institut d'études politiques de Grenoble (IEPG), Physiologie cardio-Respiratoire Expérimentale Théorique et Appliquée (TIMC-IMAG-PRETA), Techniques de l'Ingénierie Médicale et de la Complexité - Informatique, Mathématiques et Applications, Grenoble - UMR 5525 (TIMC-IMAG), VetAgro Sup - Institut national d'enseignement supérieur et de recherche en alimentation, santé animale, sciences agronomiques et de l'environnement (VAS)-Institut polytechnique de Grenoble - Grenoble Institute of Technology (Grenoble INP )-Centre National de la Recherche Scientifique (CNRS)-Université Joseph Fourier - Grenoble 1 (UJF)-VetAgro Sup - Institut national d'enseignement supérieur et de recherche en alimentation, santé animale, sciences agronomiques et de l'environnement (VAS)-Institut polytechnique de Grenoble - Grenoble Institute of Technology (Grenoble INP )-Centre National de la Recherche Scientifique (CNRS)-Université Joseph Fourier - Grenoble 1 (UJF), Centre Hospitalier Universitaire [Grenoble] (CHU)
المصدر: Resuscitation
Resuscitation, Elsevier, 2014, 85 (9), pp.1192-1196. ⟨10.1016/j.resuscitation.2014.06.015⟩
بيانات النشر: Elsevier BV, 2014.
سنة النشر: 2014
مصطلحات موضوعية: Adult, Male, Resuscitation, medicine.medical_specialty, Poison control, 030204 cardiovascular system & hematology, Emergency Nursing, Return of spontaneous circulation, law.invention, Young Adult, 03 medical and health sciences, 0302 clinical medicine, [SDV.MHEP.CSC]Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system, law, medicine, Humans, ComputingMilieux_MISCELLANEOUS, Retrospective Studies, business.industry, Trauma center, 030208 emergency & critical care medicine, Retrospective cohort study, Avalanches, Hypothermia, Intensive care unit, Heart Arrest, Surgery, Survival Rate, Intensive Care Units, Anesthesia, Life support, Emergency Medicine, Female, medicine.symptom, Cardiology and Cardiovascular Medicine, business
الوصف: Criteria to prolong resuscitation after cardiac arrest (CA) induced by complete avalanche burial are critical since profound hypothermia could be involved. We sought parameters associated with survival in a cohort of victims of complete avalanche burial.Retrospective observational study of patients suffering CA on-scene after avalanche burial in the Northern French Alps between 1994 and 2013. Criteria associated with survival at discharge from the intensive care unit (ICU) were collected on scene and upon admission to Level-1 trauma center. Neurological outcome was assessed at 3 months using cerebral performance category score.Forty-eight patients were studied. They were buried for a median time of 43 min (25-76 min; 25-75th percentiles) and had a pre-hospital body core temperature of 28.0°C (26.0-30.7). Eighteen patients (37.5%) had pre-hospital return of spontaneous circulation and 30 had refractory CA. Rewarming of 21 patients (43.7%) was performed using extracorporeal life support. Eight patients (16.7%) survived and were discharged from the ICU, three (6.3%) had favorable neurological outcome at 3 months. Pre-hospital parameters associated with survival were the presence of an air pocket and rescue collapse. On admission, survivors had lower serum potassium concentrations than non-survivors: 3.2 mmol/L (2.7-4.0) versus 5.6 mmol/L (4.2-8.0), respectively (P0.01). They also had normal values for prothrombin and activated partial thromboplastin compared to non-survivors.Our findings indicate that survival after avalanche burial and on-scene CA is rarely associated with favorable neurological outcome. Among criteria associated with survival, normal blood coagulation on admission warrants further investigation.
تدمد: 0300-9572
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::c8a65effb1eba8461cba8e48731bc6c4
https://doi.org/10.1016/j.resuscitation.2014.06.015
حقوق: CLOSED
رقم الأكسشن: edsair.doi.dedup.....c8a65effb1eba8461cba8e48731bc6c4
قاعدة البيانات: OpenAIRE
الوصف
تدمد:03009572