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Author Asim, Kalkan ♦ Gokhan, Ersunan ♦ Ozlem, Bilir ♦ Ozcan, Yavasi ♦ Deniz, Ozel ♦ Kamil, Kayayurt ♦ Murat, Ziyan ♦ Aydin, Coskun ♦ Selman, Yeniocak
Source World Health Organization (WHO)-Global Index Medicus
Content type Text
Publisher Elsevier
File Format HTM / HTML
Language English
Difficulty Level Medium
Subject Domain (in DDC) Natural sciences & mathematics ♦ Life sciences; biology ♦ Physiology & related subjects ♦ Biochemistry ♦ Natural history of organisms ♦ Technology ♦ Medicine & health ♦ Human physiology ♦ Pharmacology and therapeutics ♦ Diseases ♦ Manufacture for specific uses ♦ Precision instruments & other devices
Subject Domain (in MeSH) Eukaryota ♦ Organisms ♦ Cardiovascular Diseases ♦ Diseases ♦ Diagnosis ♦ Therapeutics ♦ Analytical, Diagnostic and Therapeutic Techniques and Equipment ♦ Chemical Phenomena ♦ Biological Sciences ♦ Persons ♦ Persons
Subject Keyword Discipline Emergency ♦ Discipline Medicine ♦ Out-of-hospital Cardiac Arrest ♦ Diagnosis ♦ Spectroscopy, Near-infrared ♦ Brain Chemistry ♦ Cardiopulmonary Resuscitation ♦ Female ♦ Humans ♦ Male ♦ Middle Aged ♦ Mortality ♦ Oximetry ♦ Methods ♦ Treatment Outcome ♦ Journal Article
Abstract AIM: We assessed out-of-hospital cardiac arrest patients' cerebral oxygenation during cardiopulmonary resuscitation (CPR) using near infrared spectrophotometry (NIRS). We evaluated the relation between a rise in patients' cerebral saturation values between the start and end of CPR and return of spontaneous circulation. MATERIALS AND METHODS: Twenty-three patients with unwitnessed out-of-hospital cardiac arrest and brought to our emergency department by emergency ambulance were evaluated. Cerebral saturations from time of start of CPR were measured using NIRS. CPR was performed for a maximum of 30 min. The relation between cerebral saturations in patients with or without return of spontaneous circulation was then evaluated. RESULTS: Twenty-three patients, 12 (52.2%) female and 11 (47.8%) male, with a mean age of 64.09 ± 13.66 were included. A correlation was determined between a rise in cerebral saturation measured throughout CPR and the return of spontaneous circulation (P < .001). CONCLUSION: Patients whose cerebral saturation values measured with NIRS rise during CPR have a higher post-resuscitation survival rate. Monitoring of patients during CPR with this non-invasive technique may be a good method for predicting return of spontaneous circulation.
Description Author Affiliation: Asim K ( Recep Tayyip Erdogan University Faculty of Medicine, Department of Emergency Medicine, Rize, Turkey. Electronic address: drasimkalkan@hotmail.com.); Gokhan E ( Recep Tayyip Erdogan University Faculty of Medicine, Department of Emergency Medicine, Rize, Turkey.); Ozlem B ( Recep Tayyip Erdogan University Faculty of Medicine, Department of Emergency Medicine, Rize, Turkey.); Ozcan Y ( Recep Tayyip Erdogan University Faculty of Medicine, Department of Emergency Medicine, Rize, Turkey.); Deniz O ( Akdeniz Faculty of Medicine Department of Biostatistics, Antalya, Turkey.); Kamil K ( Recep Tayyip Erdogan University Faculty of Medicine, Department of Emergency Medicine, Rize, Turkey.); Murat Z ( Recep Tayyip Erdogan University Faculty of Medicine, Department of Emergency Medicine, Rize, Turkey.); Aydin C ( Recep Tayyip Erdogan University Faculty of Medicine, Department of Emergency Medicine, Rize, Turkey.); Selman Y ( Haseki Education And Research Hospital, Department of Emergency Medicine, Istanbul, Turkey.)
ISSN 07356757
Educational Role Student ♦ Teacher
Age Range above 22 year
Educational Use Reading ♦ Research ♦ Self Learning
Interactivity Type Expositive
Education Level UG and PG
Learning Resource Type Article
Publisher Date 2014-01-01
Publisher Place United States
e-ISSN 15328171
Journal The American Journal of Emergency Medicine
Volume Number 32
Issue Number 1


Source: WHO-Global Index Medicus