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Updated: Aug 8, 2026
06:04
Ultrasonographic Assessment During Cardiopulmonary Resuscitation
Published on: October 24, 2020
Cardiopulmonary resuscitation: a retrospective review
1Department of Intensive Care, Salford Royal Hospitals NHS Trust, Hope Hospital, UK.
Anaesthesia
|April 1, 1997
Summary
Outcomes for cardiac arrest patients in intensive care were analyzed. Neurological function, assessed by factors like Glasgow Coma Score, significantly impacts survival, suggesting advanced neurophysiological testing could improve prognosis.
Area of Science:
- Critical Care Medicine
- Neurology
- Cardiology
Background:
- Cardiac arrest survivors admitted to intensive care face uncertain prognoses.
- Identifying factors influencing long-term outcomes is crucial for patient management.
Purpose of the Study:
- To determine the outcome of intensive care patients following cardiac arrest.
- To identify factors differentiating survivors from non-survivors.
- To evaluate the predictive value of variables for patient outcomes.
Main Methods:
- Retrospective review of intensive care unit records from four hospitals (1993-1994).
- Analysis of 112 cardiac arrest patients, tracing long-term survival.
- Statistical comparison of variables between survivors and non-survivors.
Main Results:
- Seven factors significantly differed between survivors and non-survivors.
- Key predictors included direct current shocks, adrenaline doses, reactive pupils, Glasgow Coma Score, APACHE II score, arterial bicarbonate, and inotrope use.
- Individual variables at admission were insufficient for outcome prediction.
Conclusions:
- Neurological function is a critical determinant of survival post-cardiac arrest.
- Enhanced neurophysiological testing may serve as a valuable prognostic tool for these patients.
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