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C.A.U.S.E.:Cardiacarrestultrasoundexamabetterapproachtomanagingpatientsinprimarynonarrhythmogeniccardiacarrest.PubMe
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C.A.U.S.E.:Cardiacarrestultrasoundexama
betterapproachtomanagingpatientsin
primarynonarrhythmogeniccardiacarrest.
ALSconformeduseof
echocardiographyor
ultrasoundinresuscitation
management.
Reviewarticle
BreitkreutzR,etal.Resuscitation.
2008.
HernandezC,etal.Resuscitation.2008.
Showfullcitation
Abstract
Cardiacarrestisaconditionfrequentlyencounteredby
physiciansinthehospitalsettingincludingtheEmergency
Department,IntensiveCareUnitandmedical/surgical
wards.Thispaperreviewsthecurrentliteratureinvolving
theuseofultrasoundinresuscitationandproposesan
algorithmicapproachfortheuseofultrasoundduring
cardiacarrest.Atpresentthereistheneedforameansof
differentiatingbetweenvariouscausesofcardiacarrest,
whicharenotadirectresultofaprimaryventricular
arrhythmia.Identifyingthecauseofpulselesselectrical
activityorasystoleisimportantastheunderlyingcauseis
whatguidesmanagementinsuchcases.Thisapproach,
incorporatingultrasoundtomanagecardiacarrestaidsin
thediagnosisofthemostcommonandeasilyreversible
causesofcardiacarrestnotcausedbyprimaryventricular
arrhythmia,namelyseverehypovolemia,tension
pneumothorax,cardiactamponade,andmassive
pulmonaryembolus.Thesefourconditionsareaddressed
inthispaperusingfouracceptedemergencyultrasound
Lackoflungslidingon
ultrasounddoesnotalways
indicateapneumothorax.
MurphyM,etal.Resuscitation.2008.
Safetyoftransoesophageal
echocardiographyduring
cardiacarrest.
DavisGomezN,etal.Resuscitation.
2008.
Theproposalofan
integratedultrasonographic
approachintotheALS
algorithmforcardiacarrest:
thePEAprotocol.
Reviewarticle
TestaA,etal.EurRevMed
PharmacolSci.2010.
[Inandoutofhospital
cardiacarrestand
echography:areview].
Reviewarticle
QuerellouE,etal.AnnFrAnesth
Reanim.2009.
Seeall
applicationstobeperformedduringresuscitationofa
cardiacarrestpatientwiththeaimofdeterminingthe
underlyingcauseofacardiacarrest.Identifyingthe
underlyingcauseofcardiacarrestrepresentstheoneof
thegreatestchallengesofmanagingpatientswith
asystoleorPEAandaccuratedeterminationhasthe
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C.A.U.S.E.:Cardiacarrestultrasoundexamabetterapproachtomanagingpatientsinprimarynonarrhythmogeniccardiacarrest.PubMe
potentialtoimprovemanagementbyguidingtherapeutic
decisions.Weincludeseveralclinicalimages
demonstratingexamplesofcardiactamponade,massive
pulmonaryembolus,andseverehypovolemiasecondary
toabdominalaorticaneurysm.Inconclusion,thisprotocol
hasthepotentialtoreducethetimerequiredtodetermine
theetiologyofacardiacarrestandthusdecreasethetime
betweenarrestandappropriatetherapy.
PMID 17822831[PubMedindexedforMEDLINE]
Fulltext
Fulltextfromprovider(ElsevierScience)
Commentin
Resuscitation.2008May77(2):270.
Resuscitation.2008May77(2):2702authorreply2723.
Resuscitation.2008Oct79(1):175.
Resuscitation.2008Nov79(2):3412authorreply342.
Resuscitation.2008Nov79(2):3401authorreply33940.
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