Current concepts in cardiopulmonary resuscitation in adults.

Simple item page
dc.contributor.authorDatta, Sen_US
dc.contributor.authorNasr, N Fen_US
dc.contributor.authorKhorasani, Aen_US
dc.contributor.authorDatta, Ren_US
dc.date.accessioned1999-07-22en_US
dc.date.accessioned2009-05-31T18:05:18Z
dc.date.available1999-07-22en_US
dc.date.available2009-05-31T18:05:18Z
dc.date.issued1999-07-22en_US
dc.description17 references.en_US
dc.description.abstractCardiopulmonary resuscitation (CPR) provides artificial circulation and ventilation during cardiopulmonary arrest. CPR is further categorised as basic life support (BLS), advanced cardiac life support (ACLS) and postresuscitation support. BLS consists of provision of a patent upper airway, ventilation and circulation of blood by closed chest cardiac compressions. ACLS includes use of specialised equipment to maintain the airway, early defibrillation and pharmacologic therapy. Successful outcome from an arrest depends on the total duration of an arrest and early defibrillation, as ventricular fibrillation is the most common cardiac rhythm found in adult cardiac arrest. Initial drug therapy during CPR aims at correction of arterial hypoxaemia and restoring coronary and cerebral perfusion. Oxygen and epinephrine constitute the mainstay of drug therapy during CPR. In patients with ventricular tachycardia, lidocaine is the drug of choice, followed by bretylium. Magnesium has proved to be useful in both refractory pulseless ventricular tachycardia and fibrillation. Atropine has not been demonstrated to improve outcome from arrest but can be administered in bradyasystolic cardiac arrest. The routine administration of bicarbonate and calcium is no longer recommended but situations exist where they can be used appropriately. Administration of drugs during CPR should preferably be via a central route, but epinephrine, lidocaine and atropine can be administered via the endotracheal tube if intravenous access has not been established. Postresuscitation care includes mechanical ventilation if necessary to optimise oxygenation and ventilation and steps to maintain vital organ and optimal brain protection, which includes avoidance of hypertension, hypotension and hyperglycaemia.en_US
dc.description.affiliationDepartment of Anaesthesiology and Pain Management, Cook County Hospital, Chicago, USA.en_US
dc.identifier.citationDatta S, Nasr NF, Khorasani A, Datta R. Current concepts in cardiopulmonary resuscitation in adults. Journal of the Indian Medical Association. 1999 Jul; 97(7): 259-64, 270en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/105617
dc.language.isoengen_US
dc.source.urihttps://www.jimaonline.org.in/en_US
dc.subject.meshAdulten_US
dc.subject.meshCardiopulmonary Resuscitation --methodsen_US
dc.subject.meshFemaleen_US
dc.subject.meshHeart Arrest --therapyen_US
dc.subject.meshHumansen_US
dc.subject.meshIntensive Care --methodsen_US
dc.subject.meshPregnancyen_US
dc.subject.meshPregnancy Complications, Cardiovascular --therapyen_US
dc.titleCurrent concepts in cardiopulmonary resuscitation in adults.en_US
dc.typeJournal Articleen_US
dc.typeReviewen_US
Files
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.79 KB
Format:
Plain Text
Description:
Download
Collections
Journal of the Indian Medical Association