Noninvasive transcutaneous cardiac pacing in prehospital cardiac arrest

作者: David R Eitel , Lawrence J Guzzardi , Scott E Stein , Rodney E Drawbaugh , Dean R Hess

DOI: 10.1016/S0196-0644(87)80678-9

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摘要: This study evaluated the efficacy of prehospital external cardiac pacing in arrest patients. From October 1984 to June 1985, 91 patients were paced. Mean time from advanced life support (ALS) intervention this metropolitan-rural ALS system was 14.5 minutes. Electrical capture occurred 85 (93%), mechanical (pulses) ten (11%), and a measurable blood pressure three (3%) Despite high rate electrical capture, palpable pulses produced only 11%, no survived be discharged hospital. There difference frequency pulses, or outcome for receiving pharmacologic before after pacing. Likewise there therapy within minutes their arrest. Although we found that easily used setting, did not result any increase survival

参考文章(20)
JAMES T. NIEMANN, GERALD E. ADOMIAN, DANIEL GARNER, JOHN P. ROSBOROUGH, Endocardial and transcutaneous cardiac pacing, calcium chloride, and epinephrine in postcountershock asystole and bradycardias. Critical Care Medicine. ,vol. 13, pp. 699- 704 ,(1985) , 10.1097/00003246-198509000-00001
Robert J. Myerburg, Survivors of Prehospital Cardiac Arrest JAMA: The Journal of the American Medical Association. ,vol. 247, pp. 1485- 1490 ,(1982) , 10.1001/JAMA.1982.03320350081041
N.S.V. Jaggarao, R. Grainger, Mary Heber, R. Vincent, D.A. Chamberlain, A.L. Aronson, USE OF AN AUTOMATED EXTERNAL DEFIBRILLATOR-PACEMAKER BY AMBULANCE STAFF The Lancet. ,vol. 320, pp. 73- 75 ,(1982) , 10.1016/S0140-6736(82)91692-0
LLOYD T. ISERI, Prehospital Brady-Asystolic Cardiac Arrest Annals of Internal Medicine. ,vol. 88, pp. 741- 745 ,(1978) , 10.7326/0003-4819-88-6-741
RODNEY H. FALK, LENWORTH JACOBS, ANNA SINCLAIR, CLAIRE MADIGAN-McNEIL, External noninvasive cardiac pacing in out-of-hospital cardiac arrest. Critical Care Medicine. ,vol. 11, pp. 779- 782 ,(1983) , 10.1097/00003246-198310000-00004
David Berliner, Transcutaneous Temporary Pacing in the Operating Room JAMA: The Journal of the American Medical Association. ,vol. 254, pp. 84- 86 ,(1985) , 10.1001/JAMA.1985.03360010090033
Jerris R Hedges, Scott A Syverud, William C Dalsey, Developments in transcutaneous and transthoracic pacing during bradyasystolic arrest Annals of Emergency Medicine. ,vol. 13, pp. 822- 827 ,(1984) , 10.1016/S0196-0644(84)80450-3
Joseph E. Clinton, Paul M. Zoll, Ross Zoll, Ernest Ruiz, Emergency noninvasive external cardiac pacing The Journal of Emergency Medicine. ,vol. 2, pp. 155- 162 ,(1985) , 10.1016/0736-4679(85)90390-7
James R Roberts, Michael I Greenberg, John W Crisanti, Sigsby W Gayle, Successful use of emergency transthoracic pacing in bradyasystolic cardiac arrest Annals of Emergency Medicine. ,vol. 13, pp. 277- 283 ,(1984) , 10.1016/S0196-0644(84)80477-1
Scott A Syverud, William C Dalsey, Jerris R Hedges, Transcutaneous and transvenous cardiac pacing for early bradyasystolic cardiac arrest Annals of Emergency Medicine. ,vol. 15, pp. 121- 124 ,(1985) , 10.1016/S0196-0644(86)80004-X