Prehospital anesthesia in postcardiac arrest patients: a multicenter retrospective cohort study

Gerrit Jansen,Eugen Latka,Michael Bernhard, Martin Deicke, Daniel Fischer,Annika Hoyer, Yacin Keller, André Kobiella,Bernd Strickmann, Lisa Marie Strototte,Karl-Christian Thies, Kai Johanning

European Journal of Medical Research(2024)

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摘要
Currently, the data regarding the impact of prehospital postcardiac arrest anesthesia on target hemodynamic and ventilatory parameters of early postresuscitation care and recommendations on its implementation are rare. The present study examines the incidence and impact of prehospital postcardiac arrest anesthesia on hemodynamic and ventilatory target parameters of postresuscitation care. In this multicentre observational study between 2019 and 2021 unconscious adult patients after out-of-hospital-cardiac arrest with the presence of a return-of-spontaneous circulation until hospital admission were included. Primary endpoint was the application of postarrest anesthesia. Secondary endpoints included the medication group used, predisposing factors to its implementation, and its influence on achieving target parameters of postresuscitation care (systolic blood pressure: ≥ 100 mmHg, etCO2:35–45 mmHg, SpO2: 94–98
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关键词
CPR,Emergency medicine,Resuscitation,Postarrest care,Management
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