Publications by authors named "Anna Witt-Majchrzak"
Hypothermic cardiac arrest: prognostic factors for successful resuscitation before rewarming.
Scand J Trauma Resusc Emerg Med
November 2024
Objective: To indicate factors predicting return of spontaneous circulation in patients with hypothermic cardiac arrest in the pre-rewarming period.
Methods: A multicenter retrospective study was conducted. We included patients who had suffered cardiac arrest caused by severe accidental hypothermia with a core body temperature of ≤ 28 °C.
Aim Of The Study: Predictive factors for poor outcomes in hypothermic cardiac arrest (HCA) differ from those in normothermic out-of-hospital cardiac arrest (OHCA). This study aimed to evaluate the outcomes of extracorporeal life support (ECLS) in HCA patients who may not be considered eligible based on the guidelines set by the Extracorporeal Life Support Organization (ELSO).
Methods: A retrospective multicentre study included 127 HCA patients, divided into two groups: those meeting the ELSO eligibility criteria for ECLS, and those with at least one of the following ELSO exclusion criteria: age over 70 years, unwitnessed cardiac arrest, or asystole.
Study Objective: To indicate predictors of witnessed hypothermic cardiac arrest.
Methods: We conducted a retrospective analysis of 182 patients with severe accidental hypothermia (i.e.
Article Synopsis
- Treatment options for rewarming severely hypothermic patients with good circulation are not strongly supported by clinical trials, prompting a study comparing extracorporeal and less-invasive rewarming methods.
- A multicenter retrospective study used data from various hypothermia registries to analyze outcomes in patients with core temperatures below 28°C.
- Results showed that extracorporeal rewarming led to a higher survival rate compared to less-invasive methods, with key factors influencing survival including age, cooling circumstances, and absence of comorbidities.
Article Synopsis
- The study aims to evaluate how cardiac arrest during initial treatment affects the survival outcomes of severely hypothermic patients undergoing rewarming with Extracorporeal Life Support (ECLS).
- Researchers analyzed data from 124 severe hypothermia patients, dividing them into two groups: those who experienced a cardiac arrest (RC group) and those who maintained spontaneous circulation (HT3 group), finding a significant difference in mortality rates (24% in HT3 vs. 49% in RC).
- The results indicate that cardiac arrest doubles the risk of death, emphasizing the need for careful management of procedures that might trigger such events, especially in patients who are conscious.
Objective: Extracorporeal rewarming is the treatment of choice for patients who had hypothermic cardiac arrest, allowing for best neurologic outcome. The authors' goal was to identify factors associated with survival in nonasphyxia-related hypothermic cardiac arrest patients undergoing extracorporeal rewarming.
Design: All 38 cardiac surgery departments in Poland were encouraged to report consecutive hypothermic cardiac arrest patients treated with extracorporeal life support.
Unlabelled: Hospital infections, and in particular infections of the surgical site are a common problem of the procedural departments. Due to continuous progress of surgical techniques and patient population getting older with multiple co-morbidities, multidirectional actions need to be taken to avoid these infections or, if they do occur, achieve optimal treatment outcomes. Vacuum wound therapy is one of the directions that has been developed over the recent years.
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