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Lung parenchymal and pleural findings on computed tomography after out-of-hospital cardiac arrest.
Resuscitation
December 2024
Department of Emergency Medicine, Harborview Medical Center, University of Washington, Seattle, WA, United States; Division of Pulmonary, Critical Care, and Sleep Medicine, Harborview Medical Center, University of Washington, Seattle, WA, United States. Electronic address:
Introduction: Lung injury and the acute respiratory distress syndrome (ARDS) are common after out-of-hospital cardiac arrest (OHCA), but the imaging characteristics of lung parenchymal and pleural abnormalities in these patients have not been well-characterized. We aimed to describe the incidence of lung parenchymal and pleural findings among patients who had return of spontaneous circulation (ROSC) and who underwent computed tomography (CT) of the chest after OHCA.
Methods: This was a retrospective cohort study conducted at two academic hospitals from 2014 to 2019.
Impact of Preprocurement Cardiac Arrest in Brain-Dead Donors on the Outcome of Pancreas Transplantation.
Transplant Proc
December 2024
Department of Urological Surgery, Weifang People's Hospital, Shandong, China. Electronic address:
Background: This study aimed to determine the risk factors and whether cardiac arrest (CA) in brain-death donors (DBD) could affect pancreas transplantation outcomes.
Methods: We analyzed data from the Scientific Registry of Transplant Recipients (2000-2020). The study included 21,499 pancreas transplantations, divided into CA-DBD and noCA-DBD groups based on whether the DBD had a history of CA.
Exposure to Pyriproxyfen Impacts Heart Development Causing Tissue and Cellular Impairments, Heart Arrhythmia and Reduced Embryonic Growth.
Cardiovasc Toxicol
November 2024
Departamento de Biologia Celular, Embriologia e Genética, Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina, Brazil.
In recent years, concerns have been raised regarding the safety of exposure to pyriproxyfen (PPF), a larvicide commonly used in drinking water reservoirs to control populations of disease-vector mosquitoes for human safety. These concerns are focused mainly on exposure by pregnant women, since studies have shown deleterious effects of PPF on embryonic development, mainly addressing the central nervous system. However, since previous studies showed reduced growth in embryos exposed to PPF, we hypothesize that PPF exposure impairs the cardiovascular system, responsible for ensuring appropriate blood supply, which leads to stunted growth.
View Article and Find Full Text PDFCompact Arterial Monitoring Device Use in Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA): A Simple Validation Study in Swine.
Cureus
October 2024
Department of Anesthesiology, Uniformed Services University of the Health Sciences, Bethesda, USA.
Article Synopsis
- - Hemorrhage is the main cause of preventable death in trauma situations, leading to military and civilian advancements in medical practices, particularly through the use of tourniquets to manage extremity bleeding and save lives.
- - While tourniquets have significantly decreased deaths from bleeding in military settings, noncompressible hemorrhage still poses a major risk, especially before patients receive definitive medical care.
- - The study explores using a small, disposable pressure monitor during resuscitative endovascular balloon occlusion of the aorta (REBOA) to enhance blood pressure monitoring, facilitate better resuscitation practices, and reduce the need for blood products in extreme environments.
Comparison of end tidal CO levels between automated head up and conventional cardiopulmonary resuscitation: A pre-post intervention trial.
Resuscitation
November 2024
Univ. Grenoble Alpes, CNRS, UMR 5525, VetAgro Sup, Grenoble INP, TIMC, 38000, Grenoble, France; Clinical Epidemiology Unit, University Hospital of Grenoble Alpes, Grenoble, France.
Article Synopsis
- The study investigated the effects of a new CPR technique called AHUP-CPR, which combines head/thorax elevation, active compression-decompression, and an impedance threshold device, compared to traditional CPR in out-of-hospital cardiac arrest patients.
- It was conducted in France from October 2019 to October 2022, involving 122 patients, and aimed to measure the peak end tidal carbon dioxide (ETCO) values as a marker for cardiac output and organ perfusion during CPR.
- Results showed that AHUP-CPR significantly increased the mean peak ETCO values (from 30.3 mmHg to 40.7 mmHg), indicating better circulation, but there was no significant difference in the rates of
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