{"id":19270,"date":"2015-07-03T20:32:19","date_gmt":"2015-07-03T15:02:19","guid":{"rendered":"https:\/\/cardiophile.org\/?p=19270"},"modified":"2022-12-26T04:03:48","modified_gmt":"2022-12-25T22:33:48","slug":"features-indicating-unfavourable-outcome-after-cardiopulmonary-resuscitation-cpr","status":"publish","type":"post","link":"https:\/\/johnsonfrancis.org\/professional\/features-indicating-unfavourable-outcome-after-cardiopulmonary-resuscitation-cpr\/","title":{"rendered":"Features indicating unfavourable outcome after cardiopulmonary resuscitation (CPR)"},"content":{"rendered":"<p><iframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https:\/\/www.youtube.com\/embed\/vAMzQHMd4Tc\" title=\"YouTube video player\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen=\"\"><\/iframe><\/p>\n<h2><span style=\"color: #008000;\"><strong>Features indicating unfavourable outcome after cardiopulmonary resuscitation (CPR) in out of hospital cardiac arrest<\/strong><\/span><\/h2>\n<p><span style=\"color: #0000ff;\"><strong>Features indicating unfavourable outcome after cardiopulmonary resuscitation in out of hospital cardiac arrest:<\/strong><\/span><\/p>\n<ol>\n<li>Unwitnessed cardiac arrest &#8211; delay in initiation of cardiopulmonary resuscitation likely to be high.<\/li>\n<li>Initial cardiac rhythm other than ventricular fibrillation &#8211; meaning that it is a non shockable rhythm. May also indicate that there has been a delay after the onset of cardiac arrest and monitoring so that an initial shockable rhythm has deteriorated into a non shockable rhythm.<\/li>\n<li>No bystander CPR has been received &#8211; indicates likelihood of more cerebral anoxia and poor outcome after resuscitation even if return of spontaneous circulation (ROSC) is achieved.<\/li>\n<li>Ongoing CPR &#8211; no return of spontaneous circulation yet<\/li>\n<li>Took more than 30 minutes of resuscitation for return of spontaneous circulation<\/li>\n<li>Severe acidosis with pH less than 7.2<\/li>\n<li>Lactate levels above 7 millimoles per liter<\/li>\n<li>Age above 85 years<\/li>\n<li>End stage renal disease<\/li>\n<li>Non cardiac causes like trauma causing cardiac arrest<\/li>\n<\/ol>\n<p><strong><span style=\"color: #0000ff;\">Reference<\/span><\/strong><\/p>\n<ol>\n<li>Rab T, Kern KB, Tamis-Holland JE, Henry TD, McDaniel M, Dickert NW, Cigarroa JE, Keadey M, Ramee S; Interventional Council, American College of Cardiology.<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/26139060\"> Cardiac Arrest: A Treatment Algorithm for Emergent Invasive Cardiac Procedures in the Resuscitated Comatose Patient<\/a>. J Am Coll Cardiol. 2015;66(1):62-73.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>If multiple unfavourable features are present, the outcome of resuscitation is likely to be poor.<\/p>\n","protected":false},"author":1,"featured_media":57706,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","footnotes":""},"categories":[9],"tags":[],"class_list":["post-19270","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-general"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Unfavourable outcome after cardiopulmonary resuscitation<\/title>\n<meta name=\"description\" content=\"Features indicating unfavourable outcome after cardiopulmonary resuscitation: Unwitnessed arrest, initial cardiac rhythm other than VF\" \/>\n<meta name=\"robots\" content=\"index, follow, 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