Complications of cardiopulmonary resuscitation in non-traumatic cases and factors affecting complications

Kaldirim, Umit; Toygar, Mehmet; Karbeyaz, Kenan; Arziman, Ibrahim; Tuncer, Salim Kemal; Eyi, Yusuf Emrah; Eroğlu, Murat

doi:10.1016/j.ejfs.2015.07.005

Cited by 22 publications

(12 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Of these, most had thoracic injuries and only two patients had intra-abdominal injuries. 12 Myocardial infarction and lung cancer were reported as the causes of death in these two patients with intraabdominal injury. On the autopsy, the first case had a right hepatic lobe laceration (3 x 3 cm) with 600 mL of blood in the peritoneum.…”

Section: Discussionmentioning

confidence: 91%

<p>Hemoperitoneum After Cardiopulmonary Resuscitation in Peritoneal Dialysis Patients: A Tale of Two Cases</p>

Goel

Haddad

Jain

2020

IJNRD

View full text Add to dashboard Cite

End-stage renal disease (ESRD) patients are at much higher risk of cardiac arrest as compared to the general population. In the event of a cardiac arrest, cardiopulmonary resuscitation (CPR) is a lifesaving procedure. In fact, the need for CPR among hospitalized ESRD patients is almost 20 times higher than the general population. Complications of CPR include thoracic injuries such as flail chest, rib fractures, pneumothorax, and rarely intra-abdominal complications. Hemoperitoneum is a well-recognized complication among peritoneal dialysis patients but as a complication of CPR is rarely described. Inappropriate CPR technique, hepatic ischemia and venous congestion, platelet dysfunction, and the use of anti-platelet agents can increase the risk of such injury and bleeding. Hemoperitoneum in this setting can be serious with significant complications and may require transition from peritoneal dialysis (PD) to hemodialysis. We report two such PD patients who developed hemoperitoneum as a complication after CPR and their course.

show abstract

Section: Discussionmentioning

confidence: 91%

<p>Hemoperitoneum After Cardiopulmonary Resuscitation in Peritoneal Dialysis Patients: A Tale of Two Cases</p>

Goel

Haddad

Jain

2020

IJNRD

View full text Add to dashboard Cite

show abstract

“…In addition, CPR is an invasive procedure necessitating transfer to the hospital and the use of mechanical ventilation and intubation. CPR is also associated with potential risks and complications, including neurological impairment (Girotra et al., 2016) and traumatic injuries from chest compression (Kaldirim, et al, 2016; Kralj, Podbregar, Kejžar, & Balažic, 2015).…”

Section: Introductionmentioning

confidence: 99%

Nursing facility residents’ cardiopulmonary resuscitation decisions

Matthias

2020

Int J Older People Nursing

View full text Add to dashboard Cite

Context: As many as one-quarter of all residents in nursing facilities have cardiopulmonary resuscitation (CPR) as a documented choice in the medical record, despite the likelihood of limited medical benefit in this setting. Objectives: The aim of this study was to understand the perspectives of healthcare providers and nursing facility residents regarding CPR decisions. Methods: We used qualitative interviews to examine the perspectives of residents with a documented decision for CPR in the medical record. We then compared residents' views with those of healthcare providers who routinely conduct advance care planning (ACP) conversations in the nursing facility setting. Results: Five themes emerged from the interviews: (a) Resident versus Provider Concerns, (b) Offering Information versus Avoidance, (c) Lack of Understanding of CPR, (d) Lack of Awareness, and (e) 'Don't Keep Me on Machines'. Residents held misconceptions about CPR and/or exhibited an overall poor understanding of the relationship between their own health status and the likelihood of a successful CPR attempt. Although healthcare providers offer information and health education in an attempt to address knowledge gaps, these efforts are not always successful or even accepted by residents. Resident viewpoints and priorities differed from healthcare providers in ways that affected communication about CPR. Conclusions: Unrecognised differences in perceptions between providers and residents affect key aspects of ACP communication that can impact CPR decision-making. The concerns and priorities of institutionalized older adults may differ from those of healthcare providers, creating challenges for engaging some residents in ACP. Implications for Practice: ACP communication models and training should be designed not only to explore nursing facility residents' goals, values, and preferences, but also to elicit any underlying differences in perceptions that may affect communication. Healthcare providers can identifying the primary concerns of residents and assist them with integrating or reframing these issues as a part of ACP discussions.

show abstract

“…The CPR machine delivers repetitively short and strong pressing action to the patient’s chest via an actuator. However, when the power is too high, various injuries can occur such as ecchymosis in the tissues and organs, myocardial rupture, and laceration [ 4 , 5 ]. In addition, when the CPR position is changed during the process due to the wobble or vibration of the ambulance while transporting, the efficacy of the CPR process deteriorates and additional harm to the patient can occur [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Estimation of the variations in mechanical impedance between the actuator and the chest, and the power delivered to the chest during cardiopulmonary resuscitation using machine-embedded sensors

2018

View full text Add to dashboard Cite

BackgroundTo reduce the risk of patient damage and complications during the cardiopulmonary resuscitation (CPR) process in emergency situations, it is necessary to monitor the status of the patient and the quality of CPR while CPR processing without additional bio-signal measurement devices. In this study, an algorithm is proposed to estimate the mechanical impedance (MI) between an actuator of the CPR machine and the chest of the patient, and to estimate the power delivered to the chest of the patient during the CPR process.MethodsTwo sensors for force and depth measurement were embedded into a custom-made CPR machine and the algorithm for MI and power estimation was implemented. The performance of the algorithm was evaluated by comparing the results from the kinetic model, the conventional discrete Fourier transform (DFT), and the proposed method.ResultsThe estimations of the proposed method showed similar increasing/decreasing trends with the calculations from the kinetic model. In addition, the proposed method showed statistically equivalent performance in the MI estimation, and at the same time, showed statistically superior performance in the power estimation compared with the calculations from the conventional DFT. Furthermore, the MI and power estimation could be performed almost in real-time during the CPR process without excessive hands-off periods, and the intensity of random noise contained in the input signals did not seriously affect the MI and power estimations of the proposed method.ConclusionWe expect that the proposed algorithm can reduce various CPR-related complications and improve patient safety.

show abstract

Complications of cardiopulmonary resuscitation in non-traumatic cases and factors affecting complications

Cited by 22 publications

References 11 publications

<p>Hemoperitoneum After Cardiopulmonary Resuscitation in Peritoneal Dialysis Patients: A Tale of Two Cases</p>

<p>Hemoperitoneum After Cardiopulmonary Resuscitation in Peritoneal Dialysis Patients: A Tale of Two Cases</p>

Nursing facility residents’ cardiopulmonary resuscitation decisions

Estimation of the variations in mechanical impedance between the actuator and the chest, and the power delivered to the chest during cardiopulmonary resuscitation using machine-embedded sensors

Contact Info

Product

Resources

About