L’arrêt cardiaque en France : pourquoi un registre national ?

Gueugniaud, Pierre‐Yves; Bertrand, C.; Savary, Dominique; Hubert, Hervé

doi:10.1016/j.lpm.2011.02.026

Cited by 15 publications

(10 citation statements)

References 7 publications

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“…Ils représentent 85% des ACR en général (20). Cependant l'épidémiologie des ACR en France reste mal évaluée ce qui a conduit à la création d'un registre national depuis 2011 (21).  la chaine de survie (Figure 1)…”

Section: Cpcunclassified

Predictors of Functional Outcome After Intraoperative Cardiac Arrest

Constant

Montlahuc

Grimaldi

et al. 2015

Survey of Anesthesiology

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Section: Cpcunclassified

Predictors of Functional Outcome After Intraoperative Cardiac Arrest

Constant

Montlahuc

Grimaldi

et al. 2015

Survey of Anesthesiology

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“…Ni le massage cardiaque, ni les radars autoroutiers n'ont eu besoin de randomisation pour montrer leur efficacité. La création d'un registre national des ACEH « registre RéAC » proposé par l'équipe des urgences de Lyon et qui va prochainement voir le jour en France est une première étape fondamentale pour ce type de recherche [9]. Le consentement du patient est un problème majeur.…”

Section: Différences éPidémiologiquesunclassified

Arrêt cardiaque en dehors de l’hôpital : quelles différences entre la France et les États-Unis ?

Adnet

2012

La Presse Médicale

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“…Cardiac arrest is a leading cause of death and neurological impairment. Survival rates are low-around 8% in Europe-and over 50,000 people die of cardiac arrest every year in France [1,2]. In addition, the risk of severe neurological impairment is a serious public health issue, although the exact cost remains unknown [3].…”

Section: Introductionmentioning

confidence: 99%

Mildly Reduced Doses of Adrenaline Do Not Affect Key Hemodynamic Parameters during Cardio-Pulmonary Resuscitation in a Pig Model of Cardiac Arrest

Jaeger

Koger

Duhem

et al. 2021

JCM

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Adrenaline is recommended for cardiac arrest resuscitation, but its effectiveness has been questioned recently. Achieving return of spontaneous circulation (ROSC) is essential and is obtained by increasing coronary perfusion pressure (CPP) after adrenaline injection. A threshold as high as 35 mmHg of CPP may be necessary to obtain ROSC, but increasing doses of adrenaline might be harmful to the brain. Our study aimed to compare the increase in CPP with reduced doses of adrenaline to the recommended 1 mg dose in a pig model of cardiac arrest. Fifteen domestic pigs were randomized into three groups according to the adrenaline doses: 1 mg, 0.5 mg, or 0.25 mg administered every 5 min. Cardiac arrest was induced by ventricular fibrillation; after 5 min of no-flow, mechanical chest compression was resumed. The Wilcoxon test and Kruskal–Wallis exact test were used for the comparison of groups. Fisher’s exact test was used to compare categorical variables. CPP, EtCO2 level, cerebral, and tissue near-infrared spectroscopy (NIRS) were measured. CPP was significantly lower in the 0.25 mg group 90 s after the first adrenaline injection: 28.9 (21.2; 35.4) vs. 53.8 (37.8; 58.2) in the 1 mg group (p = 0.008), while there was no significant difference with 0.5 mg 39.6 (32.7; 52.5) (p = 0.056). Overall, 0.25 mg did not achieve the threshold of 35 mmHg. EtCO2 levels were higher at T12 and T14 in the 0.5 mg than in the standard group: 32 (23; 35) vs. 19 (16; 26) and 26 (20; 34) vs. 19 (12; 22) (p < 0.05). Cerebral and tissue NIRS did not show a significant difference between the three groups. CPP after 0.5 mg boluses of adrenaline was not significantly different from the recommended 1 mg in our model of cardiac arrest.

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L’arrêt cardiaque en France : pourquoi un registre national ?

Cited by 15 publications

References 7 publications

Predictors of Functional Outcome After Intraoperative Cardiac Arrest

Predictors of Functional Outcome After Intraoperative Cardiac Arrest

Arrêt cardiaque en dehors de l’hôpital : quelles différences entre la France et les États-Unis ?

Mildly Reduced Doses of Adrenaline Do Not Affect Key Hemodynamic Parameters during Cardio-Pulmonary Resuscitation in a Pig Model of Cardiac Arrest

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