Resuscitation最新文献

{"title":"Response to “Hemodynamic Gains or Epinephrine Echoes? Interpreting Interposed Abdominal Compression Cardiopulmonary Resuscitation in Pediatrics”","authors":"Daniel Howsmon, Daniel Stromberg","doi":"10.1016/j.resuscitation.2025.110735","DOIUrl":"https://doi.org/10.1016/j.resuscitation.2025.110735","url":null,"abstract":"","PeriodicalId":21052,"journal":{"name":"Resuscitation","volume":"15 1","pages":""},"PeriodicalIF":6.5,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144665039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Distance between OHCA and AED location within a community first responder system to achieve early AED connection","authors":"Remy Stieglis, Vera G.M. van Eeden, Marieke T. Blom, Rudolph W. Koster, Hans van Schuppen","doi":"10.1016/j.resuscitation.2025.110721","DOIUrl":"https://doi.org/10.1016/j.resuscitation.2025.110721","url":null,"abstract":"Automated external defibrillators (AEDs) from community first responder systems (CFR-system) are important to achieve early defibrillation in out-of-hospital cardiac arrest (OHCA). It is unclear how far community first responders (CFR) can travel to fetch and connect an AED to achieve this goal. This study aims to evaluate the relation of the distance between OHCA and the dispatched CFR-system AED and speed of AED-connection.","PeriodicalId":21052,"journal":{"name":"Resuscitation","volume":"52 1","pages":""},"PeriodicalIF":6.5,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144665042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is the use of ECPR for OHCA ready for broad implementation?","authors":"Justyna Swol, Marcel Fleig","doi":"10.1016/j.resuscitation.2025.110724","DOIUrl":"https://doi.org/10.1016/j.resuscitation.2025.110724","url":null,"abstract":"","PeriodicalId":21052,"journal":{"name":"Resuscitation","volume":"144 2 1","pages":""},"PeriodicalIF":6.5,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144665041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Chest Wall Injuries After Cardiopulmonary Resuscitation in Non-Traumatic and Successfully Resuscitated Cardiac Arrest: Insights from the DISCAR study","authors":"Marwa Nemlaghi-Zdiri, Thomas Lacoste-Palasset, Sirine Dahmani, Thomas Lefevre, Luc Haudebourg, Sebastian Voicu, Aymen M’rad, Adrien Pepin Lehalleur, Laetitia Sutterlin, Jean-Michel Ekherian, Isabelle Malissin, Philippe Nguyen, Bruno Megarbane, Nicolas Deye","doi":"10.1016/j.resuscitation.2025.110722","DOIUrl":"https://doi.org/10.1016/j.resuscitation.2025.110722","url":null,"abstract":"Chest wall injuries (CWI) including anterior flail segment, rib and sternal fractures are recognized complications of cardiopulmonary resuscitation (CPR) after unexpected cardiac arrest (UCA). Their impact remains poorly investigated.","PeriodicalId":21052,"journal":{"name":"Resuscitation","volume":"1 1","pages":""},"PeriodicalIF":6.5,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144665062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of manual pressure augmentation on transthoracic impedance: a real-time measurement during ventricular fibrillation in pigs and in healthy human volunteers","authors":"Aurora Magliocca, Giulia Merigo, Davide Zani, Francesca Fumagalli, Giuseppe Ristagno, UniMI-IRFMN Study Group, Daria De Giorgio, Chiara Crivellari, Cristina Dulama, Alessandra Rosati, Antonio Boccardo, Donatella De Zani, Davide Pravettoni","doi":"10.1016/j.resuscitation.2025.110730","DOIUrl":"https://doi.org/10.1016/j.resuscitation.2025.110730","url":null,"abstract":"Manual pressure augmentation (MPA) during cardiopulmonary resuscitation involves applying downward force on defibrillatory pads during shock delivery to reduce transthoracic impedance (TTI) and enhance defibrillation success. This translational study is the first to directly and continuously measure the effect of MPA on TTI in a porcine ventricular fibrillation model and in healthy human volunteers. MPA significantly reduced TTI when pads were applied in the anterior-lateral position, with values remaining lower even after MPA release. These findings support the physiological rationale for MPA as a potential strategy to improve defibrillation efficacy, warranting further investigation into its clinical safety.","PeriodicalId":21052,"journal":{"name":"Resuscitation","volume":"135 1","pages":""},"PeriodicalIF":6.5,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144665040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hemodynamic Gains or Epinephrine Echoes? Interpreting Interposed Abdominal Compression Cardiopulmonary Resuscitation in Pediatrics.","authors":"Lukasz Szarpak, Andrzej Krupa, Karol Momot, Michal Pruc, Michal Zembala","doi":"10.1016/j.resuscitation.2025.110725","DOIUrl":"https://doi.org/10.1016/j.resuscitation.2025.110725","url":null,"abstract":"","PeriodicalId":21052,"journal":{"name":"Resuscitation","volume":" ","pages":"110725"},"PeriodicalIF":6.5,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144668191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reply to: Pain as a trigger of sudden cardiac and non-cardiac death.","authors":"Jingwen Zhang, Danmi Mao, Erwen Huang, Qing K Wang","doi":"10.1016/j.resuscitation.2025.110729","DOIUrl":"https://doi.org/10.1016/j.resuscitation.2025.110729","url":null,"abstract":"","PeriodicalId":21052,"journal":{"name":"Resuscitation","volume":" ","pages":"110729"},"PeriodicalIF":6.5,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144668192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Survival following cardiac arrest is associated with lower spontaneous echo contrast of cardiac chamber blood. A retrospective analysis of echocardiograms from a large cardiac arrest study","authors":"Romolo Gaspari, Robert Lindsay, Stephen Allegra, Elliott Fox, Alaa Ousta, Brian McQuaide, Timothy Gleeson","doi":"10.1016/j.resuscitation.2025.110720","DOIUrl":"https://doi.org/10.1016/j.resuscitation.2025.110720","url":null,"abstract":"Study Objectives - Spontaneous echo contrast (SEC) is visible as smoke-like wisps during echocardiography and represents a pre-clotting state. Digital greyscale measurements provide an objective measure of the degree of SEC in cardiac chamber blood. We speculate that the digital greyscale prognosticates survival following out of hospital cardiac arrest.","PeriodicalId":21052,"journal":{"name":"Resuscitation","volume":"31 1","pages":"110720"},"PeriodicalIF":6.5,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144665043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Smartwatch trials need smart design: evaluating technologies for out-of-hospital cardiac arrest detection","authors":"Tommaso Scquizzato, Elizabeth Paratz, Giovanni Landoni","doi":"10.1016/j.resuscitation.2025.110719","DOIUrl":"https://doi.org/10.1016/j.resuscitation.2025.110719","url":null,"abstract":"","PeriodicalId":21052,"journal":{"name":"Resuscitation","volume":"680 1","pages":"110719"},"PeriodicalIF":6.5,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144665044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Coronary angiography findings in patients with refractory out-of-hospital cardiac arrest treated with extracorporeal cardiopulmonary resuscitation: prediction of lesion culprit of acute myocardial infarction.","authors":"Stefano Righetti, Matteo Pozzi, Filippo Leidi, Marco Giani, Diana Aliverti Piuri, Elena Maggioni, Ivan Calchera, Simone Tresoldi, Matteo Ballabio, Elena Tassistro, Stefania Galimberti, Maddalena Lettino, Pietro Vandoni, Giuseppe Foti","doi":"10.1016/j.resuscitation.2025.110717","DOIUrl":"https://doi.org/10.1016/j.resuscitation.2025.110717","url":null,"abstract":"<p><strong>Background: </strong>In patients with refractory Out-of-hospital Cardiac Arrest (r-OHCA) treated with Extracorporeal Cardiopulmonary Resuscitation (ECPR), the optimal timing and indications for Coronary Angiography remain uncertain. This study aimed to identify clinical variables at admission that are associated with the presence of an acute myocardial infarction as cause of refractory cardiac arrest.</p><p><strong>Methods: </strong>In this retrospective study we analyzed the association between characteristics at hospital admission and the presence of a culprit lesion of acute myocardial infarction in a population of r-OHCA patients treated with ECPR.</p><p><strong>Results: </strong>A total of 129 patients were included. At a multivariable logistic regression analysis male sex (OR = 4.02, 95%CI 1.14 - 15.08), age (OR = 1.08, 95%CI = 1.03 - 1.13) and chest pain before cardiac arrest (OR = 5.58, 95%CI = 1.95 - 15.93) were independent predictor of the presence of a culprit lesion, while a history of heart failure (OR = 0.02, 95%CI = 0.00 - 0.16) and obesity (OR = 0.32, 95%CI 0.10 - 1.01) were associated with a lower likelihood. The model achieved an area under the curve (AUC) of 0.87, indicating strong discriminative power.</p><p><strong>Conclusion: </strong>These findings suggest that clinical characteristics available at admission can help predict the presence of an infarct-related culprit lesion in patients with r-OHCA, thereby refining the decision-making process for emergent CAG. Incorporating these predictors into clinical practice may reduce unnecessary procedures and guide alternative diagnostic approaches. The Institutional Ethics Committee (Local Ethical Committee \"Lombardia 3\") approved the study (ID: 5721_12.03.2025).</p>","PeriodicalId":21052,"journal":{"name":"Resuscitation","volume":" ","pages":"110717"},"PeriodicalIF":6.5,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144650261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}