Læknablaðið - 01.02.1978, Qupperneq 23

LÆKNABLAÐIÐ
7
SUMMARY
The study describes resuscitation of 170
patients that suffered cardiopulmonary arrest
at New Britain General Hospital, New Britain,
Connecticut, over a 3 year period ending
January 1974. Of those 142 ( 83,5%) had
coronary artery disease with or without proven
myocardical infarction. Resuscitation was suc-
cessful initially in 75 cases (52,8%) and those
discharged from the hospital were 32 (22,5%).
Success rate was dependent upon time of day of
arrest and location within the hospital. Those
resuscitated during the day or in intensive
care units (C.C.U., E.R.) having a better pro-
gnosis. Shock prior to arrest carried a grave
prognosis. The first aterial pH had predictive
value of the outcome. Of those with pH < 7.30,
13% were discharged but none with pH > 7.50.
The initial ECG had also predictive value. Good
results were obtain in those with ventricular
fibrillation and ventricular tachycardia but
poor in those with standstill or idioventricular
rythm.
HEIMILDIR
1. Beck, C.S., Pritchard, W.H., Feil, H.S.
Ventricular fibrillation of long duration
abolished by electric shock. J.A.M.A. 135:
985, 1947.
2. Benfield, J.R., Hickey, R.C. Cardiopul-
monary resuscitation at University of Wis-
consin Arch Surg 96:664-670, 1968.
3. Camarata, S.J., Weil, M.H., Hanashiro,
P.K., Shubin, H. Cardiac arrest in the
critically ill Cir. 44:693-695, 1971.
4. Cardiopuimonary resuscitation; Statement
by the Ad Hoc committee on Cardiopul-
monary Resuscitation of the Division of
Medical Sciences, National Research Coun-
sil. J.A.M.A. 198:374-379 1966.
5. Crampton, R.S., Aldrich, R.F., Gascho, J.A.,
Miles, J.R., Stillerman, R. Reduction of
pre-hospital and community coronary death
rates by the community-wide emergency
cardiac care system. Am J. Med. 58:151-165,
1975.
6. Dewar, H.A., Floyd M. Deaths from is-
chemic heart disease outside hospital and
experience with mobile resuscitation unit.
British Heart J 31:389 1969.
7. Driscol, T.E., Ratnoff, O.D., Nygaard, O.F.
The remarkable dr. Abildgaard and coun-
tershock. Ann Intern Med 83:878-882, 1975.
8. Eliot Corday. Interventions that might in-
fluence viability of ischemic jeopardized
myocardium. Am J. Card 37:461, 1976.
9. Gregory, J.J., Grace, W.J. Resuscitation of
the severly ill patient with acute myocar-
dial infarction. Am J Card 20:836-841 1967.
10. Hofkin, G.A. Survival after cardiopul-
monary resuscitation. J.A.M.A. 202:652-654,
1967.
11. Hollingworth, J.H. The results of cardiopul-
monary resuscitation. A 3 year university
hospital experience. Ann Intern Med 71:
459-466, 1969.
12. Jeresaty, R.M., Godar, T.D., Liss, J.P.
External cardiac resuscitation in a com-
munity hospital Arch Intern Med 124:588-
592, 1969.
13. Johnson, A.L., Tanser, P.H., Wood, T.E.
Results of cardiac resuscitation in 552
patients. Am J. Card 20:831-835, 1967.
14. Kouwenhoven, W.B., Jude, R.J., Knicker-
bocker, G.G. Closed chest cardiac massage.
J.A.MA. 173:1064-1067, 1960.
15. Lemire, J.G., Johnson A.L. Is cardiac resus-
citation worthwhile? N Engl J Med 286:
970-972, 1972.
16. Liberthson, R.R., et al. Pre-hospital ventri-
cular fibrillation: Prognosis and follow-up
course. N Engl J Med 291:317, 1974.
17. Neufeld, O. A review of one year experience
in a general hospital. J Am Geriat Soc. 15:
95-99, 1967.
18. Pantridge J.F. Pre-hospital coronary care
Br. Heart J. 36:233, 1974.
19. Roser, L.A. Cardiopulmonary resuscitation
experience in a general hospital. Review of
116 consecutive resuscitation attempts dur-
ing a 2% year period. Arch Surg 95:658-663,
1967.
20. Stemmler, E.J. Cardiac resuscitation. Ann
Intern Med 63:613-618 1965.