Autoresuscitation (Lazarus phenomenon) after termination of cardiopulmonary resuscitation - a scoping review.

Détails

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Etat: Public
Version: Final published version
Licence: CC BY 4.0
ID Serval
serval:BIB_2E8361668C89
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
Autoresuscitation (Lazarus phenomenon) after termination of cardiopulmonary resuscitation - a scoping review.
Périodique
Scandinavian journal of trauma, resuscitation and emergency medicine
Auteur(s)
Gordon L., Pasquier M., Brugger H., Paal P.
ISSN
1757-7241 (Electronic)
ISSN-L
1757-7241
Statut éditorial
Publié
Date de publication
26/02/2020
Peer-reviewed
Oui
Volume
28
Numéro
1
Pages
14
Langue
anglais
Notes
Publication types: Journal Article ; Review
Publication Status: epublish
Résumé
Autoresuscitation describes the return of spontaneous circulation after termination of resuscitation (TOR) following cardiac arrest (CA). We aimed to identify phenomena that may lead to autoresuscitation and to provide guidance to reduce the likelihood of it occurring.
We conducted a literature search (Google Scholar, MEDLINE, PubMed) and a scoping review according to PRISMA-ScR guidelines of autoresuscitation cases where patients undergoing CPR recovered circulation spontaneously after TOR with the following criteria: 1) CA from any cause; 2) CPR for any length of time; 3) A point was reached when it was felt that the patient had died; 4) Staff declared the patient dead and stood back. No further interventions took place; 5) Later, vital signs were observed. 6) Vital signs were sustained for more than a few seconds, such that staff had to resume active care.
Sixty-five patients with ROSC after TOR were identified in 53 articles (1982-2018), 18 (28%) made a full recovery.
Almost a third made a full recovery after autoresuscitation. The following reasons for and recommendations to avoid autoresuscitation can be proposed: 1) In asystole with no reversible causes, resuscitation efforts should be continued for at least 20 min; 2) CPR should not be abandoned immediately after unsuccessful defibrillation, as transient asystole can occur after defibrillation; 3) Excessive ventilation during CPR may cause hyperinflation and should be avoided; 4) In refractory CA, resuscitation should not be terminated in the presence of any potentially-treatable cardiac rhythm; 5) After TOR, the casualty should be observed continuously and ECG monitored for at least 10 min.
Mots-clé
Autoresuscitation, Cardiopulmonary resuscitation, Emergency medicine, Hyperventilation, Lazarus phenomenon, Resuscitation, Resuscitation orders
Pubmed
Open Access
Oui
Création de la notice
05/03/2020 16:40
Dernière modification de la notice
15/01/2021 7:08
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