Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Thrombolysis during cardiopulmonary resuscitation in fulminant pulmonary embolism: A review
Autore:
Bailen, MR; Cuadra, JAR; de Hoyos, EA;
Indirizzi:
Hosp Poniente, Intens Care Unit, Crit Care & Emergencies Dept, El Ejido, Almeria, Spain Hosp Poniente El Ejido Almeria Spain cies Dept, El Ejido, Almeria, Spain Univ Granada, Hosp Virgen Nieves, Intens Care Unit, Crit Care & Emergencies Dept, Granada, Spain Univ Granada Granada Spain Crit Care & Emergencies Dept, Granada, Spain
Titolo Testata:
CRITICAL CARE MEDICINE
fascicolo: 11, volume: 29, anno: 2001,
pagine: 2211 - 2219
SICI:
0090-3493(200111)29:11<2211:TDCRIF>2.0.ZU;2-6
Fonte:
ISI
Lingua:
ENG
Soggetto:
ACUTE MYOCARDIAL-INFARCTION; TISSUE PLASMINOGEN-ACTIVATOR; RIGHT-VENTRICULAR DYSFUNCTION; CONTROLLED MULTICENTER TRIAL; EXTERNAL CARDIAC MASSAGE; ADVANCED LIFE-SUPPORT; CEREBRAL NO-REFLOW; RANDOMIZED TRIAL; BOLUS INJECTION; ECHOCARDIOGRAPHIC OBSERVATIONS;
Keywords:
pulmonary embolism; cardiac arrest; cardiorespiratory arrest; thrombolysis; cardiopulmonary resuscitation; therapy; acute myocardial infarction;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
145
Recensione:
Indirizzi per estratti:
Indirizzo: Bailen, MR C Las Torres 57, Jaen 23650, Spain C Las Torres 57 Jaen Spain23650 Torres 57, Jaen 23650, Spain
Citazione:
M.R. Bailen et al., "Thrombolysis during cardiopulmonary resuscitation in fulminant pulmonary embolism: A review", CRIT CARE M, 29(11), 2001, pp. 2211-2219

Abstract

Objective. To review current knowledge on thrombolysis in patients with fulminant pulmonary embolism (FPE) who need cardiopulmonary resuscitation (CPR). Data Sources., The bibliography for the study was compiled through a search of different databases between 1966 and 2000. References cited in the articles selected were also reviewed. Study Selection: The selection criteria included all reports published on thrombolysis, pulmonary embolism, and CPR, from case reports and case series to controlled studies. Data Synthesis. Very few studies evaluated thrombolysis in cases of FPE that required CPR and most of these were clinical case reports and case series with a low level of scientific evidence. There has been no clinical trialto address this issue. Conclusions. FPE can frequently produce cardiac arrest, which has an extremely high mortality despite application of the usual CPR measures. The administration of thrombolytic therapy during CPR could help to reduce the mortality, although it has classically been contraindicated. There are no published clinical trials or other high-grade studies that evaluated the efficacy and safety of this approach. From the few existing studies, it can be inferred that thrombolysis may be efficacious and safe for patients with FPE who need CPR. However, a clinical trial is required to provide evidence of value for sound clinical decision-ma king.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/02/20 alle ore 15:05:52