FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4386860462> ?p ?o ?g. }

• W4386860462 abstract "Abstract Introduction A broad range of pathophysiologic conditions can lead to cardiopulmonary arrest in children. Some of these children suffer from refractory cardiac arrest, not responding to basic and advanced life support. Extracorporeal-Cardiopulmonary Resuscitation (E-CPR) might be a life-saving option for this group. Currently this therapy is only performed in-hospital, often necessitating long transport times, thereby negatively impacting eligibility and chances of survival. We present the first two cases of prehospital E-CPR in children performed by regular Helicopter Emergency Medical Services (HEMS). Case presentations The first patient was a previously healthy 7 year old boy who was feeling unwell for a couple of days due to influenza. His course deteriorated into a witnessed collapse. Direct bystander CPR and subsequent ambulance advanced life support was unsuccessful in establishing a perfusing rhythm. While doing chest compressions, the patient was seen moving both his arms and making spontaneous breathing efforts. Echocardiography however revealed a severe left ventricular impairment (near standstill). The second patient was a 15 year old girl, known with bronchial asthma and poor medication compliance. She suffered yet another asthmatic attack, so severe that she progressed into cardiac arrest in front of the attending ambulance and HEMS crews. Despite maximum bronchodilator therapy, intubation and the exclusion of tension pneumothoraxes and dynamic hyperinflation, no cardiac output was achieved. Intervention After consultation with the nearest paediatric E-CPR facilities, both patients were on-scene cannulated by regular HEMS. The femoral artery and vein were cannulated (15-17Fr and 21Fr respectively) under direct ultrasound guidance using an out-of-plane Seldinger approach. Extracorporeal Life Support flow of 2.1 and 3.8 l/min was established in 20 and 16 min respectively (including preparation and cannulation). Both patients were transported uneventfully to the nearest paediatric intensive care with spontaneous breathing efforts and reactive pupils during transport. Conclusion This case-series shows that a properly trained regular HEMS crew of only two health care professionals (doctor and flight nurse) can establish E-CPR on-scene in (older) children. Ambulance transport with ongoing CPR is challenging, even more so in children since transportation times tend to be longer compared to adults and automatic chest compression devices are often unsuitable and/or unapproved for children. Prehospital cannulation of susceptible E-CPR candidates has the potential to reduce low-flow time and offer E-CPR therapy to a wider group of children suffering refractory cardiac arrest." @default.
• W4386860462 created "2023-09-20" @default.
• W4386860462 creator A5000748317 @default.
• W4386860462 creator A5036402948 @default.
• W4386860462 creator A5037234980 @default.
• W4386860462 creator A5077382066 @default.
• W4386860462 creator A5092902005 @default.
• W4386860462 creator A5092902006 @default.
• W4386860462 date "2023-09-19" @default.
• W4386860462 modified "2023-09-28" @default.
• W4386860462 title "Feasibility of HEMS performed prehospital extracorporeal-cardiopulmonary resuscitation in paediatric cardiac arrests; two case reports" @default.
• W4386860462 cites W2026246845 @default.
• W4386860462 cites W2031424040 @default.
• W4386860462 cites W2035471865 @default.
• W4386860462 cites W2036539467 @default.
• W4386860462 cites W2110383815 @default.
• W4386860462 cites W2157660020 @default.
• W4386860462 cites W2185135197 @default.
• W4386860462 cites W2270128411 @default.
• W4386860462 cites W2314154763 @default.
• W4386860462 cites W2529206452 @default.
• W4386860462 cites W2605585237 @default.
• W4386860462 cites W2734981059 @default.
• W4386860462 cites W2804007779 @default.
• W4386860462 cites W3016363920 @default.
• W4386860462 cites W3021954519 @default.
• W4386860462 cites W3042978470 @default.
• W4386860462 cites W3092025366 @default.
• W4386860462 cites W3094372824 @default.
• W4386860462 cites W3114268494 @default.
• W4386860462 cites W3196499807 @default.
• W4386860462 cites W4210847530 @default.
• W4386860462 cites W4292960639 @default.
• W4386860462 cites W4309830256 @default.
• W4386860462 cites W4317611841 @default.
• W4386860462 cites W4318016874 @default.
• W4386860462 doi "https://doi.org/10.1186/s13049-023-01119-4" @default.
• W4386860462 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/37726847" @default.
• W4386860462 hasPublicationYear "2023" @default.
• W4386860462 type Work @default.
• W4386860462 citedByCount "0" @default.
• W4386860462 crossrefType "journal-article" @default.
• W4386860462 hasAuthorship W4386860462A5000748317 @default.
• W4386860462 hasAuthorship W4386860462A5036402948 @default.
• W4386860462 hasAuthorship W4386860462A5037234980 @default.
• W4386860462 hasAuthorship W4386860462A5077382066 @default.
• W4386860462 hasAuthorship W4386860462A5092902005 @default.
• W4386860462 hasAuthorship W4386860462A5092902006 @default.
• W4386860462 hasBestOaLocation W43868604621 @default.
• W4386860462 hasConcept C141071460 @default.
• W4386860462 hasConcept C177713679 @default.
• W4386860462 hasConcept C194828623 @default.
• W4386860462 hasConcept C2776858399 @default.
• W4386860462 hasConcept C2777045030 @default.
• W4386860462 hasConcept C2777055891 @default.
• W4386860462 hasConcept C2778165595 @default.
• W4386860462 hasConcept C2778496132 @default.
• W4386860462 hasConcept C2778619729 @default.
• W4386860462 hasConcept C2779915274 @default.
• W4386860462 hasConcept C2780409771 @default.
• W4386860462 hasConcept C2780640149 @default.
• W4386860462 hasConcept C42219234 @default.
• W4386860462 hasConcept C545288138 @default.
• W4386860462 hasConcept C71924100 @default.
• W4386860462 hasConceptScore W4386860462C141071460 @default.
• W4386860462 hasConceptScore W4386860462C177713679 @default.
• W4386860462 hasConceptScore W4386860462C194828623 @default.
• W4386860462 hasConceptScore W4386860462C2776858399 @default.
• W4386860462 hasConceptScore W4386860462C2777045030 @default.
• W4386860462 hasConceptScore W4386860462C2777055891 @default.
• W4386860462 hasConceptScore W4386860462C2778165595 @default.
• W4386860462 hasConceptScore W4386860462C2778496132 @default.
• W4386860462 hasConceptScore W4386860462C2778619729 @default.
• W4386860462 hasConceptScore W4386860462C2779915274 @default.
• W4386860462 hasConceptScore W4386860462C2780409771 @default.
• W4386860462 hasConceptScore W4386860462C2780640149 @default.
• W4386860462 hasConceptScore W4386860462C42219234 @default.
• W4386860462 hasConceptScore W4386860462C545288138 @default.
• W4386860462 hasConceptScore W4386860462C71924100 @default.
• W4386860462 hasIssue "1" @default.
• W4386860462 hasLocation W43868604621 @default.
• W4386860462 hasLocation W43868604622 @default.
• W4386860462 hasOpenAccess W4386860462 @default.
• W4386860462 hasPrimaryLocation W43868604621 @default.
• W4386860462 hasRelatedWork W1995736759 @default.
• W4386860462 hasRelatedWork W2053081693 @default.
• W4386860462 hasRelatedWork W2067204020 @default.
• W4386860462 hasRelatedWork W2095562355 @default.
• W4386860462 hasRelatedWork W2110459558 @default.
• W4386860462 hasRelatedWork W2681644608 @default.
• W4386860462 hasRelatedWork W2768357355 @default.
• W4386860462 hasRelatedWork W3205305454 @default.
• W4386860462 hasRelatedWork W4365142394 @default.
• W4386860462 hasRelatedWork W616221944 @default.
• W4386860462 hasVolume "31" @default.
• W4386860462 isParatext "false" @default.
• W4386860462 isRetracted "false" @default.
• W4386860462 workType "article" @default.