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

Les GordonMathieu PasquierHermann BruggerPeter Paal
Published in: Scandinavian journal of trauma, resuscitation and emergency medicine (2020)
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.
Keyphrases
  • cardiac arrest
  • cardiopulmonary resuscitation
  • heart rate
  • left ventricular
  • heart rate variability
  • weight gain
  • quality improvement
  • mechanical ventilation
  • cerebral ischemia
  • blood pressure
  • heart failure
  • weight loss