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INTRODUCTION Mild therapeutic hypothermia (MTH) has been shown to result in better neurological outcome after cardiopulmonary resuscitation. Percutaneous coronary intervention (PCI) may also be beneficial in patients after out-of-hospital cardiac arrest (OHCA). METHODS A selected cohort study of 2,973 prospectively documented adult OHCA patients within(More)
Basismaßnahmen durch Laien sollen das therapiefreie Intervall nach einem plötzlichen Herztod verkürzen und somit die Überlebensrate dieser Patienten steigern. Die Bereitschaft, Basismaßnahmen durchzuführen, variiert stark und ist von zahlreichen Einflussfaktoren abhängig. Die vorliegende Studie untersucht die Rahmenbedingungen, unter denen Laien mit(More)
BACKGROUND Surgical stress index (SSI), a novel multivariate index, has recently been proven to react well to surgical nociceptive stimuli and analgesic drug concentration changes during general anesthesia. We investigated the feasibility of application of SSI for guidance of remifentanil administration during propofol-remifentanil anesthesia. METHODS(More)
INTRODUCTION Between 1 and 31% of patients suffering out-of-hospital cardiac arrest (OHCA) survive to discharge from hospital. International studies have shown that the level of care provided by the admitting hospital determines survival for patients suffering from OHCA. These data may only be partially transferable to the German medical system where(More)
AIMS Return of spontaneous circulation (ROSC) following cardiopulmonary resuscitation from cardiac arrest (CA) depends on numerous variables. The aim of this study was to develop a score to predict the initial resuscitation outcome-the RACA (ROSC after cardiac arrest) score. METHODS AND RESULTS Based on 5471 prospectively registered out-of-hospital CAs(More)
INTRODUCTION Cardiac arrest following trauma occurs infrequently compared with cardiac aetiology. Within the German Resuscitation Registry a traumatic cause is documented in about 3% of cardiac arrest patients. Regarding the national Trauma Registry, only a few of these trauma patients with cardiac arrest survive. The aim of the present study was to analyze(More)
Universitätsklinikum Schleswig-Holstein, Campus Kiel 2 Deutsches Reanimationsregister – German Resuscitation Registry, Nürnberg 3 Klinik für Anästhesiologie, Intensivmedizin, Notfallmedizin und Schmerztherapie, Klinikum Ludwigsburg 4 Berufsverband Deutscher Anästhesisten e. V. (BDA), Nürnberg 5 Klinik für Anästhesiologie, Universitätsmedizin Mainz 6(More)
BACKGROUND There is substantial variation in the incidence, likelihood of attempted resuscitation and outcomes from out-of-hospital cardiac arrest (OHCA) across Europe. A European, multi-centre study provides the opportunity to uncover differences throughout Europe and may help find explanations for these differences. Results may also have potential to(More)
BACKGROUND Airway management during resuscitation attempts is pivotal for treating hypoxia, and endotracheal intubation is the standard procedure. This German Resuscitation Registry analysis investigates the influence of airway management on primary outcomes after out-of-hospital cardiac arrest, in a physician-based emergency system. METHODS A total of(More)
INTRODUCTION Sudden cardiac arrest is one of the most frequent causes of death in the world. In highly qualified emergency medical service (EMS) systems, including well trained emergency physicians, spontaneous circulation may be restored in up to 53% of patients at least until admission to hospital. Compared with these highly qualified EMS systems, in(More)