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The diplegic and especially quadriplegic types of cerebral palsy have experienced an increase of between 50 and 150%, and this is mainly due to the current improvement in postnatal resuscitation methods which have produced a 30% increase in the survival rate of preterm babies with low birthweight [2, 4, 5].
There are few studies on the optimal time to consider alternative resuscitation methods in OHCA patients who receive prolonged CPR.
19 To determine whether a significant difference exists in the fluid administration rates of two commonly used paediatric fluid resuscitation methods: the DRT or the PPT.
ELSTs are allowed to use several resuscitation methods, including semiautomated external defibrillators, insertion of an adjunct airway, insertion of a peripheral intravenous line and administration of Ringer lactate solution.
CCB overdose causes intractable hypotension, bradycardia, cardiac conduction abnormalities and depression of myocardial contractility, leading to central nervous system, respiratory and metabolic disorders that are often refractory to standard resuscitation methods.
Although studies have suggested that the greater the time prior to initiation of ECPR, the poorer the outcome [ 7], few studies have been carried out on the optimal transition time to consider alternative resuscitation methods in patients with potentially prolonged CPR.
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SAT is a co-holder of a patent on the "Emergency Preservation and Resuscitation Method".
The objectives of this study were to estimate the optimal duration of CPR to consider ECPR as an alternative resuscitation method in patients with CCPR, and to find the indications for predicting good neurologic outcome in OHCA patients who received ECPR.
11 From hospital episode statistics records we obtained information on month and year of delivery, gestational age, birth weight, onset of delivery, mode of delivery, resuscitation method, number of previous pregnancies, duration of stay in hospital, and any inpatient diagnosis or operation recorded for the mother.
The primary goal of this study was to estimate the optimal duration of CPR to consider ECPR as an alternative resuscitation method in patients with CCPR, and to determine whether ECPR results in better neurological outcomes than CCPR in patients who require prolonged CPR beyond the optimal duration in OHCA patients.
Despite advances in cardiopulmonary resuscitation (CPR) methods, including the introduction of the automatic electrical defibrillator (AED) and therapeutic hypothermia [ 2], [ 3], only about 10%% of adult out-of-hospital cardiac arrest (OHCA) victims survive to hospital discharge [ 4], and the majority of survivors have moderate to severe cognitive deficits 3 months after resuscitation [ 5].
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