Transcript
  • 00:00    |    
    Initial credits
  • 00:20    |    
    Introduction
  • 01:36    |    
    Sudden cardiac arrest
  • 02:39    |    
    Disease process
  • 04:05    |    
    Cardiac arrest data
  • 07:08    |    
    Japanese data
  • 08:30    |    
    Treatment procedures
  • 10:24.5    |    
    Neuroprotection
  • 10:48    |    
    Predictors of CPR survival
    • Initial rhythm
    • VF amplitude
    • Downtime
    • Pumping blood
    • Comorbid disease
    • Cardiac arrest causes
  • 17:39    |    
    Heart functions
  • Starting the heart
  • 20:45    |    
    Cardiopulmonary resuscitation (CPR) demonstration
  • Recoil
  • 24:23    |    
    Importance of the person who performs CPR
  • 25:22    |    
    Active compression and decompression
  • 26:42    |    
    Patient survival rates
  • 27:26    |    
    Do not interrupt CPR!
  • 30:26    |    
    Clinical ventilatory rates
  • CPR research
  • 31:54.5    |    
    Animal survival data
  • 33:41    |    
    Caveats
    • Effects of CPR
    • Pulseless electrical activity (PEA)
  • 36:22    |    
    Finer points
  • 36:59    |    
    Clinical case
  • Loss of pulse
  • 39:13    |    
    Importance of the brain
  • 39:26    |    
    Path of physiology in the brain
  • Calcium
  • 42:47    |    
    Hypothermia after cardiac arrest
    • Peter Safar
    • Hibernation
    • Evidence for hypothermia procedure
    • The Beaumont Hospital experience
    • Baseline characteristics
    • Results
    • Mortality and neurological outcomes
    • RESCUE results
    • Positive outcomes
    • Impact of resuscitation centers
    • Advantages of faster cooling
    • Time and temperature
    • Other procedures
    • Brief hypertensive bout
    • Seizures
    • Hyperglycemia
    • High-dose insulin
    • Other procedures
    • No-reflow phenomenon
    • Cerebral oximetry
    • Demographics
    • Results
    • Oximetry trends
    • Predictors of poor outcome
    • Outcome of clinical case
    • One-year outcome
    • Intensive care unit (ICU) strategies
    • Conclusions
  • 01:25:03    |    
    Question and answer period
    • How do you monitor the patient's temperature?
    • Is hypothermia a kind of preconditioning?
    • Can hypothermia be used with septic patients?
  • 01:31:11    |    
    Final credits


Post-Cardiac Arrest Syndrome and Therapeutic Hypothermia

New Media  | 24 de octubre de 2009  | Vistas: 64

Sudden cardiac arrest is one of the leading causes of death, yet emergency procedures have not proven to be as effective as the medical community would hope them to be. In this conference, Brian J. O'Neil examines current treatment procedures for cardiac arrest and how the use of hypothermia with these patients can help reduce mortality rates and neurological damage. In this talk, O'Neil examines cardiopulmonary resuscitation (CPR) in detail, presents the conclusions of several recent studies, and discusses clinical cases. He also looks at the predictors for CPR survival and explains what goes on in the brain during CPR.




Conferencista

Brian O’Neil is associate chair for research in the Department of…

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