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Post by Dan Fletcher on Sept 2, 2011 19:21:05 GMT -5
In dogs and cats routine use of atropine during CPR may be considered.
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Post by Dan Fletcher on Sept 2, 2011 19:09:18 GMT -5
In dogs and cats with asystole or PEA potentially associated with increased vagal tone, use of atropine is reasonable.
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Post by Dan Fletcher on Sept 2, 2011 19:08:48 GMT -5
The use of high dose (0.1 mg/kg) epinephrine may be considered after prolonged CPR.
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Post by Dan Fletcher on Sept 2, 2011 19:04:59 GMT -5
The use of low dose (0.01 mg/kg) epinephrine administered every 3-5 minutes early in CPR is recommended.
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Post by Dan Fletcher on Aug 29, 2011 11:26:23 GMT -5
The RECOVER initiative utilizes the term "cardiopulmonary resuscitation" (CPR) to summarize all activities associated with resuscitation efforts in animals with cardiac arrest and discourages the use of CPCR. CPR is an internationally recognizable term that is easily identifiable by veterinary professionals and lay people alike. Thus the term CPR is less confusing than CPCR, and is appropriately descriptive. CPCR is not used outside of the veterinary community, and its use will likely complicate communication with human medical professionals and the lay community. While RECOVER, as any cardiopulmonary resuscitation oriented organization, acknowledges the central impact of anoxic brain injury on outcomes from cardiac arrest, there are few interventions currently proven to be effective at providing a selective brain resuscitative effect exclusive of the cardiopulmonary effects of those interventions during BLS or ALS. CPCR may also be misunderstood as a specific type of CPR, such as the cardiocerebral resuscitation (CCR) system (Ewy et al.), consisting exclusively of continuous chest compressions in bystander initiated CPR for witnessed primary cardiac arrest.
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ALS18
Aug 11, 2011 8:59:30 GMT -5
Post by Dan Fletcher on Aug 11, 2011 8:59:30 GMT -5
In dogs and cats with cardiac arrest under anesthesia (P), do anesthesia-specific CPR recommendations (I), compared to no such recommendations (standard CPR) (C) result in improved outcomes (survival or ROSC)(O)?
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ALS17
Aug 11, 2011 8:59:13 GMT -5
Post by Dan Fletcher on Aug 11, 2011 8:59:13 GMT -5
In cats and dogs in cardiac arrest (P), does a termination rule based on a specific duration of unsuccessful CPR (I) compared with no guidelines for termination of the duration of CPR effort (C) reduce unnecessary resuscitation effort (O)?
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ALS16
Aug 11, 2011 8:58:50 GMT -5
Post by Dan Fletcher on Aug 11, 2011 8:58:50 GMT -5
In dogs and cats requiring resuscitation and not responding to CPR (P), does the administration of sodium bicarbonate (I) versus no bicarbonate (C) improve outcome (O)?
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ALS15
Aug 11, 2011 8:58:30 GMT -5
Post by Dan Fletcher on Aug 11, 2011 8:58:30 GMT -5
In dogs and cats with cardiac arrest (P), does the use of an escalating defibrillation energy protocol (I) compared with a fixed energy protocol (C), improve outcomes (e.g. ROSC) (O)?
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ALS14
Aug 11, 2011 8:58:07 GMT -5
Post by Dan Fletcher on Aug 11, 2011 8:58:07 GMT -5
In dogs and cats with cardiac arrest (asystole, pulseless electrical activity, pulseless VT and VF) (P), does the use of calcium alone or combination with other drugs (I) compared with not using calcium (C), improve outcomes (e.g. ROSC, survival) (0)?
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ALS13
Aug 11, 2011 8:57:39 GMT -5
Post by Dan Fletcher on Aug 11, 2011 8:57:39 GMT -5
In dogs and cats with cardiac arrest and suspected narcotic depression (P), does naloxone (I) when compared to effective ventilation without naloxone (C), improve outcome (O)?
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ALS12
Aug 11, 2011 8:57:22 GMT -5
Post by Dan Fletcher on Aug 11, 2011 8:57:22 GMT -5
In dogs and cats with cardiac arrest (P), does treatment of electrolyte disturbances (eg, hyper- or hypokalemia, hypo-or hypercalcemia) (I) as opposed to standard care without treatment of electrolyte disturbance (C) result in improved outcome (eg, ROSC, survival)(O)?
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ALS11
Aug 11, 2011 8:56:49 GMT -5
Post by Dan Fletcher on Aug 11, 2011 8:56:49 GMT -5
In dogs and cats during cardiac arrest (P), does treatment with corticosteroids alone or in combination with other drugs (I) as opposed to care without corticosteroids (C), improve outcome (O) (e.g. survival or neurologic status)?
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ALS10
Aug 11, 2011 8:56:27 GMT -5
Post by Dan Fletcher on Aug 11, 2011 8:56:27 GMT -5
In intubated dogs and cats with cardiac arrest (P), does the use of an impedance threshold device (I), as opposed to routine CPR without an impedance valve (C), improve outcome (O) (e.g. ROSC, survival)?
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ALS09
Aug 11, 2011 8:56:02 GMT -5
Post by Dan Fletcher on Aug 11, 2011 8:56:02 GMT -5
In dogs and cats with cardiac arrest (P), does the use of tracheal drug delivery (I) compared to intravenous drug delivery (C) worsen patient outcome (e.g. ROSC, survival to hospital discharge (O)?
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