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Bunya N, Wada K, Yamaoka A, et al. The prognostic value of agonal respiration in refractory cardiac arrest: a case series of non-shockable cardiac arrest successfully resuscitated through extracorporeal cardiopulmonary resuscitation. Acute Med Surg. 2019;6(2):197-200doi: 10.1002/ams2.398.
Bunya, N., Wada, K., Yamaoka, A., Kakizaki, R., Katayama, Y., Kasai, T., Kyan, R., Murakami, N., Kokubu, N., Uemura, S., & Narimatsu, E. (2019). The prognostic value of agonal respiration in refractory cardiac arrest: a case series of non-shockable cardiac arrest successfully resuscitated through extracorporeal cardiopulmonary resuscitation. Acute medicine & surgery, 6(2), 197-200. https://doi.org/10.1002/ams2.398
Bunya, Naofumi, et al. "The prognostic value of agonal respiration in refractory cardiac arrest: a case series of non-shockable cardiac arrest successfully resuscitated through extracorporeal cardiopulmonary resuscitation." Acute medicine & surgery vol. 6,2 (2019): 197-200. doi: https://doi.org/10.1002/ams2.398
Bunya N, Wada K, Yamaoka A, Kakizaki R, Katayama Y, Kasai T, Kyan R, Murakami N, Kokubu N, Uemura S, Narimatsu E. The prognostic value of agonal respiration in refractory cardiac arrest: a case series of non-shockable cardiac arrest successfully resuscitated through extracorporeal cardiopulmonary resuscitation. Acute Med Surg. 2019 Feb 20;6(2):197-200. doi: 10.1002/ams2.398. eCollection 2019 Apr. PMID: 30976449; PMCID: PMC6442523.
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Acute Med Surg. 2019 Feb 20;6(2):197-200. doi: 10.1002/ams2.398. eCollection 2019 Apr.

The prognostic value of agonal respiration in refractory cardiac arrest: a case series of non-shockable cardiac arrest successfully resuscitated through extracorporeal cardiopulmonary resuscitation.

Acute medicine & surgery

Naofumi Bunya, Kenshiro Wada, Ayumu Yamaoka, Ryuichiro Kakizaki, Yoichi Katayama, Takehiko Kasai, Ryoko Kyan, Naoto Murakami, Nobuaki Kokubu, Shuji Uemura, Eichi Narimatsu

Affiliations

  1. Department of Emergency Medicine Sapporo Medical University Sapporo Japan.
  2. Department of Neurosurgery Sapporo Medical University Sapporo Japan.
  3. Emergency Department Hakodate Municipal Hospital Hakodate Japan.
  4. Department of Cardiovascular, Renal and Metabolic Medicine Sapporo Medical University Sapporo Japan.

PMID: 30976449 PMCID: PMC6442523 DOI: 10.1002/ams2.398

Abstract

BACKGROUND: Agonal respiration following out-of-hospital cardiac arrest is associated with favorable neurological outcomes. Resuscitation using extracorporeal membrane oxygenation could contribute to achieving favorable neurological outcomes in patients with refractory cardiac arrest.

CASE PRESENTATION: We report two cases of refractory cardiac arrest with non-shockable rhythms and agonal respiration; both patients were successfully resuscitated through extracorporeal cardiopulmonary resuscitation (ECPR). Both patients were breathing spontaneously upon arrival. One patient was asystolic and the other experienced pulseless electrical activity followed by ventricular fibrillation. Agonal respiration was observed in both and ECPR was implemented, leading to a favorable neurological outcome at discharge.

CONCLUSION: The presence of agonal respiration has the potential to confer a favorable neurological outcome in patients with refractory cardiac arrest if maintained, even when the initial cardiac rhythm is not shockable. In these cases, resuscitation should not be abandoned, and ECPR should be considered.

Keywords: Agonal respiration; cardiac arrest; extracorporeal membrane oxygenation; non‐shockable cardiac arrest; out‐of‐hospital cardiac arrest

References

  1. Ann Emerg Med. 1992 Dec;21(12):1464-7 - PubMed
  2. Crit Care Med. 2004 Jan;32(1):238-40 - PubMed
  3. Circulation. 2008 Dec 9;118(24):2550-4 - PubMed
  4. Crit Care Med. 2009 Apr;37(4):1408-15 - PubMed
  5. Crit Care Res Pract. 2010;2010:null - PubMed
  6. Resuscitation. 2014 Jun;85(6):762-8 - PubMed
  7. Swiss Med Wkly. 2015 Jul 31;145:w14178 - PubMed
  8. Eur J Intern Med. 2016 May;30:61-67 - PubMed
  9. Emerg Med J. 2017 Feb;34(2):107-111 - PubMed
  10. Resuscitation. 2017 Mar;112:1-10 - PubMed
  11. J Am Coll Cardiol. 2017 Sep 19;70(12):1467-1476 - PubMed
  12. Resuscitation. 2018 Jan;122:76-78 - PubMed
  13. JAMA. 1966 Aug 22;197(8):615-8 - PubMed

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