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Scrivi a MEDEST
MEDEST 
Towards cardiopulmonary resuscitation without vasoactive drugs
23 AprKey points of sistematic analysis about ALS managent of Out of Hospital Cardiac Arrest (OHCA):
No evidence that any of the commonly used vasoactive drugs are beneficial on neurological outcome
Controversial evidences on antiarrhythmics drugs effectivness
Only good quality CPR and electric therapy improves outcome
Ultra Sonography for diagnosis of underliyng reversible causes and targeted therapies on individual patient’s response must be implemented
EtCO2, Near-infrared spectometry, VF analysis, Extracorporeal Membrane Oxygenation must be part of future management
And ROSC is not the finish line but only a step to it. More and more voices are rising toward the definition of an Early Goal Directed Post-Resuscitative Care!
References:
Towards cardiopulmonary resuscitation without vasoactive drugs
Image attribution:
Kjetil Sunde,Theresa M. Olasveengen
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Tags: ALS drugs, ECMO, epinephrine, EtCO2, OHCA, Out of Hospital Cardiac Arrest, vasopressine