Please use this identifier to cite or link to this item: http://cmuir.cmu.ac.th/jspui/handle/6653943832/53742
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dc.contributor.authorVisith Sirphuwanunen_US
dc.contributor.authorYodying Punjasawadwongen_US
dc.contributor.authorWorawut Lapisatepunen_US
dc.contributor.authorSomrat Charuluxanananen_US
dc.contributor.authorKetchada Uerpairojkiten_US
dc.contributor.authorJayanton Patumanonden_US
dc.date.accessioned2018-09-04T09:57:01Z-
dc.date.available2018-09-04T09:57:01Z-
dc.date.issued2014-03-21en_US
dc.identifier.issn11791594en_US
dc.identifier.other2-s2.0-84898477597en_US
dc.identifier.other10.2147/RMHP.S58140en_US
dc.identifier.urihttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84898477597&origin=inwarden_US
dc.identifier.urihttp://cmuir.cmu.ac.th/jspui/handle/6653943832/53742-
dc.description.abstractPurpose: To determine the initial success rate and its associated factors on cardiopulmonary resuscitation (CPR) in patients with cardiac arrest within 24 hours after receiving anesthesia for an emergency surgery. Patients and methods: After the hospital ethical committee gave approval for this study, the anesthesia providers recorded all relevant data regarding CPR in patients with cardiac arrest within 24 hours after anesthesia for emergency surgery at Maharaj Nakorn Chiang Mai Hospital, a university hospital in Northern Thailand. Only data from the cardiac arrest patients who received the first CPR attempt were included in the analysis. The end point of the initial success of CPR was return of spontaneous circulation (ROSC). Factors related to ROSC were determined by univariate analyses and multiple logistic regression analysis. The odds ratios (OR) and 95% confidence intervals (CI) were used to calculate the strength of the factors associated with the ROSC. Results: Of the 96 cardiac arrest patients, 44 patients (45.8%) achieved ROSC. Factors associated with ROSC were electrocardiogram monitoring for detected cardiac arrest (OR =4.03; 95% CI =1.16-14.01; P=0.029), non-shock patients before arrest (OR =8.54; 95% CI =2.13-34.32; P=0.003), timing to response of activated CPR team within 1 minute (OR =9.37; 95% CI =2.55-34.39; P,<0.001), having trained CPR teams (OR =8.76; 95% CI =2.50-30.72; P<0.001), and administration of more than one dose of epinephrine (OR =5.62; 95% CI =1.32-23.88; P<0.019). Conclusion: Patients undergoing anesthesia for an emergency surgery are at risk for perioperative cardiac arrest with high mortality which requires immediate CPR. Our results have confirmed that early detection of cardiac arrest by vigilant electrocardiogram monitoring and prompt management with a qualified team are important factors in improving the success of CPR. Emergency surgical patients at risk for cardiac arrest should be promptly managed, with facilities available not only during the operation but also during the pre- to postoperative period. © 2014 Siriphuwanun et al. This work is published by Dove Medical Press Limited.en_US
dc.subjectMedicineen_US
dc.titleThe initial success rate of cardiopulmonary resuscitation and its associated factors in patients with cardiac arrest within 24 hours after anesthesia for an emergency surgeryen_US
dc.typeJournalen_US
article.title.sourcetitleRisk Management and Healthcare Policyen_US
article.volume7en_US
article.stream.affiliationsChiang Mai Universityen_US
article.stream.affiliationsChulalongkorn Universityen_US
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