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Tue Jan 9 08:38:44 GMT 2007

How are you defining successful resuscitation? ROSC or Discharge with normal or near normal neurological functioning.
If its the former then, no I wouldnt - I discontinue the resus or dont even start if they are in asystole. If its the later I would love to know the denominator - if it is less than a few hundred then Im interested, otherwise dead is still dead.
ROSC is a meaningless outcome. 

Craig

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org]On Behalf Of Jago Miloguz
Sent: Tuesday, 09 January 2007 8:05 AM
To: Trauma &amp, Critical Care mailing list
Subject: Re: AMINOPHYLLINE IN REFRACTORY ASYSTOLE

well let's not be so hursh there were case reports of successful
resuscitations in these situations when patients didn't respond to
adrenaline and atropine and after standard dose of aminophylline(250mg).
so l ask you all would you administer drug in such situation especially when
you are not in full-equipment environment....

2007/1/8, Craig Ellis <Craig.Ellis at hawkesbaydhb.govt.nz>:
>
> Isnt the patient dead at this point ?
>
> Craig
>
> -----Original Message-----
> From: trauma-list-bounces at trauma.org
> [mailto:trauma-list-bounces at trauma.org] On Behalf Of Jago Miloguz
> Sent: Tuesday, 9 January 2007 4:09 a.m.
> To: Trauma &amp, Critical Care mailing list
> Subject: AMINOPHYLLINE IN REFRACTORY ASYSTOLE
>
> l apologize for not making it a trauma aspect directly,but nevertheless,
> it is not rare to have comorbidity of surgical and non-surgical
> conditions in same patient at the same time.
> so l was interested in hearing from first hands experiences if possible
> on use of aminophylline in asystole patients when adrenaline and
> atropine aren't doing it.
> the thing  that makes me hesitate is the fact that aminophylline would
> actually have a parasympathical effect on cardiovascular system  they
> encourage usage due to its effect as a adenosine antagonist so l would
> appreciate any advise and your experiences regards, ante
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AMINOPHYLLINE IN REFRACTORY ASYSTOLE