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Tue Jan 9 16:40:18 GMT 2007

I agree that cerebrally dead is worst then full arrested if patient is not
suitable candidate for organ donation, but if patients are started on CPR in
few moments of arrest and asystole is primary or secondary how do you make
that call which patient continue to resus or determ resus? you really can't
know.my point here is that if you are already trying to resuscitate pt why
not to try something that someone else successfully performed...
and to craig's question not sure were the pts discharged with some
neurologic deficit if they were discharged at all
ante

2007/1/9, Craig Ellis <Craig.Ellis at hawkesbaydhb.govt.nz>:
>
> 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