Outcome after heroin overdose and cardiopulmonary resuscitation
Identifieur interne : 001C88 ( Main/Exploration ); précédent : 001C87; suivant : 001C89Outcome after heroin overdose and cardiopulmonary resuscitation
Auteurs : J. J. Boyd [Finlande] ; M. J. Kuisma [Finlande] ; A. O. Alasp [Finlande] ; E. Vuori [Finlande] ; J. V. Repo [Finlande] ; T. T. Randell [Finlande]Source :
- Acta Anaesthesiologica Scandinavica [ 0001-5172 ] ; 2006-10.
Abstract
Background: The survival of heroin overdose patients resuscitated from cardiac arrest is reported to be poor. The aim of our study was to investigate the outcome and characteristics of survivors after cardiac arrest caused by heroin overdose. Methods: This was a retrospective study in a medium‐sized city (population, 560,000). Between 1 January 1997 and 31 December 2000, there were 94 combined cardiac arrests caused by acute drug poisonings. The main outcome measure was survival to discharge. Results: Cardiopulmonary resuscitation was attempted in 19 heroin overdose patients (group A) and in 53 patients with cardiac arrest caused by other poisonings (group B). Three (16%) vs. six (11%) patients were discharged alive (group A vs. B, respectively). The survivors in group A had an Emergency Medical Service (EMS)‐witnessed cardiac arrest or the Emergency Dispatching Centre was called before the arrest occurred. There was no statistically significant difference between the two groups in terms of survival. Survivors in both groups suffered from acute renal failure (two), hypoglycaemia (four) and hypothermia (three). Conclusion: Survival after cardiac arrest caused by heroin overdose is possible if the arrest is EMS witnessed or the Emergency Dispatching Centre is called before the cardiac arrest occurs. In comparison with cardiac arrests caused by other poisonings, there was no difference in survival. The incidence and mechanism of hypoglycaemia should be examined in further studies.
Url:
DOI: 10.1111/j.1399-6576.2006.01142.x
Affiliations:
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J." last="Boyd">J. J. Boyd</name><affiliation wicri:level="1"><country xml:lang="fr">Finlande</country><wicri:regionArea>1 Helsinki Emergency Medical Service, Helsinki University Central Hospital, Helsinki , 2Department of Anaesthesiology and Intensive Care, Kanta‐Hame Central Hospital, Hameenlinna, 3Department of Forensic Medicine, Helsinki University, Helsinkiand 4Department of Anaesthesiology and Intensive Care Medicine, Helsinki University Central Hospital, Helsinki</wicri:regionArea><wicri:noRegion>Helsinki</wicri:noRegion></affiliation><affiliation wicri:level="1"><country wicri:rule="url">Finlande</country></affiliation></author><author><name sortKey="Kuisma, M J" sort="Kuisma, M J" uniqKey="Kuisma M" first="M. J." last="Kuisma">M. J. Kuisma</name><affiliation wicri:level="1"><country xml:lang="fr">Finlande</country><wicri:regionArea>1 Helsinki Emergency Medical Service, Helsinki University Central Hospital, Helsinki , 2Department of Anaesthesiology and Intensive Care, Kanta‐Hame Central Hospital, Hameenlinna, 3Department of Forensic Medicine, Helsinki University, Helsinkiand 4Department of Anaesthesiology and Intensive Care Medicine, Helsinki University Central Hospital, Helsinki</wicri:regionArea><wicri:noRegion>Helsinki</wicri:noRegion></affiliation></author><author><name sortKey="Alasp, A O" sort="Alasp, A O" uniqKey="Alasp A" first="A. O." last="Alasp">A. O. Alasp</name><affiliation wicri:level="1"><country xml:lang="fr">Finlande</country><wicri:regionArea>1 Helsinki Emergency Medical Service, Helsinki University Central Hospital, Helsinki , 2Department of Anaesthesiology and Intensive Care, Kanta‐Hame Central Hospital, Hameenlinna, 3Department of Forensic Medicine, Helsinki University, Helsinkiand 4Department of Anaesthesiology and Intensive Care Medicine, Helsinki University Central Hospital, Helsinki</wicri:regionArea><wicri:noRegion>Helsinki</wicri:noRegion></affiliation></author><author><name sortKey="Vuori, E" sort="Vuori, E" uniqKey="Vuori E" first="E." last="Vuori">E. Vuori</name><affiliation wicri:level="1"><country xml:lang="fr">Finlande</country><wicri:regionArea>1 Helsinki Emergency Medical Service, Helsinki University Central Hospital, Helsinki , 2Department of Anaesthesiology and Intensive Care, Kanta‐Hame Central Hospital, Hameenlinna, 3Department of Forensic Medicine, Helsinki University, Helsinkiand 4Department of Anaesthesiology and Intensive Care Medicine, Helsinki University Central Hospital, Helsinki</wicri:regionArea><wicri:noRegion>Helsinki</wicri:noRegion></affiliation></author><author><name sortKey="Repo, J V" sort="Repo, J V" uniqKey="Repo J" first="J. V." last="Repo">J. V. Repo</name><affiliation wicri:level="1"><country xml:lang="fr">Finlande</country><wicri:regionArea>1 Helsinki Emergency Medical Service, Helsinki University Central Hospital, Helsinki , 2Department of Anaesthesiology and Intensive Care, Kanta‐Hame Central Hospital, Hameenlinna, 3Department of Forensic Medicine, Helsinki University, Helsinkiand 4Department of Anaesthesiology and Intensive Care Medicine, Helsinki University Central Hospital, Helsinki</wicri:regionArea><wicri:noRegion>Helsinki</wicri:noRegion></affiliation></author><author><name sortKey="Randell, T T" sort="Randell, T T" uniqKey="Randell T" first="T. T." last="Randell">T. T. Randell</name><affiliation wicri:level="1"><country xml:lang="fr">Finlande</country><wicri:regionArea>1 Helsinki Emergency Medical Service, Helsinki University Central Hospital, Helsinki , 2Department of Anaesthesiology and Intensive Care, Kanta‐Hame Central Hospital, Hameenlinna, 3Department of Forensic Medicine, Helsinki University, Helsinkiand 4Department of Anaesthesiology and Intensive Care Medicine, Helsinki University Central Hospital, Helsinki</wicri:regionArea><wicri:noRegion>Helsinki</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Acta Anaesthesiologica Scandinavica</title><title level="j" type="alt">ACTA ANAESTHESIOLOGICA SCANDINAVICA</title><idno type="ISSN">0001-5172</idno><idno type="eISSN">1399-6576</idno><imprint><biblScope unit="vol">50</biblScope><biblScope unit="issue">9</biblScope><biblScope unit="page" from="1120">1120</biblScope><biblScope unit="page" to="1124">1124</biblScope><biblScope unit="page-count">5</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2006-10">2006-10</date></imprint><idno type="ISSN">0001-5172</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0001-5172</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background: The survival of heroin overdose patients resuscitated from cardiac arrest is reported to be poor. The aim of our study was to investigate the outcome and characteristics of survivors after cardiac arrest caused by heroin overdose. Methods: This was a retrospective study in a medium‐sized city (population, 560,000). Between 1 January 1997 and 31 December 2000, there were 94 combined cardiac arrests caused by acute drug poisonings. The main outcome measure was survival to discharge. Results: Cardiopulmonary resuscitation was attempted in 19 heroin overdose patients (group A) and in 53 patients with cardiac arrest caused by other poisonings (group B). Three (16%) vs. six (11%) patients were discharged alive (group A vs. B, respectively). The survivors in group A had an Emergency Medical Service (EMS)‐witnessed cardiac arrest or the Emergency Dispatching Centre was called before the arrest occurred. There was no statistically significant difference between the two groups in terms of survival. Survivors in both groups suffered from acute renal failure (two), hypoglycaemia (four) and hypothermia (three). Conclusion: Survival after cardiac arrest caused by heroin overdose is possible if the arrest is EMS witnessed or the Emergency Dispatching Centre is called before the cardiac arrest occurs. In comparison with cardiac arrests caused by other poisonings, there was no difference in survival. The incidence and mechanism of hypoglycaemia should be examined in further studies.</div></front></TEI><affiliations><list><country><li>Finlande</li></country></list><tree><country name="Finlande"><noRegion><name sortKey="Boyd, J J" sort="Boyd, J J" uniqKey="Boyd J" first="J. J." last="Boyd">J. J. Boyd</name></noRegion><name sortKey="Alasp, A O" sort="Alasp, A O" uniqKey="Alasp A" first="A. O." last="Alasp">A. O. Alasp</name><name sortKey="Boyd, J J" sort="Boyd, J J" uniqKey="Boyd J" first="J. J." last="Boyd">J. J. Boyd</name><name sortKey="Kuisma, M J" sort="Kuisma, M J" uniqKey="Kuisma M" first="M. J." last="Kuisma">M. J. Kuisma</name><name sortKey="Randell, T T" sort="Randell, T T" uniqKey="Randell T" first="T. T." last="Randell">T. T. Randell</name><name sortKey="Repo, J V" sort="Repo, J V" uniqKey="Repo J" first="J. V." last="Repo">J. V. Repo</name><name sortKey="Vuori, E" sort="Vuori, E" uniqKey="Vuori E" first="E." last="Vuori">E. Vuori</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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