[Results of cardiopulmonary and cerebral resuscitation in the area of surgical intensive care].
In intensive care units specially trained staff and sophisticated technical equipment are confronted with extremely critically ill patients. In this patient population multiple organ failure is mostly established thus requiring application of all therapeutic facilities. During a study period of 40 months in 203 (86.4%) out of 235 patients with cardiac arrest a decision not to resuscitate ("DNR order") was made. In 32 patients cardiopulmonary resuscitation was attempted. Although spontaneous circulation could be maintained for at least 12 hours in 40.6% (13 patients), 6 died within the first day and 3 other patients died during the first week. Only 4 patients resuscitated could be discharged. Our data suggest that, despite further development of technical and therapeutic methods, the underlying disease has to be considered as the limitation of long-term survival.
Klinik für Anästhesie und Allgemeine Intensivmedizin, Universität Wien.
I
I
Schindler
W
W
Mauritz
P
P
Sporn
K
K
Steinbereithner
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D003422:Critical Care / Q000379:methods*; D005066:Euthanasia, Passive; D005260:Female; D005500:Follow-Up Studies; D006323:Heart Arrest / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012151:Resuscitation / Q000379:methods*
Ergebnisse der kardiopulmonalen und zerebralen Wiederbelebung im Bereich der operativen Intensivmedizin.