title: [Prolonged mechanical cardiopulmonary resuscitation].
abstract: Efficient cardiopulmonary resuscitation (CPR) contributes to improved outcome after cardiac arrest. New mechanical devices improve cardiac output. We present a case-report with a male patient who was admitted after 55 minutes of out-of-hospital CPR which was followed by 45 minutes of in-hospital CPR with a mechanical device (LUCAS). Cardiac arrest was due to severe electrolyte disorders with plasma potassium: 2.0 mmol/L and ionized calcium: 0.87 mmol/L. There were no signs of coronary artery disease. The patient was later discharged without neurological deficits. Adequate mechanical massage during CPR may improve survival. However, randomised clinical trials are warranted.
authors.affiliation: Anaestesiologisk-intensiv Afdeling, Århus Universitetshospital, Skejby, 8200 Århus N, Denmark.
authors.forename: Jacob
authors.initials: J
authors.lastname: Greisen
authors.forename: Knud Illum
authors.initials: KI
authors.lastname: Golbaekdal
authors.forename: Ole Norling
authors.initials: ON
authors.lastname: Mathiassen
authors.forename: Hanne Berg
authors.initials: HB
authors.lastname: Ravn
mesh_terms: D000368:Aged; D001331:Automation / Q000295:instrumentation / Q000379:methods; D016887:Cardiopulmonary Resuscitation / Q000295:instrumentation / Q000379:methods; D004632:Emergency Medical Services; D006323:Heart Arrest / Q000628:therapy; D006336:Heart Massage / Q000295:instrumentation / Q000379:methods; D006801:Humans; D008297:Male; D011379:Prognosis; D013997:Time Factors