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  3. 卷 11 编号 1 (2023): Continuous volume
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卷 11 编号 1 (2023)

十一月 2022

Using Sodium Bicarbonate During Prolonged Cardiopulmonary Resuscitation in Prehospital Setting; a Retrospective Cross-sectional Study

  • Thongpitak Huabbangyang
  • Chunlanee Sangketchon
  • Gotchagorn Noimo
  • Korawee Pinthong
  • Ketvipa Saungun
  • Kaiwit Bunta
  • Chomkamol Saumok

学术急诊医学档案, 卷 11 编号 1 (2023), 15 十一月 2022 , 第 e41 页
https://doi.org/10.22037/aaem.v11i1.2002 已出版: 2023-05-25

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摘要

Introduction: Although the 2020 American Heart Association (AHA) guidelines recommend that sodium bicarbonate (SB) be avoided during routine cardiopulmonary resuscitation (CPR) a limited number of studies have examined the effects of SB injection during prolonged CPR (>15 min) in prehospital setting. The present study aimed to examine the effects of prehospital SB use during prolonged CPR on patients’ outcome.

Methods: In this retrospective cross-sectional study adult patients aged >18 years who experienced a non-traumatic, out-of-hospital cardiac arrest (OHCA) were compared regarding three outcomes, namely return of spontaneous circulation (ROSC), ROSC > 20 minute, and survival to discharge, based on receiving or not-receiving SB during CPR.

Results: 330 patients were divided into two equal groups of 165. The two groups had similar conditions regarding gender distribution (p = 0.729); mean age (p = 0.741); underlying diseases (p = 0.027); etiology of arrest (p = 0.135); the initial rhythm (p = 0.324); receiving normal saline solution (p = 1.000), epinephrine (p = 0.848), and atropine during CPR (p = 0.054); and using defibrillation (p = 0.324). Those who received SB had 0.80 times greater likelihood for sustained ROSC (adjusted odds ratio (OR) = 0.80, 95% CI: 0.47–1.37, p = 0.415), 0.93 times greater likelihood for ROSC at the scene (adjusted OR = 0.93, 95% CI: 0.55–1.59, p = 0.798), and 0.34 times greater likelihood for survival to discharge (adjusted OR = 0.34, 95% CI: 0.10–1.17, p = 0.087).

Conclusions: The present study demonstrated that prehospital SB use by EMS during prolonged CPR did not improve ROSC rate at the scene, sustained ROSC, and survival to discharge.

关键词:
  • cardiopulmonary resuscitation
  • emergency medical services
  • prehospital
  • sodium bicarbonate
  • treatment outcome
  • out-of-hospital cardiac arrest
  • pdf (English)

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1.
Huabbangyang T, Sangketchon C, Noimo G, Pinthong K, Saungun K, Bunta K, 等. Using Sodium Bicarbonate During Prolonged Cardiopulmonary Resuscitation in Prehospital Setting; a Retrospective Cross-sectional Study. Arch Acad Emerg Med [网际网络]. 2023年5月25日 [见引于 2026年8月18日];11(1):e41. 载于: https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/2002
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参考

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Touron M, Javaudin F, Lebastard Q, Baert V, Heidet M, Hubert H, et al. Effect of sodium bicarbonate on functional outcome in patients with out-of-hospital cardiac arrest: a post-hoc analysis of a French and North-American dataset. Eur J Emerg Med. 2022;29(3):210-20.

Neumar RW, Otto CW, Link MS, Kronick SL, Shuster M, Callaway CW, et al. Part 8: adult advanced cardiovascular life support: 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2010;122(18_suppl_3):S729-S67.

Neumar RW, Shuster M, Callaway CW, Gent LM, Atkins DL, Bhanji F, et al. Part 1: executive summary: 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2015;132(18_suppl_2):S315-S67.

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Huabbangyang T, Klaiangthong R, Prasittichok K, Koikhunthod S, Wanna J, Sudajun N, et al. Comparing Emergency Medical Services Processing Times for Stroke Patients Before and During COVID-19 Pandemic; A Cross-sectional Study. Arch Acad Emerg Med. 2022;10(1):e65.

Thongpitak Huabbangyang P, Tavachai Soion R, Acharee Promdee R, Kasemchai Nguanjinda R, Assanai Chamchan R, Ratree Chaisorn P, et al. Factors associated with successful resuscitation during out-of-hospital cardiac arrest performed by Surgico Medical Ambulance and Rescue Team (SMART), Division of Emergency Medical Service and Disaster, Faculty of Medicine Vajira Hospital, Navamindradhiraj University. J Med Assoc Thai. 2021;104:1-9.

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Neth MR, Daya MR. Sodium bicarbonate therapy during out-of-hospital cardiac arrest: Is presenting rhythm the key to benefit? Resuscitation. 2023;182:109674.

Kim J, Kim K, Park J, Jo YH, Lee JH, Hwang JE, et al. Sodium bicarbonate administration during ongoing resuscitation is associated with increased return of spontaneous circulation. Am J Emerg Med. 2016;34(2):225-9.

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