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dc.contributor.authorSkjeflo, Gunnar Waage
dc.contributor.authorSkogvoll, Eirik
dc.contributor.authorLoennechen, Jan Pål
dc.contributor.authorOlasveengen, Theresa M.
dc.contributor.authorWik, Lars
dc.contributor.authorNordseth, Trond
dc.date.accessioned2021-04-30T09:02:27Z
dc.date.available2021-04-30T09:02:27Z
dc.date.created2019-04-14T07:53:52Z
dc.date.issued2019
dc.identifier.citationResuscitation. 2019, 136 119-125.en_US
dc.identifier.issn0300-9572
dc.identifier.urihttps://hdl.handle.net/11250/2740529
dc.description.abstractIntroduction Presence of electrocardiographic rhythm in the absence of palpable pulses defines pulseless electrical activity (PEA) and the electrocardiogram (ECG) may provide a source of information during resuscitation. The aim of this study was to examine the development of ECG characteristics during advanced life support (ALS) from Out-of-hospital cardiac arrest (OHCA) with initial PEA, and to explore the potential effects of adrenaline on these characteristics. Methods Patients with OHCA and initial PEA, part of randomized controlled trial of ALS with or without intravenous access and medications, were included. A total of 4840 combined observations of QRS complex rate (heart rate) and width were made by examining defibrillator recordings from 170 episodes of cardiac arrest. Results We found Increased heart rate (47 beats per minute) and reduced QRS complex width (62 ms) during ALS in patients who obtained return of spontaneous circulation (ROSC); while patients who received adrenaline but died increased their heart rate (22 beats per minute) without any concomitant decrease in QRS complex width. Conclusion ECG changes during ALS in cardiac arrest were associated with prognosis, and the administration of adrenaline impacted on these changes.en_US
dc.language.isoengen_US
dc.publisherElsevieren_US
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/deed.no*
dc.titleThe effect of intravenous adrenaline on electrocardiographic changes during resuscitation in patients with initial pulseless electrical activity in out of hospital cardiac arresten_US
dc.typePeer revieweden_US
dc.typeJournal articleen_US
dc.description.versionpublishedVersionen_US
dc.source.pagenumber119-125en_US
dc.source.volume136en_US
dc.source.journalResuscitationen_US
dc.identifier.doi10.1016/j.resuscitation.2019.01.021
dc.identifier.cristin1692326
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode2


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Attribution-NonCommercial-NoDerivatives 4.0 Internasjonal
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