Archive - Sep 5, 2012

Archive - Sep 5, 2012

Don't stop too soon!

Prolonged CPR Holds Benefits, a Study Shows

Ashley Gilbertson for The New York Times
Staff members at Maimonides Medical Center in Brooklyn in 2010 trying to revive a patient who suffered a cardiac arrest.
By RONI CARYN RABIN
Published: September 4, 2012

When a hospital patient goes into cardiac arrest, one of the most difficult questions facing the medical team is how long to continue cardiopulmonary resuscitation. Now a new study involving hundreds of hospitals suggests that many doctors may be giving up too soon.

The study found that patients have a better chance of surviving in hospitals that persist with CPR for just nine minutes longer, on average, than hospitals where efforts are halted earlier.

There are no clear, evidence-based guidelines for how long to continue CPR efforts.

Study: Prolonged CPR May Be Beneficial

When a hospital patient goes into cardiac arrest, one of the most difficult questions facing the medical team is how long to continue cardiopulmonary resuscitation. Now a new study involving hundreds of hospitals suggests that many doctors may be giving up too soon.

The study found that patients have a better chance of surviving in hospitals that persist with CPR for just nine minutes longer, on average, than hospitals where efforts are halted earlier.

There are no clear, evidence-based guidelines for how long to continue CPR efforts.

The findings challenge conventional medical thinking, which holds that prolonged resuscitation for hospitalized patients is usually futile because when patients do survive, they often suffer permanent neurological damage. To the contrary, the researchers found that patients who survived prolonged CPR and left the hospital fared as well as those who were quickly resuscitated.

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