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. 2015 Dec;5(1):22.
doi: 10.1186/s13613-015-0064-x. Epub 2015 Sep 17.

Breakthrough in cardiac arrest: reports from the 4th Paris International Conference

Peter J Kudenchuk  1 , Claudio Sandroni  2 , Hendrik R Drinhaus  3 , Bernd W Böttiger  4 , Alain Cariou  5   6 , Kjetil Sunde  7 , Martin Dworschak  8 , Fabio Silvio Taccone  9 , Nicolas Deye  10 , Hans Friberg  11 , Steven Laureys  12 , Didier Ledoux  13 , Mauro Oddo  14 , Stéphane Legriel  15 , Philippe Hantson  16 , Jean-Luc Diehl  17 , Pierre-Francois Laterre  18
Affiliations

Breakthrough in cardiac arrest: reports from the 4th Paris International Conference

Peter J Kudenchuk et al. Ann Intensive Care. 2015 Dec.

Abstract

Jean-Luc Diehl The French Intensive Care Society organized on 5th and 6th June 2014 its 4th "Paris International Conference in Intensive Care", whose principle is to bring together the best international experts on a hot topic in critical care medicine. The 2014 theme was "Breakthrough in cardiac arrest", with many high-quality updates on epidemiology, public health data, pre-hospital and in-ICU cares. The present review includes short summaries of the major presentations, classified into six main chapters: Epidemiology of CA Pre-hospital management Post-resuscitation management: targeted temperature management Post-resuscitation management: optimizing organ perfusion and metabolic parameters Neurological assessment of brain damages Public healthcare.

Keywords: Cardiac arrest; Cardio-pulmonary resuscitation; Minimally conscious state; Organ donation; Persistent vegetative state; Targeted temperature management; Therapeutic hypothermia.

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Figures

Fig. 1
Fig. 1
Survival to hospital discharge from out-of-hospital ventricular fibrillation in various communities outside the United States
Fig. 2
Fig. 2
The impact of instituting high-performance CPR in King County, Washington, in 2005 on survival from witnessed out-of-hospital cardiac arrest due to ventricular fibrillation
Fig. 3
Fig. 3
The 25-year trend of rates of survival to discharge after resuscitation from in-hospital cardiac arrest in 100 observational studies, 1985–2010
Fig. 4
Fig. 4
Algorithm for early imaging diagnosis after cardiac arrest
Fig. 5
Fig. 5
Therapeutic hypothermia side-effects and their categorization
Fig. 6
Fig. 6
Mean bladder temperature in the 33 and 36 °C intervention groups of the Target Temperature Management after Out-of-hospital Cardiac Arrest Trial (TTM-trial), during the 36 h of temperature intervention. Temperature values are presented with 95 % confidence intervals. In the original publication, temperature curves displayed the means ± 2SD. From Wise MP et al. [179]. Reprinted with permission
Fig. 7
Fig. 7
The TTM-trial included and randomized 950 comatose patients to either 33 or 36 °C. Probability of survival through the end of the trial and the number of patients at risk at each time point is presented. From Nielsen et al. [86]. Copyright © (2013) Massachusetts Medical Society. Reprinted with permission
Fig. 8
Fig. 8
Timeline of events that may occur after anoxic coma
Fig. 9
Fig. 9
A simplified electroencephalogram (EEG) with two original EEG curves (lower panel), in combination with an amplitude integrated EEG (aEEG) trend curve (upper panel). Four dominating EEG patterns after cardiac arrest are shown: a flat, b suppression-burst, c continuous and d electrographic status epilepticus. From Friberg et al. [161]. Reprinted with permission
Fig. 10
Fig. 10
Assessment of health condition in the long-term follow-up after cardiac arrest (adapted from World Health Organization [171])
See this image and copyright information in PMC

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