Prehospital neuromuscular blockade post OHCA: UK's first paramedic-delivered protocol
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Durham, Mark, Westhead, Pete, Griffiths, David, Lyon, Richard and Lau-Walker, Margaret (2020) Prehospital neuromuscular blockade post OHCA: UK's first paramedic-delivered protocol Journal of Paramedic Practice, 12 (5). pp. 202-207.
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Official URL: http://dx.doi.org/10.12968/jpar.2020.12.5.202
Abstract
Background:
Since 2016, critical care paramedics from the South East Coast Ambulance Service have offered neuromuscular blockade to patients for ventilatory/airway control after cardiac arrest.
Aims:
To examine the first cases of paramedic-delivered neuromuscular blockade, and evaluate the prevalence of its use and safety.
Methods:
Retrospective service evaluation of patients receiving post-arrest paralysis during the study period from 1 April 2016 until 31 July 2017.
Findings:
The study included 127 patients. The mean age of administration was 63 years, mean weight was 80 kg (SD: 19 kg), dose was 1 mg/kg and median time from rocuronium administration to hospital was 32 minutes (IQR 20–43 minutes). Three patients (2.3%) experienced a minor adverse incident. There were no major airway complications, nor other significant adverse incidents. Thirty-seven patients (31%) survived to discharge.
Conclusion:
From this patient group, paramedic-administered rocuronium in intubated patients who have experienced a cardiac arrest and a return of spontaneous circulation appears to be safe, but further interventional research is required to determine whether this improves patient outcomes.
| Item Type: | Article | ||||||||||||||||||
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| Divisions : | Faculty of Health and Medical Sciences > School of Health Sciences | ||||||||||||||||||
| Authors : |
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| Date : | 2 May 2020 | ||||||||||||||||||
| DOI : | 10.12968/jpar.2020.12.5.202 | ||||||||||||||||||
| Copyright Disclaimer : | © 2020 MA Healthcare Ltd | ||||||||||||||||||
| Uncontrolled Keywords : | Prehospital; Rocuronium; Out-of-hospital cardiac arrest (OHCA); Return of spontaneous circulation (ROSC); Neuromuscular blockade | ||||||||||||||||||
| Depositing User : | Clive Harris | ||||||||||||||||||
| Date Deposited : | 03 Jun 2020 13:01 | ||||||||||||||||||
| Last Modified : | 03 Jun 2020 13:01 | ||||||||||||||||||
| URI: | http://epubs.surrey.ac.uk/id/eprint/857051 |
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