ROSC

自発循環再開, return of spontaneous circulation

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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2015/09/13 10:50:52」(JST)

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Return of spontaneous circulation (ROSC) is resumption of sustained perfusing cardiac activity associated with significant respiratory effort after cardiac arrest. Signs of ROSC include breathing, coughing, or movement and a palpable pulse or a measurable blood pressure. Cardiopulmonary resuscitation and defibrillation increase the chances of ROSC.

Lazarus phenomenon or autoresuscitation after failed cardiopulmonary resuscitation is the spontaneous return of circulation after resuscitation attempts have stopped in someone with cardiac arrest. Thus passive monitoring is recommended for 10 minutes after resuscitation attempts have stopped.

References

UpToDate Contents

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• 1. 成人における心停止後のマネージメント post cardiac arrest management in adults
• 2. 成人における二次救命処置（ACLS） advanced cardiac life support acls in adults
• 3. 成人における確定診断を得られていない低血圧やショックの評価および初期アプローチ evaluation of and initial approach to the adult patient with undifferentiated hypotension and shock
• 4. 成人における突然の心停止後の予後および転帰 prognosis and outcomes following sudden cardiac arrest in adults
• 5. 二酸化炭素のモニタリング（カプノグラフィ） carbon dioxide monitoring capnography

English Journal

• Improved neuroprotective effect of methylene blue with hypothermia after porcine cardiac arrest.

• Wiklund L, Zoerner F, Semenas E, Miclescu A, Basu S, Sharma HS.SourceDepartments of Surgical Sciences/Anesthesiology and Intensive Care Medicine, Uppsala University, Uppsala, Sweden.
• Acta anaesthesiologica Scandinavica.Acta Anaesthesiol Scand.2013 Sep;57(8):1073-82. doi: 10.1111/aas.12106. Epub 2013 Apr 12.
• BACKGROUND: Induced mild hypothermia and administration of methylene blue (MB) have proved to have neuroprotective effects in cardiopulmonary resuscitation (CPR); however, induction of hypothermia takes time. We set out to determine if MB administered during CPR could add to the histologic neuroprot
• PMID 23577658

• Predictive value of electrocardiogram in diagnosing acute coronary artery lesions among patients with out-of-hospital-cardiac-arrest.

• Zanuttini D, Armellini I, Nucifora G, Grillo MT, Morocutti G, Carchietti E, Trillò G, Spedicato L, Bernardi G, Proclemer A.SourceDivision of Cardiology, University Hospital "Santa Maria della Misericordia", Udine, Italy.
• Resuscitation.Resuscitation.2013 Sep;84(9):1250-4. doi: 10.1016/j.resuscitation.2013.04.023. Epub 2013 Apr 30.
• AIMS: Acute coronary lesions are known to be the most common trigger of out of hospital cardiac arrest (OHCA). Aim of the present study was to assess the predictive value of ST-segment changes in diagnosing the presence of acute coronary lesions among OHCA patientsMETHODS: Findings of coronary angio
• PMID 23643780

• Clinical state transitions during advanced life support (ALS) in in-hospital cardiac arrest.

• Nordseth T, Bergum D, Edelson DP, Olasveengen TM, Eftestøl T, Wiseth R, Abella BS, Skogvoll E.SourceDepartment of Circulation and Medical Imaging, Faculty of Medicine, Norwegian University of Science and Technology, NO-7491 Trondheim, Norway; The Norwegian Air Ambulance Foundation, NO-1441 Drøbak, Norway; St. Olav University Hospital, NO-7006 Trondheim, Norway. Electronic address: trond.nordseth@ntnu.no.
• Resuscitation.Resuscitation.2013 Sep;84(9):1238-44. doi: 10.1016/j.resuscitation.2013.04.010. Epub 2013 Apr 19.
• BACKGROUND: When providing advanced life support (ALS) in cardiac arrest, the patient may alternate between four clinical states: ventricular fibrillation/tachycardia (VF/VT), pulseless electrical activity (PEA), asystole, and return of spontaneous circulation (ROSC). At the end of the resuscitation
• PMID 23603153

Japanese Journal

• ALSの今後の展望とALSにおける Hypothermiaの役割 (特集 G2010からG2015ヘ : 第5回日本蘇生科学シンポジウム(5th J-ReSS)より) -- (ALS/Hypothermia)

• 鹿野 恒
• 救急医学 = The Japanese journal of acute medicine 36(12), 1638-1643, 2012-11
• NAID 40019507051

• Neurological Benefit of Therapeutic Hypothermia Following Return of Spontaneous Circulation for Out-of-Hospital Non-Shockable Cardiac Arrest

• SOGA Taketomo,NAGAO Ken,SAWANO Hirotaka,YOKOYAMA Hiroyuki,TAHARA Yoshio,HASE Mamoru,OTANI Takayuki,SHIRAI Shinichi,HAZUI Hiroshi,ARIMOTO Hideki,KASHIWASE Kazunori,KASAOKA Shunji,MOTOMURA Tomokazu,KURODA Yasuhiro,YASUGA Yuji,YONEMOTO Naohiro,NONOGI Hiroshi
• Circulation journal : official journal of the Japanese Circulation Society 76(11), 2579-2585, 2012-10-25
• … Methods and Results: Of 452 comatose adults treated with therapeutic hypothermia after return of spontaneous circulation (ROSC) subsequent to an out-of-hospital cardiac arrest of cardiac etiology, 372 who had a bystander-witnessed cardiac arrest, target core temperature of 32–34°C and cooling duration of 12–72h were eligible for this study (75 cases of non-shockable cardiac arrest, 297 cases of shockable cardiac arrest). …
• NAID 10031078652

Related Pictures

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★リンクテーブル★

リンク元	「自己心拍再開」「自発循環再開」
関連記事	「ROS」

「自己心拍再開」

　　[★] 自発循環再開、return of spontaneous circulation, ROSC

「自発循環再開」

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英

return of spontaneous circulation, ROSC

「ROS」

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• 活性酸素種、反応性酸素生成物 reactive oxygen species