Mean arterial pressure and vasopressor load after out-of-hospital cardiac arrest: Associations with one-year neurologic outcome

THE AIM OF THE STUDY There are limited data on blood pressure targets and vasopressor use following cardiac arrest. We hypothesized that hypotension and high vasopressor load are associated with poor neurological outcome following out-of-hospital cardiac arrest (OHCA). METHODS We included 412 patients with OHCA included in FINNRESUSCI study conducted between 2010 and 2011. Hemodynamic data and vasopressor doses were collected electronically in one, two or five minute intervals. We evaluated thresholds for time-weighted (TW) mean arterial pressure (MAP) and outcome by receiver operating characteristic (ROC) curve analysis, and used multivariable analysis adjusting for co-morbidities, factors at resuscitation, an illness severity score, TW MAP and total vasopressor load (VL) to test associations with one-year neurologic outcome, dichotomized into either good (1-2) or poor (3-5) according to the cerebral performance category scale. RESULTS Of 412 patients, 169 patients had good and 243 patients had poor one-year outcomes. The lowest MAP during the first six hours was 58 (inter-quartile range [IQR] 56-61) mmHg in those with a poor outcome and 61 (59-63) mmHg in those with a good outcome (p<0.01), and lowest MAP was independently associated with poor outcome (OR 1.02 per mmHg, 95% CI 1.00-1.04, p=0.03). During the first 48h the median (IQR) of the TW mean MAP was 80 (78-82) mmHg in patients with poor, and 82 (81-83) mmHg in those with good outcomes (p=0.03) but in multivariable analysis TWA MAP was not associated with outcome. Vasopressor load did not predict one-year neurologic outcome. CONCLUSIONS Hypotension occurring during the first six hours after cardiac arrest is an independent predictor of poor one-year neurologic outcome. High vasopressor load was not associated with poor outcome and further randomized trials are needed to define optimal MAP targets in OHCA patients.

400 outstanding women of the world and costumology of their time /

Mode of access: Internet.

Im Vaterhause; sozialer Roman.

Mode of access: Internet.

Gotthold Ephraim Lessings sämtliche schriften.

Volumes 12-21 have imprint: Leipzig, G. J. Göschen; v. 22: Berlin und Leipzig, G. J. Göschen; v. 23: Berlin und Leipzig, W. de Gruyter & co.

Familien-bibliothek der deutschen classiker ...

No vol. numbered 7; two volumes numbered 2.

Lessing's werke ...

Theil 7 edited by Georg Zimmermann; th. 8, by Robert Pilger; th. 9-10, 12, 19-20, by Carl Chritian Redlich; th. 11, abth, 2, by Robert Boxberger; th. 13, abth, 1, by Emil Grosse; th. 13, abth, 2, by Alfred Schöne; th. 14-18, by Christian Gross, cf. Goedeke, Grundriss zur geschichte der deutschen dichtung, 3. aufl., vol. iv, p. 345.

G. E. Lessing als reformator der deutschen literatur, bargestellt /

V. 1. Lessing reformatorische bedeutung. Minna von Barnhelm. Faust. Emilia Galotti. 2. aufl.--v. 2. Nathan der weise. Der idee und die charaktere der dichtung. 5. aufl.

Lessings Werke : mit einer Auswahl aus seinen Briefen und einer Skizze seines Lebens /

Each volume, except the first, has special title-page only.

Continental drama : Calderon, Corneille, Racine, Molière, Lessing, Schiller /

Life is a dream, by P. Calderon de la Barca.--Polyeucte, by P. Corneille.--Phaedra, by J. B. Racine.--Tartuffe; or, the hypocrite, by J. B. P. Molière.--Minna von Barnhelm; or, The soldier's fortune, by G. E. Lessing.--William Tell, by J. C. F. von Schiller.

Introductory studies in German literature,

Introduction.--Lessing: "Minna von Barnhelm." "Nathan the Wise."--Goethe: "Hermann and Dorothea." "Faust."--Schiller: Ballads and thought poems. "The song of the bell." "Wilhelm Tell."--Heine: "The book of songs."--Scheffel: "The trumpeter of Sa̲ckingen." "Ekkehard."--Conclusion.

Abhandlungen zu Goethes leben und werken,

Reprinted in part from various magazines.

School of Nursing Class of 2009

Top Row: Allison Anderson, Meghan Archer, Christopher Aten, Meredith Bajor, Sarah Belleville, Kimberly Bergere, Courtney Bernier, Diana Blanks, Julie Bluhm, Melanie Bork, Karyn Braley, Kathryn Melody Briones, Christine Brouillard, Alyson Bryson

Row 2: Amy Burk, Kelly Capellari, Carmon Carlson, Krystal Cavaliere, Jeffrey Chiambretti, Christine Cho, Renee Christopher, Holli Clewis, James Conway, Kelly Courtney, Jenna Dahn, Erin Daly, Nicole DeFauw, Stefanie DeVita, Jessica DiVirgil, Debra Dombrowski, Genevieve Donnell

Row 3: Kathleen Donnelly, Jennifer El Aile, William Faulkner, Kimberly Johnson, Danielle Alameda, Margaret Wheeler, Brian D Kaminski Jr, Bridget Fil, Rochelle Weller, Leslie Allen-Huisman, Jennifer Musbach, Kathy Feig, Lori Fellows, Shana Ferguson

Row 4: Lauren Frawley, Ashton Frederick, Molly Gacetta, Stephanie Ganger, Amanda Garcia, Megan Gdowski, Chad Godfrey, Emily Halpern

Row 5: Katherine Hammons, Natalie Hecht, Danielle Hiltz, Taylor Hosner, Jennifer Huber, Holly Huling, Nathaniel Hunt, Ana-Leonor Jay

Row 6: Rachel Jeltema, Jennifer Jones, Lindsey Jones, Sarah Kaherl, Jessica Kehbein, Kendra Leidecker, Vanessa Lelli, Meghan Lemmer, Rachel Levinson, Alexandra Lindsay

Row 7: Amanda MacDonald, Joelle Marineau, Laura Mason, Andrea Masser, Michele McKinney, Charles-Robert Moultry, Kathleen Potempa, Bonnie Hagerty, Nicole Nader, Minna Navvab, Rachael Newnam, Uche Obua, Sara Oles, Ceren Onsan-Fitzpatrick

Row 8: Emily Parobek, Dorasy Paul, Rosalynne Pinga, Sarah Pope, Laura Randall, Sarah Reits, Emma Rew, Annemarie Rozwadowski, Nicole Ruhlman, Lydia Sanok, Grace Savercool, Kimberly Schmidt, Renee Schoenborn, Lisa Schuman, Kaitlyn Seltzer, Catherine Sherwood, Elizabeth Smith

Row 9: Aimee Surma, Stephanie Swinteck, Hanna Taylor, Donnie Tietsema, Andreea Toader, Stephanie Upplegger, Meghan Visnick, Scharnice Ward, Tabytha Whitley, Kimberly Wilke, Carie Wright, Kyleen Young, Kristin Zawacki, Christina Ziegler, Carlotta Zirker

Unsere Gemüse; mit Anchluss der Kastanie, Olive, Kaper, der Wein- und Hopfenrebe.

Mode of access: Internet.

Die Probleme des Bolschewismus /

"Literatur": p. 30-32.