Journal of the Royal Society of Medicine · 2007 · 29 citations · 17 references
MedicineEmergency MedicineHemodynamic ManagementNeurocritical CareResuscitationCardiac Arrest ManagementCardiopulmonary ResuscitationFluid ResuscitationPost-cardiac Arrest CarePost-resuscitation CareResuscitation MonitoringDeath Determination After Cardiac ArrestDynamic HyperinflationNature Of Scientific ExplanationsPost-resuscitation HemodynamicsPost-resuscitation Physiologic MonitoringSurvival After Cardiac ArrestVenous ReturnVenous Return Assessment
Even though Lazarus phenomenon is rare, it is probably under reported. There is no doubt that Lazarus phenomenon is a reality but so far the scientific explanations have been inadequate. So far the only plausible explanation at least in some cases is auto-PEEP and impaired venous return. In patients with PEA or asystole, dynamic hyperinflation should considered as a cause and a short period of apnoea (30–60 seconds) should be tried before stopping resuscitation. Since ROSC occurred within 10 minutes in most cases, patients should be passively monitored for at least 10 minutes after the cessation of CPR before confirming death.
17