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Previous Volume 335:674-675 August 29, 1996 Number 9 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: Cardiac arrest associated with pulseless electrical activity or electromechanical dissociation carries a poor prognosis unless a reversible cause is recognized and treated promptly. Reversible causes that are traditionally considered include hypovolemia, cardiac tamponade, tension pneumothorax, massive pulmonary embolism, and major metabolic imbalances.¹

Recent case reports have documented the occurrence of electromechanical dissociation as a result of positive-pressure ventilation in patients with obstructive airway disease and the return of spontaneous circulation after resuscitative (and ventilatory) efforts to treat the electromechanical dissociation are discontinued.^2-5 During cardiopulmonary resuscitation, dynamic hyperinflation may develop in patients with obstructive airway disease, due to . . . [Full Text of this Article]

References

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• Adhiyaman, V., Adhiyaman, S., Sundaram, R. (2007). The Lazarus phenomenon. JRSM 100: 552-557 [Abstract] [Full Text]  
• (2005). Part 4: Advanced Life Support. Circulation 112: III-25-III-54 [Full Text]  
• Ben-David, B., Stonebraker, V. C., Hershman, R., Frost, C. L., Williams, H. K. (2001). Survival After Failed Intraoperative Resuscitation: A Case of ""Lazarus Syndrome"". Anesth. Analg. 92: 690-692 [Full Text]