Abstract 248: Prolonged Adult Cardiac Arrest With Enhanced Cardiopulmonary Resuscitation and Sodium Nitroprusside: A Case Series

Introduction: Sudden cardiac death remains the leading cause of death in the United States, and overall survival with good neurological function nationally is about 8%. Prolonged refractory cardiac arrest requires an efficient method to maintain viability to the vital organs until a reversible cause, if present, can be treated. Sodium Nitroprusside Enhanced CPR, or SNPeCPR, is a new form of CPR consisting of active compression-decompression (ACD), impendence threshold device (ITD), abdominal binding, and large doses of sodium nitroprusside. We present here a series of 6 patients in whom these methods were utilized in the setting of cardiac arrest in the cardiac catheterization laboratory. Methods: 6 patients who suffered cardiac arrest (5 VT/VF and 1 PEA) and were treated for an average time of 32±12 minutes before arrival to the cardiac catheterization laboratory. Utilizing a LUCAS® device in combination with an ITD allowed for prolonged periods of CPR during which time percutaneous coronary intervention...