Helle hasse better place
Understanding of factors contributing to turning down patients with refractory cardiac arrest for extracorporeal cardiopulmonary resuscitation ECPR is needed to improve selection and improve outcomes. The most frequent reasons to abstain from ECPR were long duration of prehospital treatment, metabolic derangement and low end-tidal carbon dioxide. Introduction The survival of patients with out-of-hospital cardiac arrest OHCA depends on presenting rhythm and whether circulation can be restored.
In the present study patients admitted with refractory OHCA in Denmark were identified to elucidate factors associated with turning down patients for ECPR, and to describe associated outcome. On-scene intubation was done by EMS physicians, and the decision to transfer the patient was done in agreement between the EMS physician and the attending senior cardiology registrar at the nearest centre.
The EMS physician has the final decision on whether to transport the patient to the tertiary centre or terminate therapy on the scene. The decision to initiate ECPR was taken by the treating team of physicians in the catheterisation laboratory, which as a minimum consists of specialists in invasive and non-invasive cardiology and a specialist in cardiothoracic anaesthesiology.
At Aarhus, Aalborg and Odense University Hospitals, a cardiac surgeon also participates in the team evaluation of the patient. Until ECPR followed local guidelines. Cannulation was done percutaneously using ultrasound-guided Seldinger technique. In most patients, a cannula was inserted antegradely in the femoral artery to ensure limb perfusion.
The transvalvular axial flow pump was placed percutaneously and correct positioning was then confirmed by fluoroscopy and echocardiography. Postresuscitation care and management was performed according to local intensive care unit ICU standard protocols including targeted temperature management, neurological prognostication, procedures for weaning of MCS and withdrawal of treatment. If ROSC was achieved or if the patients were not considered a candidate for ECPR by the treating team of physicians, further advanced cardiovascular life support was either continued or terminated at the discretion of the treating team.
Data collection Study data were entered in a national electronic RedCap database. All individual patient data were evaluated, and data recorded according to the Utstein recommendation. Hooft Award in International recognition[ edit ] Haasse lived in France for many years — , and much of her work has been translated into French.
The next year she delivered a presentation on colonial literature at the University of Dakar. Haasse received an honorary literary doctorate from the University of Utrecht in and from the Belgian University of Leuven in It was the last time she would visit her birthplace, Java , and the year her Dutch Indies literature masterpiece Heren van de Thee was published.
Gallery[ edit ] Haasse Lake Telaga Hideung on Java, close to where Hella Haasse grew up as a child and which prominently features in her debut book Oeroeg. Tea plantation, Java, Dutch East Indies, — Oeroeg - translated into English as The Black Lake, Het woud der verwachting — translated into English as In a dark wood wandering, De verborgen bron — The hidden source De scharlaken stad — translated into English as The scarlet city.
A novel of 16th-century Italy, De ingewijden — The incrowd Cider voor arme mensen — Cider for poor people Een nieuwer testament — A newer testament , translated as Threshold of fire. Een handvol achtergrond, 'Parang Sawat' - A handful of background, 'Parang Sawat' , translated into English as Forever a stranger and other stories, including Oeroeg, Transit — Toen ik schoolging — Ogenblikken in Valois essays — Uitgesproken opgeschreven.
Essays over achttiende-eeuwse vrouwen, een bosgezicht, verlichte geesten, vorstenlot, satire, de pers en Vestdijks avondrood — Zwanen schieten — Lezen achter de letters essays — Fenrir: een lang weekend in de Ardennen — Sleuteloog, won Dutch prize: NS-Publieksprijs — Het dieptelood van de herinnering autobiographical — Oeroeg — een begin facsimile -edition on the occasion of Dutch prize: Prijs der Nederlandse Letteren — Over en weer stories — Het tuinhuis stories — Een kruik uit Arelate available as podcast [24] — Sterrenjacht Het Parool publication — De handboog der verbeelding Interviews — Uitzicht.
The decor is a useful synthesis of modern a daring scheme and traditional the walls retain their gilded mouldings and curly cornices frame every door.
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