ArticleScandinavian journal of trauma, resuscitation and emergency medicine2020
Autoresuscitation (Lazarus phenomenon) after termination of cardiopulmonary resuscitation - a scoping review.
Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
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Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 41 citations in OpenAlex.
- Brain-based arterial pulse pressure threshold for death determination: a systematic review.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2023Pooled it
- Autoresuscitation after circulatory arrest: an updated systematic review.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2023Pooled it
- [Controlled Donation after Circulatory determination of Death (cDCD) : A position paper by the DCD working group of the German Interdisciplinary Association for Intensive Care and Emergency Medicine (DIVI)].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2026Review
- Evaluation of ventilatory parameters reporting in large animal models of cardiac arrest: a scoping review.Resuscitation plus · 2026Article
- FoCUS on Lazarus: autoresuscitation confirmed by focused cardiac ultrasound.Resuscitation plus · 2025Article
- Peri-mortem arrhythmias in the non-cardiac intensive care unit.Nursing in critical care · 2025Article
- Do we need standardized management after termination-of-resuscitation attempts? Autoresuscitation in a 67-year-old woman.Scandinavian journal of trauma, resuscitation and emergency medicine · 2023Article
- Lazarus Phenomenon or the Return from the Afterlife-What We Know about Auto Resuscitation.Journal of clinical medicine · 2023Review
- Review
- Lazarus Syndrome After Aortic Aneurysm Repair.HCA healthcare journal of medicine · 2023Article
- Delayed Presentation of Spontaneous Shockable Rhythm After Death: Another Subtype of Lazarus Phenomenon?Journal of Korean medical science · 2022Article
- A novel capnogram analysis to guide ventilation during cardiopulmonary resuscitation: clinical and experimental observations.Critical care (London, England) · 2022Article
- CPR-related cognitive activity, consciousness, awareness and recall, and its management: A scoping review.Resuscitation plus · 2022Article
- Risen Alive: The Lazarus Phenomenon.Case reports in critical care · 2022Article
- Article
- [Adult advanced life support].Notfall & rettungsmedizin · 2021Review
- Anesthetic Considerations During Heart Transplantation Using Donation After Circulatory Death.Journal of cardiothoracic and vascular anesthesia · 2020Article
- When a Dead Patient Is Not Really Dead: Lazarus Phenomenon.Case reports in critical care · 2020Article
Corrections and comments
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Authors and funding
4 authors at 4 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAutoresuscitation describes the return of spontaneous circulation after termination of resuscitation (TOR) following cardiac arrest (CA). We aimed to identify phenomena that may lead to autoresuscitation and to provide guidance to reduce the likelihood of it occurring. MATERIALS AND
methodsWe conducted a literature search (Google Scholar, MEDLINE, PubMed) and a scoping review according to PRISMA-ScR guidelines of autoresuscitation cases where patients undergoing CPR recovered circulation spontaneously after TOR with the following criteria: 1) CA from any cause; 2) CPR for any length of time; 3) A point was reached when it was felt that the patient had died; 4) Staff declared the patient dead and stood back. No further interventions took place; 5) Later, vital signs were observed. 6) Vital signs were sustained for more than a few seconds, such that staff had to resume active care.
resultsSixty-five patients with ROSC after TOR were identified in 53 articles (1982-2018), 18 (28%) made a full recovery.
conclusionsAlmost a third made a full recovery after autoresuscitation. The following reasons for and recommendations to avoid autoresuscitation can be proposed: 1) In asystole with no reversible causes, resuscitation efforts should be continued for at least 20 min; 2) CPR should not be abandoned immediately after unsuccessful defibrillation, as transient asystole can occur after defibrillation; 3) Excessive ventilation during CPR may cause hyperinflation and should be avoided; 4) In refractory CA, resuscitation should not be terminated in the presence of any potentially-treatable cardiac rhythm; 5) After TOR, the casualty should be observed continuously and ECG monitored for at least 10 min.
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