Abstract：
AIM:Stomach inflation during cardiopulmonary resuscitation (CPR) is frequent, but the effect on haemodynamic and pulmonary function is unclear. The purpose of this study was to evaluate the effect of clinically realistic stomach inflation on haemodynamic and pulmonary function during CPR in a porcine model. METHODS:After baseline measurements ventricular fibrillation was induced in 21 pigs, and the stomach was inflated with 0L (n=7), 5L (n=7) or 10L air (n=7) before initiating CPR. RESULTS:During CPR, 0, 5, and 10L stomach inflation resulted in higher mean pulmonary artery pressure [median (min-max)] [35 (28-40), 47 (25-50), and 51 (49-75) mmHg; P<0.05], but comparable coronary perfusion pressure [10 (2-20), 8 (4-35) and 5 (2-13) mmHg; P=0.54]. Increasing (0, 5, and 10L) stomach inflation decreased static pulmonary compliance [52 (38-98), 19 (8-32), and 12 (7-15) mL/cmH(2)O; P<0.05], and increased peak airway pressure [33 (27-36), 53 (45-104), and 103 (96-110) cmH(2)O; P<0.05). Arterial oxygen partial pressure was higher with 0L when compared with 5 and 10L stomach inflation [378 (88-440), 58 (47-113), and 54 (43-126) mmHg; P<0.05). Arterial carbon dioxide partial pressure was lower with 0L when compared with 5 and 10L stomach inflation [30 (24-36), 41(34-51), and 56 (45-68) mmHg; P<0.05]. Return of spontaneous circulation was comparable between groups (5/7 in 0L, 4/7 in 5L, and 3/7 in 10L stomach inflation; P=0.56). CONCLUSIONS:Increasing levels of stomach inflation had adverse effects on haemodynamic and pulmonary function, indicating an acute abdominal compartment syndrome in this CPR model.
journal_name
Resuscitationjournal_title
Resuscitationauthors
Paal P,Neurauter A,Loedl M,Pehböck D,Herff H,von Goedecke A,Lindner KH,Wenzel Vdoi
10.1016/j.resuscitation.2008.12.001subject
Has Abstractpub_date
2009-03-01 00:00:00pages
365-71issue
3eissn
0300-9572issn
1873-1570pii
S0300-9572(08)00830-7journal_volume
80pub_type
杂志文章相关文献
RESUSCITATION文献大全abstract：:We evaluated the ability of a previously derived outcome predictor to discriminate between ECG segments corresponding to return of spontaneous circulation (ROSC) or not in validation data from 136 patients with cardiac arrest. The new data used for validation were totally independent from the predictor derivation data...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2005.05.006
更新日期：2005-10-01 00:00:00
abstract：OBJECTIVE:Successful resuscitation from cardiac arrest requires the delivery of high-quality chest compressions, encompassing parameters such as adequate rate, depth, and full recoil between compressions. The lack of compression recoil ("leaning" or "incomplete recoil") has been shown to adversely affect hemodynamics i...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2011.02.032
更新日期：2011-08-01 00:00:00
abstract：:A 2-month-old female infant presented with septic shock, refractory to high doses of catecholamines. Continuous infusion of terlipressin at a rate of 10 mcg/kgh produced a significant increase in the mean arterial pressure that was evident within half and hour, so allowing a reduction in the rate of catecholamine infu...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2005.06.016
更新日期：2006-01-01 00:00:00
abstract：BACKGROUND:Animal studies indicate that maintaining physiologic O2 levels (normoxia) immediately after restoration of spontaneous circulation (ROSC) from cardiac arrest (CA) results in less hippocampal neuronal death compared to animals ventilated with 100% O2. This study tested the hypothesis that beneficial effects o...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2019.04.043
更新日期：2019-07-01 00:00:00
abstract：:In this retrospective study we report our initial experience with percutaneous venoarterial extracorporeal membrane oxygenation in the emergency treatment of intractable cardiogenic shock or pulseless electrical activity. Between January 1994 and July 1995, percutaneous venoarterial extracorporeal membrane oxygenation...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/s0300-9572(96)00989-6
更新日期：1996-11-01 00:00:00
abstract：AIM:Conventional paper-based resuscitation transcripts are notoriously inaccurate, often lacking the precision that is necessary for recording a fast-paced resuscitation. The aim of this study was to evaluate whether a tablet computer-based application could improve upon conventional practices for resuscitation documen...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2013.10.013
更新日期：2014-02-01 00:00:00
abstract：OBJECTIVES:To compare the quality of resuscitation between those with a simplified chest compression-only cardiopulmonary resuscitation (CPR) program and those with a conventional CPR program. METHODS:The participants were randomly assigned to either the 120-min training program of chest compressions (chest compressio...
journal_title：Resuscitation
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.resuscitation.2008.05.009
更新日期：2008-10-01 00:00:00
abstract：:Manikins currently used in newborn and paediatric resuscitation training are limited in their effectiveness by an inability to allow instructors control over airway patency. This means that attempts to introduce situations that require interventions, other than just appropriate head positioning to achieve successful l...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/s0300-9572(02)00124-7
更新日期：2002-09-01 00:00:00
abstract：BACKGROUND:Despite its prevalence, survival from out-of-hospital cardiac arrest remains low. High quality CPR has been associated with improved survival in cardiac arrest patients. In early 2014, a program was initiated to provide feedback on CPR quality to prehospital providers after every treated cardiac arrest. OBJ...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2017.02.004
更新日期：2017-04-01 00:00:00
abstract：AIM:To evaluate a new process based on teamwork in a manner similar to the race car pit stop on organization and efficiency during the "Golden Hours" for extremely preterm infants. METHODS:A team designed an improved process focused on checklists, preparation, assigning roles, and best practices, for the care of infan...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2015.03.022
更新日期：2015-07-01 00:00:00
abstract：:In acute cerebrovascular accidents the uptake of lactate by the brain tissue is enhanced, possibly in an attempt to buffer the increased local lactic acidosis. In this paper the results obtained by the administration of the lactate in 78 cases of hyperventilatory syndromes secondary to acute brain injuries, and the bi...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/0300-9572(78)90009-6
更新日期：1978-01-01 00:00:00
abstract：OBJECTIVE:Gastric inflation (GI) is a significant issue when ventilation is performed on unprotected airways. DESIGN:Experimental analysis on the respiratory effects of hose extended bag-valve ventilation devices designed to reduce inspiratory pressure and flow. SETTING:Laboratory with lung/oesophageal sphincter simu...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2008.02.022
更新日期：2008-08-01 00:00:00
abstract：AIM:Evaluate the roles of water temperature and submersion duration in the outcome of drowning victims. METHODS:Subjects were those who drowned in open water (lakes, rivers, and ocean) in three counties in Washington State between 1975 and 1996. We performed a case control study to assess the association between age, ...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2014.02.024
更新日期：2014-06-01 00:00:00
abstract：:We evaluated the force-depth compression characteristics of 8 different CPR manikins during mechanical cardiopulmonary resuscitation by a thumper. The force required to compress the manikin's thorax of 1, 2, 3, 4 and 5 cm was measured. It ranged between 6.3 and 14 kp at a depth of 1 cm, 11.6-30 kp at 2 cm, 17-38 kp at...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/0300-9572(95)00874-s
更新日期：1995-10-01 00:00:00
abstract：OBJECTIVE:To analyze the results of cardiopulmonary resuscitation (CPR) that included defibrillation during in-hospital cardiac arrest (IH-CA) in children. METHODS:A prospective multicenter, international, observational study on pediatric IH-CA in 12 European and Latin American countries, during 24 months. Data from 5...
journal_title：Resuscitation
pub_type： 杂志文章,多中心研究
doi：10.1016/j.resuscitation.2013.11.015
更新日期：2014-03-01 00:00:00
abstract：AIM:Post-cardiac arrest syndrome (PCAS) is characterized by a sepsis-like inflammatory response and hemodynamic instability. We investigated the associations between systemic inflammation, endothelial damage and hemodynamic parameters including vasopressor support in patients with out-of-hospital cardiac arrest (OHCA)....
journal_title：Resuscitation
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.resuscitation.2017.09.019
更新日期：2017-12-01 00:00:00
abstract：:Extracorporeal life support has been used as an extension of conventional cardiopulmonary resuscitation (CPR). However, the appropriate indications for extracorporeal CPR (ECPR) including the duration of CPR are unknown. We present a case of a male, 37-year-old out-of-hospital cardiac arrest patient who received prolo...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2006.09.011
更新日期：2007-05-01 00:00:00
abstract：STUDY OBJECTIVE:For trials involving exception from informed consent, some IRBs require that community members be allowed to "opt out" prior to enrollment. We tested for geospatial clustering of opt-out requests and the associated census tract characteristics in one study region. METHODS:This was a retrospective study...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2008.10.003
更新日期：2009-01-01 00:00:00
abstract：:Cardiac arrest causes whole body ischaemic injury and cellular death. Successful cardiopulmonary resuscitation (CPR) can subsequently lead to a global reperfusion phenomenon with a paradoxically increased rate of cellular death. Interventions that decrease the ischaemia-reperfusion injury may be useful in the treatmen...
journal_title：Resuscitation
pub_type： 杂志文章,评审
doi：10.1016/j.resuscitation.2010.06.016
更新日期：2010-11-01 00:00:00
abstract：PURPOSE:We investigated the change in pupil size and pupil light reflex (PLR) using a pupillography capable of continuous measurement both during CPR and immediately following the return-of-spontaneous circulation (ROSC) in out-of-hospital cardiac arrest (OHCA) comatose patients in an emergency department. METHODS:Pup...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2018.11.016
更新日期：2019-02-01 00:00:00
abstract：AIM:Few data are available on the use of brainstem auditory evoked potentials (BAEPs) in combination with other electrophysiological tools to assess prognosis of comatose survivors from cardiac arrest (CA). METHODS:Retrospective analysis of data from all adult patients (>18years of age) admitted to our Dept of Intensi...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2017.09.013
更新日期：2017-11-01 00:00:00
abstract：INTRODUCTION:Telephone-cardiopulmonary resuscitation (CPR) advice aims to increase the quality and quantity of bystander CPR, one of the few interventions shown to improve outcome in cardiac arrest. We evaluated a current paediatric telephone protocol (AMPDS v11.1) to assess the effectiveness of verbal CPR instructions...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2010.02.007
更新日期：2010-07-01 00:00:00
abstract：:The demands for an optimal ventilation apparatus are that it can be easily handled, achieves a sufficiently high ventilation volume, and minimizes gastric inflation. Our aim was therefore to carry out a study in a training mannikin to find out whether the Oxylator EM100, compared with the bag, obtains improved ventila...
journal_title：Resuscitation
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/s0300-9572(97)00091-9
更新日期：1998-01-01 00:00:00
abstract：AIM:To systematically review studies comparing bystander automated external defibrillator (AED) use to no AED use in regard to clinical outcomes in out-of-hospital cardiac arrest (OHCA), and to provide a descriptive summary of studies on the cost-effectiveness of bystander AED use. METHODS:We searched Medline, Embase,...
journal_title：Resuscitation
pub_type： 杂志文章,meta分析,评审
doi：10.1016/j.resuscitation.2017.09.003
更新日期：2017-11-01 00:00:00
abstract：OBJECTIVE:To develop statistical tools that use combined initial survival data and post-resuscitation survival data to test the null hypothesis that true, population-wide outcomes following experimental CPR interventions are not different from control. METHOD:A new test statistic, d(2), for evaluating Type 1 error is ...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2007.04.026
更新日期：2007-11-01 00:00:00
abstract：:A clinical study of some biological and biochemical factors was carried out on patients with acute myocardial infarction. It was shown that: (i) the plasma viscosity was highly correlated to the clinical evolution of myocardial infarction; (ii) the variations of plasma viscosity were related to changes in the connecti...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/0300-9572(76)90041-1
更新日期：1976-01-01 00:00:00
abstract：BACKGROUND:Although rates of survival to hospital discharge after in-hospital cardiac arrest (IHCA) have improved over the last decade, it is unknown if these survival gains are sustained after hospital discharge. OBJECTIVE:To examine 1-year survival trends overall and by rhythm after IHCA. METHODS:Using Medicare ben...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2017.10.023
更新日期：2018-02-01 00:00:00
abstract：AIM:To investigate the impact of a history of diabetes mellitus on the neurologic outcome in comatose survivors of cardiac arrest of cardiac origin treated with mild hypothermia. METHODS:A prospective observational study was performed between September 2003 and July 2008. Eighty comatose survivors of cardiac arrest of...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2009.04.041
更新日期：2009-08-01 00:00:00
abstract：AIM:Only up to 20% of patients with out-of-hospital cardiac arrest (OHCA) receive immediate and optimal initial cardiac resuscitation and consequently regain consciousness soon after return of spontaneous circulation (ROSC). In the present study, we compared the outcome of conscious survivors of OHCA presenting with ST...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2018.09.005
更新日期：2018-12-01 00:00:00
abstract：AIM:In sick children who are unable to be weighed estimation of weight is often required, but the routinely used equations lack accuracy and precision. This study aimed to develop a novel equation (Children's European Estimator of Weight-CEEW) using measurements of mid-upper arm circumference (MUAC) and other predictor...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2017.04.025
更新日期：2017-08-01 00:00:00
