Abstract：
INTRODUCTION:Quality chest compressions (CC) are the most important factor in successful cardiopulmonary resuscitation. Adjustment of CC based upon an invasive arterial blood pressure (ABP) display would be theoretically beneficial. Additionally, having one compressor present for longer than a 2-min cycle with an ABP display may allow for a learning process to further maximize CC. Accordingly, we tested the hypothesis that CC can be improved with a real-time display of invasively measured blood pressure and with an unchanged, physically fit compressor. METHODS:A manikin was attached to an ABP display derived from a hemodynamic model responding to parameters of CC rate, depth, and compression-decompression ratio. The area under the blood pressure curve over time (AUC) was used for data analysis. Each participant (N=20) performed 4 CPR sessions: (1) No ABP display, exchange of compressor every 2 min; (2) ABP display, exchange of compressor every 2 min; (3) no ABP display, no exchange of the compressor; (4) ABP display, no exchange of the compressor. Data were analyzed by ANOVA. Significance was set at a p-value<0.05. RESULTS:The average AUC for cycles without ABP display was 5201 mm Hgs (95% confidence interval (CI) of 4804-5597 mm Hgs), and for cycles with ABP display 6110 mm Hgs (95% CI of 5715-6507 mm Hgs) (p<0.0001). The average AUC increase with ABP display for each participant was 20.2±17.4% 95 CI (p<0.0001). CONCLUSIONS:Our study confirms the hypothesis that a real-time display of simulated ABP during CPR that responds to participant performance improves achieved and sustained ABP. However, without any real-time visual feedback, even fit compressors demonstrated degradation of CC quality.
journal_name
Resuscitationjournal_title
Resuscitationauthors
Rieke H,Rieke M,Gado SK,Nietert PJ,Field LC,Clark CA,Furse CM,McEvoy MDdoi
10.1016/j.resuscitation.2013.06.014subject
Has Abstractpub_date
2013-11-01 00:00:00pages
1585-90issue
11eissn
0300-9572issn
1873-1570pii
S0300-9572(13)00337-7journal_volume
84pub_type
杂志文章相关文献
RESUSCITATION文献大全abstract：PURPOSE:Although well characterized in animals, brain damage in humans treated with hypothermia after cardiac arrest has not been systematically explored. In this study we aimed to describe the characteristic trait of selective eosinophilic neuronal death (SEND), and its correlation with time to return of spontaneous c...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2013.11.022
更新日期：2014-04-01 00:00:00
abstract：:"Bystanders" or lay persons are typically the first caregivers to attend to a victim of out-of-hospital cardiopulmonary arrest. Astronaut crew medical officers (CMO) play a similar role to bystanders aboard the International Space Station (ISS). Studies have demonstrated the importance of bystander cardiopulmonary res...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2006.07.027
更新日期：2007-04-01 00:00:00
abstract：BACKGROUND:Health-related quality of life (HRQoL) has been reported for out-hospital (OHCA) and in-hospital cardiac arrest (IHCA) separately, but potential differences between the two groups are unknown. The aim of this study is therefore to describe and compare HRQoL in patients surviving OHCA and IHCA. METHODS:Patie...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2020.04.002
更新日期：2020-06-01 00:00:00
abstract：OBJECTIVE:To study the changes of brain water diffusion and cerebral haemodynamics of cortical areas using magnetic resonance imaging (MRI) in canine models of cardiac arrest (CA) and restoration of spontaneous circulation (ROSC). The secondary study objective was to evaluate whether MRI can be used to observe haemodyn...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2011.10.017
更新日期：2012-05-01 00:00:00
abstract：BACKGROUND:In volume- or pressure-controlled hemorrhagic shock (HS) a bolus intravenous infusion of hypertonic/hyperoncotic solution (HHS) proved beneficial compared to isotonic crystalloid solutions. During uncontrolled HS in animals, however, HHS by bolus increased blood pressure unpredictably, and increased blood lo...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2004.10.012
更新日期：2005-04-01 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：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：AIM OF THE STUDY:To analyse 2 years of experience after introducing automated external defibrillators (AED) all over Austria. MATERIALS AND METHODS:This observational study evaluated the number of privately purchased devices and the rate of local bystander-triggered AED deployments from November 2002 to December 2004....
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2007.11.019
更新日期：2008-05-01 00:00:00
abstract：AIM:The aim of this study was to investigate the levels of various cerebrospinal fluid (CSF) biomarkers related to neuronal damage, inflammation and amyloid β (Aβ) metabolism in patients resuscitated after an out-of-hospital cardiac arrest (CA). METHODS:CSF levels of neurofilament light protein (NFL), total tau (T-tau...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2013.10.032
更新日期：2014-02-01 00:00:00
abstract：OBJECTIVE:In a previous study, ketamine suppressed Escherichia coli-induced production of the cytokines interleukin (IL)-6 and tumor necrosis factor alpha (TNF). In other previous studies ketamine improved survival after E. coli inoculation. However, the relationship between cytokines and survival following ketamine tr...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2004.02.015
更新日期：2004-08-01 00:00:00
abstract：OBJECTIVE:the aim of the study is to investigate the effect of thrombolytic therapy on neurological outcome in patients after cardiac arrest due to acute myocardial infarction. Laboratory investigations have demonstrated that thrombolytic therapy after cardiopulmonary resuscitation improves neurological function. METH...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/s0300-9572(01)00432-4
更新日期：2002-01-01 00:00:00
abstract：BACKGROUND:Due to higher transthoracic impedance, obese patients may be less likely to be successfully defibrillated from ventricular tachycardia or ventricular fibrillation (VT/VF) arrest. However, the association between patient body mass index (BMI), defibrillation success, and survival outcomes of VT/VF arrest are ...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2016.05.028
更新日期：2016-08-01 00:00:00
abstract：:Mild to moderate hypothermia has been employed since the 1940s in the treatment of acute blunt head trauma. The utility of hypothermia in ischemic injury has been confirmed, by both animal studies and clinical experience, in cardiovascular and neurological surgery. In blunt injury, though, only one prospective, random...
journal_title：Resuscitation
pub_type： 杂志文章,评审
doi：10.1016/0300-9572(94)90049-3
更新日期：1994-07-01 00:00:00
abstract：BACKGROUND:Recent studies have demonstrated higher-quality chest compressions (CCs) following a 60 s ultra-brief video (UBV) on compression-only CPR (CO-CPR). However, the effectiveness of UBVs as a CPR-teaching tool for lay bystanders in public venues remains unknown. OBJECTIVE:Determine whether an UBV is effective i...
journal_title：Resuscitation
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.resuscitation.2014.06.013
更新日期：2014-09-01 00:00:00
abstract：:Mauritius lies in the southwest Indian Ocean about 1250 miles from the African coast and 500 miles from Madagascar. Mauritius (estimated population 1,230,602) became independent from the United Kingdom in 1968 and has one of the highest GDP per capita in Africa. Within Mauritius there is a well established EMS system ...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2008.10.006
更新日期：2009-02-01 00:00:00
abstract：:A 52-year-old previously healthy man experienced acute severe dyspnoea after suffering from gastroenteritis for 3 days. After arrival of the ambulance, cardiac arrest with an initial rhythm of electro mechanical dissociation occurred. Circulation was restored after 10 min of cardiopulmonary resuscitation but soon card...
journal_title：Resuscitation
pub_type： 杂志文章,评审
doi：10.1016/s0300-9572(98)00066-5
更新日期：1998-07-01 00:00:00
abstract：AIM:Evaluation of team performances during medical simulation must rely on validated and reproducible tools. Our aim was to build and validate a French version of the Team Emergency Assessment Measure (TEAM) score, which was developed for the assessment of team performance and non-technical skills during resuscitation....
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2015.11.024
更新日期：2016-04-01 00:00:00
abstract：INTRODUCTION:Triage after resuscitation from cardiac arrest is hindered by reliable early estimation of brain injury. We evaluated the performance of a triage model based on early bispectral index (BIS) findings and cardiac risk classes. METHODS:Retrospective evaluation of serial patients resuscitated from cardiac arr...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2014.04.016
更新日期：2014-08-01 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：BACKGROUND:The merit of rapid response systems (RRSs) remains controversial. A tailored approach to specific groups may increase the efficacy of these teams. The purpose of this study was to compare differences in triggers for RRS activation, interventions, and outcomes in patients on medical and surgical services. ME...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2010.12.005
更新日期：2011-04-01 00:00:00
abstract：BACKGROUND/OBJECTIVE:Physiologic monitoring of resuscitative efforts during cardiac arrest is gaining in importance, as it provides a real-time window into the cellular physiology of patients. The aim of this review is to assess the quality of evidence surrounding the use of physiologic monitoring to guide cardiopulmon...
journal_title：Resuscitation
pub_type： 杂志文章,meta分析,评审
doi：10.1016/j.resuscitation.2016.01.025
更新日期：2016-04-01 00:00:00
abstract：:The management of non-compressible torso hemorrhage can be problematic. Current therapy requires either open or interventional radiologic control of bleeding vessels and/or organs. Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a new tool to stabilize patients in shock by achieving temporary infl...
journal_title：Resuscitation
pub_type： 杂志文章,评审
doi：10.1016/j.resuscitation.2015.09.003
更新日期：2015-11-01 00:00:00
abstract：BACKGROUND:This study was designed to test the effects of active compression-decompression (ACD) versus standard (STD) cardiopulmonary resuscitation (CPR) on hemodynamics after prolonged cardiac arrest (CA). METHODS AND RESULTS:After nontraumatic prehospital CA, 21 patients were resuscitated in a prospective nonblinde...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/0300-9572(95)00934-5
更新日期：1996-06-01 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 efficiency of a pulsed biphasic waveform (PBW) was compared with that of biphasic truncated exponential (BTE) waveforms. First defibrillation shock outcome was studied in a population of 104 out-of-hospital cardiac arrest patients in ventricular fibrillation as the presenting rhythm. The call to first shock time w...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2007.08.010
更新日期：2008-03-01 00:00:00
abstract：BACKGROUND:Treatment of out-of-hospital cardiac arrest (OHCA) requires prompt intervention. Better outcomes are associated with briefer time from dispatch of emergency medical services (EMS) providers to arrival on scene, application of a defibrillator or insertion of an advanced airway. We assessed whether time from r...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2016.06.040
更新日期：2016-10-01 00:00:00
abstract：BACKGROUND:Efficiently performed basic life support (BLS) after cardiac arrest is proven to be effective. However, cardiopulmonary resuscitation (CPR) is strenuous and rescuers' performance declines rapidly over time. Audio-visual feedback devices reporting CPR quality may prevent this decline. We aimed to investigate ...
journal_title：Resuscitation
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.resuscitation.2013.10.028
更新日期：2014-04-01 00:00:00
abstract：AIM:Survival after out-of-hospital cardiac arrest (OHCA) has tripled during the past decade in Denmark as a likely result of improvements in cardiac arrest management. This study analyzed whether these improvements were applicable for patients with chronic obstructive pulmonary disease (COPD). METHODS:Patients ≥18 yea...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2016.04.017
更新日期：2016-07-01 00:00:00
abstract：:The pre-hospital care provided by emergency response systems will have an effect on the outcome of patients who have sustained an out of hospital cardiac arrest. This study compares the results of resuscitation in two centres, one in the UK (Edinburgh) and the other in the USA (Milwaukee), and examines the demographic...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/s0300-9572(97)00072-5
更新日期：1997-11-01 00:00:00
abstract：BACKGROUND:Previous studies have demonstrated significant associations between cardiopulmonary resuscitation (CPR) quality metrics and survival to hospital discharge. No adequately powered study has explored the relationship between location of resuscitation (scene vs. transport) and CPR quality. METHODS:We analyzed C...
journal_title：Resuscitation
pub_type： 杂志文章
doi：10.1016/j.resuscitation.2017.02.016
更新日期：2017-05-01 00:00:00
