Changes in peripheral arterial blood pressure after resuscitative endovascular balloon occlusion of the aorta (REBOA) in non-traumatic cardiac arrest patients.
| Autor: | Brede JR; Department of Emergency Medicine and Pre-Hospital Services, St. Olav's Hospital, Trondheim University Hospital, Trondheim, Norway. Jostein.brede@norskluftambulanse.no.; Department of Research and Development, Norwegian Air Ambulance Foundation, Oslo, Norway. Jostein.brede@norskluftambulanse.no.; Department of Anesthesiology and Intensive Care Medicine, St. Olav's Hospital, Trondheim University Hospital, Trondheim, Norway. Jostein.brede@norskluftambulanse.no.; Department of Circulation and Medical Imaging, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway. Jostein.brede@norskluftambulanse.no., Skjærseth E; Department of Emergency Medicine and Pre-Hospital Services, St. Olav's Hospital, Trondheim University Hospital, Trondheim, Norway., Klepstad P; Department of Anesthesiology and Intensive Care Medicine, St. Olav's Hospital, Trondheim University Hospital, Trondheim, Norway.; Department of Circulation and Medical Imaging, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway., Nordseth T; Department of Anesthesiology and Intensive Care Medicine, St. Olav's Hospital, Trondheim University Hospital, Trondheim, Norway.; Department of Circulation and Medical Imaging, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway., Krüger AJ; Department of Emergency Medicine and Pre-Hospital Services, St. Olav's Hospital, Trondheim University Hospital, Trondheim, Norway.; Department of Research and Development, Norwegian Air Ambulance Foundation, Oslo, Norway.; Department of Circulation and Medical Imaging, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway. |
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| Jazyk: | angličtina |
| Zdroj: | BMC emergency medicine [BMC Emerg Med] 2021 Dec 15; Vol. 21 (1), pp. 157. Date of Electronic Publication: 2021 Dec 15. |
| DOI: | 10.1186/s12873-021-00551-y |
| Abstrakt: | Background: Resuscitative endovascular balloon occlusion of the aorta (REBOA) may be an adjunct treatment to cardiopulmonary resuscitation (CPR). Aortic occlusion may increase aortic pressure and increase the coronary perfusion pressure and the cerebral blood flow. Peripheral arterial blood pressure is often measured during or after CPR, however, changes in peripheral blood pressure after aortic occlusion is insufficiently described. This study aimed to assess changes in peripheral arterial blood pressure after REBOA in patients with out of hospital cardiac arrest. Methods: A prospective observational study performed at the helicopter emergency medical service in Trondheim (Norway). Eligible patients received REBOA as adjunct treatment to advanced cardiac life support. Peripheral invasive arterial blood pressure and end-tidal CO Results: Five patients were included to the study. The median REBOA procedural time was 11 min and median time from dispatch to aortic occlusion was 50 min. Two patients achieved return of spontaneous circulation. EtCO Conclusion: This study is, to our knowledge, the first to assess the peripheral invasive arterial blood pressure response to aortic occlusion during CPR in the pre-hospital setting. REBOA application during CPR is associated with a significantly increase in peripheral artery pressures. This likely indicates improved central aortic blood pressure and warrants studies with simultaneous peripheral and central blood pressure measurement during aortic occlusion. Trial Registration: The study is registered in ClinicalTrials.gov ( NCT03534011 ). (© 2021. The Author(s).) |
| Databáze: | MEDLINE |
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