Resuscitative Endovascular Balloon Occlusion of the Aorta in Experimental Cardiopulmonary Resuscitation: Aortic Occlusion Level Matters
| Autor: | Tal M. Hörer, Linus Beskow, Fredrik Calais, Birger Axelsson, Kristofer F. Nilsson, Emanuel M. Dogan |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Swine medicine.medical_treatment Diastole Diaphragmatic breathing Blood Pressure 030204 cardiovascular system & hematology Critical Care and Intensive Care Medicine cardiopulmonary resuscitation 03 medical and health sciences 0302 clinical medicine medicine.artery Internal medicine Occlusion medicine return of spontaneous circulation Animals Thoracic aorta Cardiopulmonary resuscitation Aorta business.industry Hemodynamics Basic Science Aspects 030208 emergency & critical care medicine Balloon Occlusion Cardiac arrest Confidence interval Heart Arrest resuscitative endovascular balloon occlusion of the aorta Descending aorta Emergency Medicine Cardiology Female business metabolism |
| Zdroj: | Shock (Augusta, Ga.) |
| ISSN: | 1540-0514 1073-2322 |
| DOI: | 10.1097/shk.0000000000001236 |
| Popis: | Introduction: Aortic occlusion during cardiopulmonary resuscitation (CPR) increases systemic arterial pressures. Correct thoracic placement during the resuscitative endovascular balloon occlusion of the aorta (REBOA) may be important for achieving effective CPR. Hypothesis: The positioning of the REBOA in the thoracic aorta during CPR will affect systemic arterial pressures. Methods: Cardiac arrest was induced in 27 anesthetized pigs. After 7 min of CPR with a mechanical compression device, REBOA in the thoracic descending aorta at heart level (zone Ib, REBOA-Ib, n = 9), at diaphragmatic level (zone Ic, REBOA-Ic, n = 9) or no occlusion (control, n = 9) was initiated. The primary outcome was systemic arterial pressures during CPR. Results: During CPR, REBOA-Ic increased systolic blood pressure from 86 mmHg (confidence interval [CI] 71–101) to 128 mmHg (CI 107–150, P |
| Databáze: | OpenAIRE |
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