Use of intrathoracic pressure regulation therapy in breathing patients for the treatment of hypotension secondary to trauma
| Autor: | Victor A. Convertino, David Lindstrom, Nathan Burkhart, David A. Wampler, Keith G. Lurie, Charles Lick, Brent Parquette, Craig A. Manifold, Lori L. Boland |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Resuscitation Impedance threshold device Vital signs Hemodynamics Thoracic Cavity 030204 cardiovascular system & hematology Critical Care and Intensive Care Medicine Trauma 03 medical and health sciences 0302 clinical medicine Heart rate Hypotensive resuscitation Pressure Medicine Humans Arterial Pressure Prospective Studies Adverse effect Oxygen saturation (medicine) Original Research Aged business.industry Vital Signs Respiration lcsh:Medical emergencies. Critical care. Intensive care. First aid 030208 emergency & critical care medicine lcsh:RC86-88.9 Middle Aged Blood pressure Anesthesia Emergency Medicine Breathing Wounds and Injuries Female Hypotension business |
| Zdroj: | Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, Vol 25, Iss 1, Pp 1-7 (2017) |
| ISSN: | 1757-7241 |
| Popis: | Background Intrathoracic pressure regulation (IPR) therapy has been shown to increase blood pressure in hypotensive patients. The potential value of this therapy in patients with hypotension secondary to trauma with bleeding is not well understood. We hypothesized that IPR would non-invasively and safely enhance blood pressure in spontaneously breathing patients with trauma-induced hypotension. Methods This prospective observational cohort study assessed vital signs from hypotensive patients with a systolic blood pressure (SBP) ≤90 mmHg secondary to trauma treated with IPR (ResQGARD™, ZOLL Medical) by pre-hospital emergency medical personnel in three large US metropolitan areas. Upon determination of hypotension, facemask-based IPR was initiated as long as bleeding was controlled. Vital signs were recorded before, during, and after IPR. An increased SBP with IPR use was the primary study endpoint. Device tolerance and ease of use were also reported. Results A total of 54 patients with hypotension secondary to trauma were treated from 2009 to 2016. The mean ± SD SBP increased from 80.9 ± 12.2 mmHg to 106.6 ± 19.2 mmHg with IPR (p |
| Databáze: | OpenAIRE |
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