Intra-aortic and Intra-caval Balloon Pump Devices in Experimental Non-traumatic Cardiac Arrest and Cardiopulmonary Resuscitation

被引：2

作者：

Dogan, Emanuel M. ^{[1
]}

Axelsson, Birger ^{[2
]}

Jauring, Oskar ^{[1
]}

Horer, Tal M. ^{[2
]}

Nilsson, Kristofer F. ^{[2
]}

Edstrom, Mans ^{[1
]}

机构：

[1] Orebro Univ, Fac Med & Hlth, Dept Anesthesiol & Intens Care, SE-70185 Orebro, Sweden

[2] Orebro Univ, Fac Med & Hlth, Dept Cardiothorac & Vasc Surg, Orebro, Sweden

来源：

JOURNAL OF CARDIOVASCULAR TRANSLATIONAL RESEARCH | 2023年 / 16卷 / 04期

关键词：

Heart arrest; Cardiopulmonary resuscitation; Counterpulsation; Hemodynamics; CORONARY PERFUSION-PRESSURE; SPONTANEOUS CIRCULATION; MYOCARDIAL-INFARCTION; ENDOVASCULAR RESUSCITATION; OCCLUSION; MANAGEMENT; RETURN; REBOA; AORTA;

D O I：

10.1007/s12265-022-10343-9

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Intra-aortic balloon pump (IABP) use during CPR has been scarcely studied. Intra-caval balloon pump (ICBP) may decrease backward venous flow during CPR. Mechanical chest compressions (MCC) were initiated after 10 min of cardiac arrest in anesthetized pigs. After 5 min of MCC, IABP (n = 6) or ICBP (n = 6) was initiated. The MCC device and the IABP/ICBP had slightly different frequencies, inducing a progressive peak pressure phase shift. IABP inflation 0.15 s before MCC significantly increased mean arterial pressure (MAP) and carotid blood flow (CBF) compared to inflation 0.10 s after MCC and to MCC only. Coronary perfusion pressure significantly increased with IABP inflation 0.25 s before MCC compared to inflation at MCC. ICBP inflation before MCC significantly increased MAP and CBF compared to inflation after MCC but not compared to MCC only. This shows the potential of IABP in CPR when optimally synchronized with MCC.

引用

页码：948 / 955

页数：8

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