Cerebral blood flow measured by transcranial Doppler ultrasound during manual chest wall or automated LUCAS-2 compressions during cardiopulmonary resuscitation

被引:0
作者
Carmona Jimenez, Francesc [1 ]
Palma Padro, Pilar [1 ]
Soto Garcia, Angeles [1 ]
Rodriguez Venegas, Juan Carlos [1 ]
机构
[1] SEM, Barcelona, Spain
来源
EMERGENCIAS | 2012年 / 24卷 / 01期
关键词
Brain ischemia; Chest wall compression; Cardiopulmonary resuscitation; Transcranial Doppler ultrasound; QUALITY; DEVICE;
D O I
暂无
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Effective chest wall compressions are essential to ensure a minimum of cerebral blood flow during resuscitation, but manual compression maneuvers are not always efficacious. The LUCAS system delivers chest wall compressions that comply with international recommendations. Using transcranial Doppler ultrasound to measure cerebral blood flow, we compared flow during the cardiopulmonary resuscitation of 6 patients before and after placement of the LUCAS device. Two of the patients in cardiorespiratory arrest secondary to subarachnoid bleeding had no cerebral blood flow with either manual or automated compressions. For the other 4 patients, cerebral blood flow was better during the automated compressions from the LUCAS system. [Emergencias 2012;24:47-49]
引用
收藏
页码:47 / 49
页数:3
相关论文
共 9 条
[1]   Reference values for measures of blood flow velocities and impedance indexes in healthy individuals through conventional transcranial Doppler [J].
Barbosa, Mauricio Fregonesi ;
Abdala, Nitamar ;
Carrete, Henrique, Jr. ;
Nogueira, Roberto Gomes ;
Nalli, Darcio Roberto ;
Falco Fonseca, Jose Roberto ;
Szejnfeld, Jacob .
ARQUIVOS DE NEURO-PSIQUIATRIA, 2006, 64 (3B) :829-838
[2]   Mechanisms of early brain injury after subarachnoid hemorrhage [J].
Cahill, W. Julian ;
Calvert, John H. ;
Zhang, John H. .
JOURNAL OF CEREBRAL BLOOD FLOW AND METABOLISM, 2006, 26 (11) :1341-1353
[3]   European Resuscitation Council Guidelines for Resuscitation 2010 Section 1 Executive summary [J].
Nolan, Jerry P. ;
Soar, Jasmeet ;
Zideman, David A. ;
Biarent, Dominique ;
Bossaert, Leo L. ;
Deakin, Charles ;
Koster, Rudolph W. ;
Wyllie, Jonathan ;
Bottiger, Bernd .
RESUSCITATION, 2010, 81 (10) :1219-1276
[4]   The effect of rescuer fatigue on the quality of chest compressions [J].
Ochoa, FJ ;
Ramalle-Gomara, E ;
Lisa, V ;
Saralegui, I .
RESUSCITATION, 1998, 37 (03) :149-152
[5]   Mechanisms of hyperbaric oxygen-induced neuroprotection in a rat model of subarachnoid hemorrhage [J].
Ostrowski, RP ;
Colohan, ART ;
Zhang, JH .
JOURNAL OF CEREBRAL BLOOD FLOW AND METABOLISM, 2005, 25 (05) :554-571
[6]   Cerebral blood flow during cardiopulmonary bypass in pediatric cardiac surgery: The role of transcranial Doppler - A systematic review of the literature [J].
Polito A. ;
Ricci Z. ;
Di Chiara L. ;
Giorni C. ;
Iacoella C. ;
Sanders S.P. ;
Picardo S. .
Cardiovascular Ultrasound, 4 (1)
[7]   Increased cortical cerebral blood flow with LUCAS; a new device for mechanical chest compressions compared to standard external compressions during experimental cardiopulmonary resuscitation [J].
Rubertsson, S ;
Karlsten, R .
RESUSCITATION, 2005, 65 (03) :357-363
[8]   Evaluation of LUCAS, a new device for automatic mechanical compression and active decompression resuscitation [J].
Steen, S ;
Liao, QM ;
Pierre, L ;
Paskevicius, A ;
Sjöberg, T .
RESUSCITATION, 2002, 55 (03) :285-299
[9]   Quality of cardiopulmonary resuscitation during out-of-hospital cardiac arrest [J].
Wik, L ;
Kramer-Johansen, J ;
Myklebust, H ;
Sorebo, H ;
Svensson, L ;
Fellows, B ;
Steen, PA .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2005, 293 (03) :299-304