SIMULTANEOUS ACTIVE COMPRESSION-DECOMPRESSION AND ABDOMINAL BINDING INCREASE CAROTID BLOOD-FLOW ADDITIVELY DURING CARDIOPULMONARY-RESUSCITATION (CPR) IN PIGS

被引：36

作者：

WIK, L ^{[1
]}

NAESS, PA ^{[1
]}

ILEBEKK, A ^{[1
]}

STEEN, PA ^{[1
]}

机构：

[1] NORWEGIAN AIR AMBULANCE,DEPT EDUC & RES ACUTE MED,N-1441 DROEBAK,NORWAY

来源：

RESUSCITATION | 1994年 / 28卷 / 01期

关键词：

ACTIVE COMPRESSION DECOMPRESSION; CPR; ABDOMINAL BINDING; CAROTID BLOOD FLOW; CORONARY PERFUSION PRESSURE;

D O I：

10.1016/0300-9572(94)90055-8

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

The effects of adding active compression-decompression and abdominal binding separately or combined to standard compression CPR was tested in a randomized cross-over design during ventricular fibrillation in eight pigs. The flow and pressure effects of the two techniques appeared to be additive with no interference between the two. Carotid blood flow increased 22% with active compression-decompression, 34% with abdominal binding and 59% with the combination compared to flow with standard compression. Peak antegrade carotid flow occured in early systole with retrograde flow in early diastole and close to zero in late diastole with no profound alterations induced by active decompression or abdominal binding. Abdominal binding increased the intrathoracic pressure during the compression phase as estimated from the esophageal pressure, while active decompression caused a negative esophageal pressure during the decompression phase. Neither active decompression nor abdominal binding caused any changes in the coronary perfusion pressure, nor in the left ventricular transmural pressure except for a rise in mid-diastolic pressure with active decompression.

引用

页码：55 / 64

页数：10

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