| Cerebral flow pattern monitoring by transcranial Doppler during cardiopulmonary resuscitation. | |
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MedLine Citation:
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PMID: 20369777 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We describe the transcranial Doppler pattern during a period of cardiopulmonary resuscitation in a patient undergoing a transcatheter off-pump aortic valve implantation. Transcranial Doppler of the middle cerebral artery flow was measured as a part of a separate ongoing study. The patient developed a cardiac arrest during deployment of the valve prosthesis. The incidental presence of the transcranial Doppler allowed us to assess middle cerebral artery flow during cardiopulmonary resuscitation in real time. An initial lack of a diastolic flow pattern seen with transcranial Doppler at the beginning of cardiopulmonary resuscitation led to volume loading and optimisation of the resuscitation technique. After increasing the depth of external cardiac massage, the cerebral flow pattern improved to produce sufficient diastolic flow. The transcranial Doppler provided additional information during cardiopulmonary resuscitation, which was helpful in clinical management. The use of transcranial Doppler may be helpful for other cardiac procedures where cerebral malperfusion may occur. |
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Authors:
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J Blumenstein; J Kempfert; T Walther; A Van Linden; J Fassl; M Borger; F W Mohr |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Anaesthesia and intensive care Volume: 38 ISSN: 0310-057X ISO Abbreviation: Anaesth Intensive Care Publication Date: 2010 Mar |
Date Detail:
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Created Date: 2010-04-07 Completed Date: 2010-04-20 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0342017 Medline TA: Anaesth Intensive Care Country: Australia |
Other Details:
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Languages: eng Pagination: 376-80 Citation Subset: IM |
Affiliation:
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Department of Cardiac Surgery and Anesthesiology, Heartcenter, Leipzig University, Leipzig, Germany. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Aortic Valve / surgery Cardiopulmonary Resuscitation* Cerebrovascular Circulation* Female Humans Monitoring, Physiologic Ultrasonography, Doppler, Transcranial* |
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