| Imaging the human microcirculation during cardiopulmonary resuscitation in a hypothermic victim of submersion trauma. | |
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MedLine Citation:
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PMID: 19963312 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The microcirculation is essential for delivery of oxygen and nutrients to tissue. However, the human microvascular response to cardiopulmonary resuscitation (CPR) is unknown. We report on the first use of sidestream dark field imaging to assess the human microcirculation during CPR with a mechanical chest compression/decompression device (mCPR). mCPR was able to provide microvascular perfusion. Capillary flow persisted even during brief mCPR interruption. However, indices of microvascular perfusion were low and improved vastly after return of spontaneous circulation. Microvascular perfusion was relatively independent from blood pressure. The microcirculation may be a useful monitor for determining the adequacy of CPR. |
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Authors:
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Paul W G Elbers; Antonius J Craenen; Antoine Driessen; Marco C Stehouwer; Luuk Munsterman; Miranda Prins; Mat van Iterson; Peter Bruins; Can Ince |
Publication Detail:
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Type: Case Reports; Journal Article Date: 2009-12-05 |
Journal Detail:
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Title: Resuscitation Volume: 81 ISSN: 1873-1570 ISO Abbreviation: Resuscitation Publication Date: 2010 Jan |
Date Detail:
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Created Date: 2010-02-01 Completed Date: 2010-05-04 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0332173 Medline TA: Resuscitation Country: Ireland |
Other Details:
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Languages: eng Pagination: 123-5 Citation Subset: IM |
Copyright Information:
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Copyright 2009 Elsevier Ireland Ltd. All rights reserved. |
Affiliation:
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Department of Anesthesia, Intensive Care and Pain Management, St. Antonius Ziekenhuis, Koekoekslaan 1, 3435 CM, Nieuwegein, The Netherlands. info@acidbase.org |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Cardiopulmonary Resuscitation* Fatal Outcome Humans Hypothermia / physiopathology, therapy* Male Microcirculation* Microscopy, Polarization* Near Drowning / physiopathology, therapy* Rewarming / methods* |
| Comments/Corrections | |
Comment In:
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Resuscitation. 2010 Jan;81(1):5
[PMID:
20004508
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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