| A new cardiopulmonary resuscitation method using only rhythmic abdominal compression: a preliminary report. | |
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MedLine Citation:
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PMID: 17870482 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This article introduces 2 new cardiopulmonary resuscitation (CPR) concepts: (1) the use of only rhythmic abdominal compression (OAC) to produce blood flow during CPR with ventricular fibrillation and (2) a new way of describing coronary perfusion effectiveness, namely, the area between the aortic and right atrial pressure curves, summed over 1 minute, the units being millimeters of mercury per second. We call this unit the coronary perfusion index (CPI). True mean coronary perfusion pressure is CPI/60. We also relate CPI during CPR with ventricular fibrillation to the CPI for the normally beating heart in the same animal, obtained before each experiment. This 11-pig (25-35 kg) study compares the CPI for standard chest-compression CPR and that obtained with OAC-CPR. The coronary perfusion ratio for OAC-CPR compared with standard chest-compression CPR was 1.6 +/- 0.73 (P = .024). In other words, OAC-CPR produced 60% more coronary perfusion than standard chest-compression CPR, with no damage to visceral organs. |
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Authors:
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Leslie A Geddes; Ann Rundell; Aaron Lottes; Andre Kemeny; Michael Otlewski |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: The American journal of emergency medicine Volume: 25 ISSN: 1532-8171 ISO Abbreviation: Am J Emerg Med Publication Date: 2007 Sep |
Date Detail:
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Created Date: 2007-09-17 Completed Date: 2007-10-05 Revised Date: 2008-07-01 |
Medline Journal Info:
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Nlm Unique ID: 8309942 Medline TA: Am J Emerg Med Country: United States |
Other Details:
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Languages: eng Pagination: 786-90 Citation Subset: IM |
Affiliation:
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Weldon School of Biomedical Engineering, Purdue University, W Lafayette, IN 47907, USA. geddes@ecn.purdue.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abdomen Animals Aorta / physiopathology Blood Pressure / physiology Cardiopulmonary Resuscitation / methods* Coronary Circulation / physiology* Heart Atria / physiopathology Swine Ventricular Fibrillation / physiopathology, therapy* |
| Comments/Corrections | |
Comment In:
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Am J Emerg Med. 2008 Mar;26(3):374-5; author reply 375
[PMID:
18358960
]
Am J Emerg Med. 2008 Mar;26(3):375-6; author reply 376-7 [PMID: 18358962 ] Am J Emerg Med. 2008 Jun;26(5):625; author reply 626 [PMID: 18534299 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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