scholarly journals Impact of Different Ventilation Strategies on Gas Exchanges and Circulation During Prolonged Mechanical Cardio-Pulmonary Resuscitation In A Porcine Model

Shock ◽  
2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Caroline Fritz ◽  
Deborah Jaeger ◽  
Yun Luo ◽  
Emilie Lardenois ◽  
Bilal Badat ◽  
...  
2021 ◽  
Author(s):  
Caroline FRITZ ◽  
Deborah JAEGER ◽  
Yun LUO ◽  
Emilie LARDENOIS ◽  
Bilal BADAT ◽  
...  

Abstract Background: Optimal ventilation during cardio-pulmonary resuscitation (CPR) is still controversial. Ventilation is expected to provide sufficient arterial oxygen content and adequate carbon dioxide removal, while minimizing the risk of circulatory impairment. The objective of the present study was to compare three ventilation strategies in a porcine model during mechanical continuous chest compressions (CCC) according to arterial oxygenation and hemodynamic impact. MethodVentricular fibrillation was induced and followed by five no-flow minutes and thirty low-flow minutes resuscitation with mechanical-CCC without vasopressive drugs administration. Three groups of eight Landras pig were randomized according to the ventilation strategy: i) Standard volume-control mode (SD-group); ii) bi-level pressure mode (CPV-group); iii) continuous insufflation with Boussignac Cardiac-Arrest Device (BC-group). We assessed i) arterial blood gases, ii) macro hemodynamics, iii) tissular cerebral macro and micro-circulation and iiii) airway pressure, minute ventilation at baseline and every five minutes during the protocol. Results: Arterial PaO2 level was higher at each measurement time in SD-group (>200mmHg) compare to CPV-group and BC-group (p<0.01). In BC-group, arterial PaCO2 level was significantly higher (>90mmHg) than in SD and CPV groups (p<0.01). There was no difference between groups concerning hemodynamic parameters, cerebral perfusion and microcirculation. Conclusion: Ventilation modalities in this porcine model of prolonged CPR influence oxygenation and decarboxylation without impairing circulation and cerebral perfusion.


2007 ◽  
Vol 177 (4S) ◽  
pp. 233-233
Author(s):  
Alexandra E. Perks ◽  
Trevor D. Schuler ◽  
Luke Fazio ◽  
Brian Blew ◽  
Greg Hare ◽  
...  
Keyword(s):  

2006 ◽  
Vol 175 (4S) ◽  
pp. 283-284
Author(s):  
Luke M. Fazio ◽  
Alexandra E. Perks ◽  
Brian D.M. Blew ◽  
Greg T. Hare ◽  
David Mazer ◽  
...  

2005 ◽  
Vol 173 (4S) ◽  
pp. 173-174
Author(s):  
Quinton V. Cancel ◽  
Benjamin K. Yang ◽  
Zhen Su ◽  
Jens Dannull ◽  
Philipp Dahm ◽  
...  

2004 ◽  
Vol 171 (4S) ◽  
pp. 12-12
Author(s):  
David A. Anderson ◽  
David S. Wang ◽  
Peter C. Fretz ◽  
Thai T. Nguyen ◽  
Howard N. Winfield

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