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Evolution Of Arterial Pressure And Brain Sro2 During Basic Life Support Resuscitation In A Translational Model Of Cardiac Arrest
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Book Synopsis Evolution Of Arterial Pressure And Brain SRO2 During Basic Life Support Resuscitation In A Translational Model Of Cardiac Arrest by : Gabriel Pujol
Download or read book Evolution Of Arterial Pressure And Brain SRO2 During Basic Life Support Resuscitation In A Translational Model Of Cardiac Arrest written by Gabriel Pujol and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background and PurposeTissue perfusion during Basic Life Support (BLS) resuscitation depends on hemodynamic support provided by chest compressions. However, it remains unclear how the ischaemia/reperfusion phenomena influences hemodynamic stability during prolonged BLS. We aimed to study the arterial pressures and brain tissue perfusion in a porcine model of cardiac arrest (CA) and BLS.MethodsSix female pigs (30u00b1 Kg) underwent an 8-minute non-treated ventricular fibrillation followed by BLS resuscitation for 15 (n=3) and 30 minutes (n=3). Chest compressions were provided with a LUCAS machine and respirations (FiO2 0.21) with bag valve mask at 30:2 ratio, respectively. Invasive systolic, mean and diastolic arterial pressures (SAP, MAP and DAP) and brain SrO2 were recorded every minute from baseline until the end of the experiment. ResultsBriefly, arterial pressures rapidly dropped during 8-minutes untreated cardiac arrest and rapidly increased when BLS manoeuvres were started by LUCAS. SAP reached its peak at 3 minute and then was observed to gradually drop over-time. MAP and DAP were maintained low during BLS with also tendency to drop. Brain SrO2 during BLS did not correlate with the evolution of SAP, not showing any improvement once BLS manoeuvres began.ConclusionsIn a large-animal model of CA, arterial pressures drop over-time during the BLS despite mechanical chest compressions. Brain tissue perfusion does not follow arterial pressure pattern during BLS.
Book Synopsis Advances in Brain Resuscitation by : Hiroshi Takeshita
Download or read book Advances in Brain Resuscitation written by Hiroshi Takeshita and published by . This book was released on 1991 with total page 352 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Brain resuscitation is the therapeutic intervention for critically ill patients with severe brain damage, particularly the types caused by ischemia and hypoxia. The The objective of the International Symposium on Brain Resuscitation held in Ube, Yamaguchi Japan October 31 to November 2 1988, and sponsored by Yamaguchi University and the Japanese Ministry of Education, was to review our recent progress in brain resuscitation and to discuss controversies both basic and clinical. To my knowledge, this symposium was the first held in Japan. Our understanding of neuronal dysfunction due to ischemic/hypoxic insults at organ, cellular, and molecular levels has advanced significantly in the last two decades. We had therefore intended that this international symposium should broadly cover the topics which are of interest to both basic researchers and clinicians. Three hundred and twenty-five attendants, including twenty scientists from eight different countries, actively participated in discussion and exchange of new ideas and thoughts concerning brain resuscitation. This book comprises the re ports presented during the symposium which consisted of two main parts: basic and clinical."--Publisher's website.
Book Synopsis Haemodynamic Parameters During Cardiopulmonary Resuscitation In Estimating The Degree Of Ischaemic Contracture by :
Download or read book Haemodynamic Parameters During Cardiopulmonary Resuscitation In Estimating The Degree Of Ischaemic Contracture written by and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Myocardial ischemic contracture compromises the hemodynamic effectiveness of cardiopulmonary resuscitation (CPR). Its most severe form, referred to as stone heart, is considered to be beyond the limit of resuscitation. However, accurate assessment of the ischemic contracture severity is challenging during CPR. We investigated, in a swine model, whether hemodynamic parameters, including end-tidal carbon dioxide (ETCO2), are predictive of the ischemic contracture severity during consistent quality CPR.Methods: We retrospectively analyzed 96 datasets for ETCO2, arterial pressure, left ventricular (LV) wall thickness, and the percent of measured end-diastolic volume (%EDV) relative to EDV at the onset of ventricular fibrillation from eight pigs. Animals underwent advanced cardiovascular life support based on resuscitation guidelines.Results: During CPR, LV wall thickness progressively increased while %EDV progressively decreased. Systolic and diastolic arterial pressure and ETCO2 were significantly correlated with LV wall thickness and %EDV. Linear mixed effect models revealed that, after adjustment for baseline covariates, systolic and diastolic arterial pressure were not predictive factors for LV wall thickness or %EDV. ETCO2 was a significant predictive factor for LV wall thickness (P = 0.014) and %EDV (P = 0.013). However, it could explain only 6.1% and 14.2% of the total variance of LV wall thickness and %EDV in our models, respectively.Conclusions: ETCO2 was a significant predictive factor for the severity of ischemic contracture. However, it explained only a small proportion of the variance of ischemic contracture severity.
Book Synopsis Brain Protection in Cardiac Surgery by : Robert S. Bonser
Download or read book Brain Protection in Cardiac Surgery written by Robert S. Bonser and published by Springer Science & Business Media. This book was released on 2010-12-15 with total page 250 pages. Available in PDF, EPUB and Kindle. Book excerpt: Part of the Monographs in Cardiac Surgery Series – Introducing ‘basic science into the cardiac operating room’. Fast systematic review of small areas of cardiac surgery including up-to-date information. This will allow more rapid publication than the alternative cardiac surgery ‘tomes’. This entry into the series will provide readers with a complete review of the current understanding in brain injury and the methods used to avoid or limit its effects on patient morbidity and mortality.
Book Synopsis Principles of war surgery by : United States. Surgeon-General's Office
Download or read book Principles of war surgery written by United States. Surgeon-General's Office and published by . This book was released on 1918 with total page 90 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis TEXTBOOK OF HUMAN EMBRYOLOGY WITH CLINICAL CASES AND 3D ILLUSTRATIONS by : Yogesh Sontakke
Download or read book TEXTBOOK OF HUMAN EMBRYOLOGY WITH CLINICAL CASES AND 3D ILLUSTRATIONS written by Yogesh Sontakke and published by CBS Publishers & Distributors Private Limited. This book was released on 2019 with total page 9 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is an exceptional textbook on embryology with 3-dimension illustrations drawn to create a life-like effect in understanding the intricacies of developing human structure. This text focuses on clinical cases with clinical facts. With concise text, the highlights of the book include flowcharts, tables, summary (examination guide), boxes, interesting facts, electron micrographs, clinical cases, special topics, MCQs and viva-voce questions.
Book Synopsis Epidural Labor Analgesia by : Giorgio Capogna
Download or read book Epidural Labor Analgesia written by Giorgio Capogna and published by Springer. This book was released on 2015-03-17 with total page 337 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book offers an in-depth examination of labor pain and analgesia with the aim of promoting natural childbirth without pain. All aspects of the subject are covered, including the latest techniques of delivering labor analgesia. Importantly, emphasis is placed on a holistic approach, detailed attention being paid to the humanization of childbirth and behavioral aspects in addition to evidence-based medicine. Potential future developments are also addressed, with discussion of opportunities that have yet to be realized. In order to ensure that the text is easily readable for trainees as well as established practitioners, chapters have been restricted to a manageable length and information is presented clearly and succinctly. Step-by-step tutorials and boxes highlighting practical points are used to clarify technical aspects. The authors include both well-established experts and young emerging professionals from various European countries, ensuring an intercultural perspective.
Book Synopsis Anaesthesia and Resuscitation by : Roderick A. Gordon
Download or read book Anaesthesia and Resuscitation written by Roderick A. Gordon and published by University of Toronto Press. This book was released on 1973-12-15 with total page 212 pages. Available in PDF, EPUB and Kindle. Book excerpt: As in most fields of medical practice many things in anaesthesia are done on an empirical basis: this speciality is dynamic and expanding, and today's dogma may become tomorrow's error. This introductory manual, now revised and updated in a second edition, was prepared by the Department of Anaesthesia in Canadian medical schools and provides the undergraduate medical student with an important foundation for wider knowledge in the realm of anaesthesiology. Contents include Anaesthesia in relation to surgery , Evaluation of the patient before anaesthesia, Preanaesthetic medication, General anaesthesia, Neuromuscular transmission and muscle relaxation, Regional anaesthesia, Care of the unconscious patient, Respiration and anaesthesia, Cardiovascular homeostasis in relation to anaesthesia and resuscitation, Fluid and electrolyte balance, Acid-base balance, Complications of anaesthesia, Postoperative problems and care, Obstetrical anaesthesia and resuscitation of the newborn, and Special considerations in paediatric anaesthesia.
Book Synopsis Textbook of Human Histology by : Y. Sontakke
Download or read book Textbook of Human Histology written by Y. Sontakke and published by CBS Publishers & Distributors Pvt Limited, India. This book was released on 2019-05-30 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This is a complete textbook on human histology for undergraduate medical students. It includes: - Concise text with functional correlation for quick recapitulation during examinations. - 117 photomicrographs to help identify the microscopic structures. - 122 flowcharts that help students to revise and memorize the microanatomy. - 106 practice figures (HE pencil drawings) which are easily reproducible in theory examinations. - 175 3D illustrations that provide a visual grasp of difficult concepts. - A summary (examination guide) to overcome the difficulty of summarizing the facts in written assessments. - Interesting facts to isolate them from main text, so that these facts should not be missed by the reader. - Clinical correlation for orientation towards pathogenesis of diseases (vertical integration).
Book Synopsis Airway Management by : Zahid Hussain Khan
Download or read book Airway Management written by Zahid Hussain Khan and published by Springer. This book was released on 2014-08-19 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt: Because of his international prominence, Professor Khan has been able to gather an enviable list of experts in the field to contribute their experience with airway management in a multitude of clinical settings. The critical appraisal of the airway authored by the editor, Professor Khan, sets the stage for the important preoperative tests that may alert the clinician of the potential for a difficult airway so that appropriate plans can be made. The formidable “guest list” of authors spans the world and encompasses clinicians from Malaysia, the United States, Pakistan, India, Denmark, Singapore, Germany, Canada and Iran. What is equally remarkable is the list of topics discussed in the textbook and the varied clinical settings in which airway management is likely to pose particular and unique challenges: pediatrics; patients with cervical spine injury and those with traumatic brain injury; ambulatory surgery; patients with obstructive sleep apnea and obstetric patients. The book also addresses the latest in technological advances that can aid the clinician in diagnosing and managing the difficult airway, such as ultrasonography and also describes surgical approaches to managing the difficult airway, such as cricothyrotomy. Finally, underscoring the truly international appeal of the textbook and acknowledging the potential technological limitations of the developing world, a chapter is dedicated to the use of indigenous devices in managing the difficult airway.
Book Synopsis Paediatric Neuroanaesthesia by : Hemanshu Prabhakar
Download or read book Paediatric Neuroanaesthesia written by Hemanshu Prabhakar and published by Oxford Clinical Practice. This book was released on 2018 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Paediatric patients with neurological problems are a special population. Managing these patients requires special anaesthetic considerations and a detailed book is much needed. This book is a comprehensive reference book and includes topics ranging from basic sciences (neuroanatomy, neurophysiology, and neuropharmacology) to special situations such as brain death, ethical issues, and palliative care. Besides the chapters dealing with various neurological surgical problems, there is a dedicated section on common procedures performed on paediatric patients in the operation theatre and ICUs, such as insertion of venous cannula, arterial line, central line, etc., all of which are challenging. This section is supported by tutorial videos. The fact that basic sciences are included along with clinical sciences makes it unique and helpful for the readers.
