Tom P Aufderheide1, Keith G Lurie. 1. Department of Emergency Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Abstract
OBJECTIVE: The purpose of this study is to review cardiopulmonary resuscitation hemodynamics and vital organ blood flow in animal models with the use of the impedance threshold device (ITD) and to correlate these findings with the results of human clinical trials. RESULTS: Animal studies have demonstrated near normalization of cerebral blood flow and an increase between 50% and 100% in cardiac blood flow with use of the ITD. Coincident coronary perfusion pressure is significantly increased with the ITD. Results of human clinical trials generally reflect the data seen in animal models, with near normal blood pressure during active compression-decompression cardiopulmonary resuscitation and the ITD, near doubling of blood pressure with standard cardiopulmonary resuscitation plus the ITD, and significantly increased short-term survival rates. CONCLUSIONS: Improved vital organ perfusion with ITD use during cardiopulmonary resuscitation is an important advance in resuscitation. Incorporation of the ITD into protocols that improve other aspects of the care of patients during cardiac arrest and after successful resuscitation should result in further benefit from the ITD.
OBJECTIVE: The purpose of this study is to review cardiopulmonary resuscitation hemodynamics and vital organ blood flow in animal models with the use of the impedance threshold device (ITD) and to correlate these findings with the results of human clinical trials. RESULTS: Animal studies have demonstrated near normalization of cerebral blood flow and an increase between 50% and 100% in cardiac blood flow with use of the ITD. Coincident coronary perfusion pressure is significantly increased with the ITD. Results of human clinical trials generally reflect the data seen in animal models, with near normal blood pressure during active compression-decompression cardiopulmonary resuscitation and the ITD, near doubling of blood pressure with standard cardiopulmonary resuscitation plus the ITD, and significantly increased short-term survival rates. CONCLUSIONS: Improved vital organ perfusion with ITD use during cardiopulmonary resuscitation is an important advance in resuscitation. Incorporation of the ITD into protocols that improve other aspects of the care of patients during cardiac arrest and after successful resuscitation should result in further benefit from the ITD.
Authors: Guillaume Debaty; Anja Metzger; Jennifer Rees; Scott McKnite; Laura Puertas; Demetris Yannopoulos; Keith Lurie Journal: Crit Care Med Date: 2015-05 Impact factor: 7.598
Authors: Tom P Aufderheide; Graham Nichol; Thomas D Rea; Siobhan P Brown; Brian G Leroux; Paul E Pepe; Peter J Kudenchuk; Jim Christenson; Mohamud R Daya; Paul Dorian; Clifton W Callaway; Ahamed H Idris; Douglas Andrusiek; Shannon W Stephens; David Hostler; Daniel P Davis; James V Dunford; Ronald G Pirrallo; Ian G Stiell; Catherine M Clement; Alan Craig; Lois Van Ottingham; Terri A Schmidt; Henry E Wang; Myron L Weisfeldt; Joseph P Ornato; George Sopko Journal: N Engl J Med Date: 2011-09-01 Impact factor: 91.245
Authors: Tom P Aufderheide; Peter J Kudenchuk; Jerris R Hedges; Graham Nichol; Richard E Kerber; Paul Dorian; Daniel P Davis; Ahamed H Idris; Clifton W Callaway; Scott Emerson; Ian G Stiell; Thomas E Terndrup Journal: Resuscitation Date: 2008-05-19 Impact factor: 5.262
Authors: Tom P Aufderheide; Rajat Kalra; Marinos Kosmopoulos; Jason A Bartos; Demetris Yannopoulos Journal: Ann N Y Acad Sci Date: 2021-02-20 Impact factor: 5.691
Authors: Johanna C Moore; Bayert Salverda; Carolina Rojas-Salvador; Michael Lick; Guillaume Debaty; Keith G Lurie Journal: Resuscitation Date: 2020-10-04 Impact factor: 5.262