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Titolo:
Core rewarming via warm lavage liquid ventilation in a swine model of hypothermia-associated ventricular fibrillation
Autore:
Dickson, EW; Sivilotti, MLA; Mangolds, G; Renzi, FP; Heard, SO; Mori, K; Burns, MJ;
Indirizzi:
Univ Massachusetts, Med Ctr, Sch Med, Dept Emergency Med, Worcester, MA 01655 USA Univ Massachusetts Worcester MA USA 01655 cy Med, Worcester, MA 01655 USA Univ Massachusetts, Sch Med, Dept Physiol, Worcester, MA 01655 USA Univ Massachusetts Worcester MA USA 01655 hysiol, Worcester, MA 01655 USA Univ Massachusetts, Sch Med, Dept Surg, Worcester, MA 01655 USA Univ Massachusetts Worcester MA USA 01655 t Surg, Worcester, MA 01655 USA Univ Massachusetts, Sch Med, Dept Anesthesiol, Worcester, MA 01655 USA Univ Massachusetts Worcester MA USA 01655 hesiol, Worcester, MA 01655 USA Sapporo Med Univ, Sapporo, Hokkaido, Japan Sapporo Med Univ Sapporo Hokkaido Japan d Univ, Sapporo, Hokkaido, Japan Beth Israel Deaconess Med Ctr, Dept Emergency Med, Boston, MA 02215 USA Beth Israel Deaconess Med Ctr Boston MA USA 02215 d, Boston, MA 02215 USA
Titolo Testata:
ACADEMIC EMERGENCY MEDICINE
fascicolo: 1, volume: 8, anno: 2001,
pagine: 82 - 84
SICI:
1069-6563(200101)8:1<82:CRVWLL>2.0.ZU;2-P
Fonte:
ISI
Lingua:
ENG
Soggetto:
ACCIDENTAL HYPOTHERMIA;
Keywords:
perfluorocarbon liquid ventilation; hypothermia; ventricular fibrillation; core rewarming;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
11
Recensione:
Indirizzi per estratti:
Indirizzo: Dickson, EW Univ Massachusetts, Med Ctr, Sch Med, Dept Emergency Med, 55 Lake Ave N, Worcester, MA 01655 USA Univ Massachusetts 55 Lake Ave N Worcester MA USA 01655 55 USA
Citazione:
E.W. Dickson et al., "Core rewarming via warm lavage liquid ventilation in a swine model of hypothermia-associated ventricular fibrillation", ACAD EM MED, 8(1), 2001, pp. 82-84

Abstract

Objectives: To determine whether warm lavage liquid ventilation (LV) wouldprovide rapid cardiopulmonary rewarming in swine with severe hypothermia and ventricular fibrillation. Methods: Intubated common swine (n = 3; mean +/- SEM weight 26 +/- 1.2 kg) were cooled to a mean aortic temperature of 26.4 +/- 0.9 degreesC. Ventricular fibrillation was induced by transthoracic electrical shock. Rewarming was initiated by continuous endotracheal instillation of warm (44 degreesC) pre-oxygenated, perfluorocarbon liquid at 5 mL/kg/min. Endotracheal instillation of perfluorocarbon occurred while standard gas ventilation continued. Manual chest compressions were performed throughout the 30-minute rewarming process. Outcome measures were the absolute and relative rates of change of all temperatures. Results: After 30 minutesof warm lavage LV, the mean aortic and pulmonary artery temperatures increased by 6.6 +/- 0.6 degreesC and 4.3 +/- 1.0 degreesC, respectively. Esophageal, nasal, and rectal temperatures did not change significantly. In one animal, normal sinus rhythm spontaneously returned after 16 minutes of rewarming. Conclusions: During cardiac arrest, warm lavage liquid ventilation may produce rapid cardiopulmonary rewarming.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/04/20 alle ore 03:50:57