Tight control of effectiveness of cardiac massage with invasive blood pressure monitoring during cardiopulmonary resuscitation

The continuity of chest compression is the main challenge in prehospital cardiopulmonary resuscitation in the field as well as during transport. Invasive blood pressure monitoring with visible pulse waves by means of an arterial line set prehospitally allows for tight control of the effectiveness of...

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Bibliographic Details
Published in:The American journal of emergency medicine 2010-07, Vol.28 (6), p.746.e5-746.e6
Main Authors: Prause, Gerhard, MD, Archan, Sylvia, MD, Gemes, Geza, MD, Kaltenböck, Friedrich, MD, Smolnikov, Ilja, Schuchlenz, Herwig, Wildner, Gernot, MD
Format: Article
Language:English
Subjects:
Aged
Air Ambulances
Angioplasty
Arterial lines
Blood pressure
Blood Pressure Determination - instrumentation
Blood Pressure Monitors
Cardiac arrest
Cardiac arrhythmia
Cardiac Catheterization
Cardiopulmonary Resuscitation
CPR
Emergency
Emergency medical care
Emergency Service, Hospital
Heart Arrest - diagnosis
Heart Arrest - etiology
Heart Arrest - therapy
Heart attacks
Heart Massage
Helicopters
Hemodynamics
Humans
Intensive care
Lifesaving
Male
Patients
Ventilators
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Summary:The continuity of chest compression is the main challenge in prehospital cardiopulmonary resuscitation in the field as well as during transport. Invasive blood pressure monitoring with visible pulse waves by means of an arterial line set prehospitally allows for tight control of the effectiveness of chest compressions as well as of the impact of the administered epinephrine and also captures beginning fatigue of the rescuers. In this case, maintaining uninterrupted circulation through manual as well as mechanical chest compressions continued until the successful percutaneous coronary intervention saved the patients life without neurologic damage.
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2009.09.035