title: A new internal cardiac massage technique.
abstract: Classical internal cardiac massage mostly can increase systolic blood pressure to maintain sufficient brain and systemic organ perfusion but diastolic blood pressure commonly remains below 10 mmHg. To be able to increase the diastolic blood pressure sufficiently, the surgeon grabs the distal part of the ascending aorta between the thumb and index finger of the left hand and squeezes it during the diastolic time period to increase the diastolic pressure. Ascending aorta is released during ventricular squeezing, and subsequently ascending aorta is squeezed during the ventricular relaxation.
authors.affiliation: Cardiac Surgery Department, Suleyman Demirel University, Isparta, Turkey. erkanece2000@yahoo.com
authors.forename: Erkan
authors.initials: E
authors.lastname: Kuralay
mesh_terms: D001011:Aorta; D001794:Blood Pressure; D016887:Cardiopulmonary Resuscitation / Q000379:methods; D003971:Diastole; D006336:Heart Massage / Q000379:methods*; D006801:Humans; D013249:Sternum / Q000601:surgery; D013599:Systole