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 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.
Prause
Gerhard
G
Department of Anesthesiology and Intensive Care Medicine, Medical University of Graz, 8036 Graz, Austria.
Archan
Sylvia
S
Gemes
Geza
G
Kaltenböck
Friedrich
F
Smolnikov
Ilja
I
Schuchlenz
Herwig
H
Wildner
Gernot
G
D000368:Aged; D017732:Air Ambulances; D001795:Blood Pressure Determination / Q000295:instrumentation; D015924:Blood Pressure Monitors; D006328:Cardiac Catheterization; D016887:Cardiopulmonary Resuscitation; D004636:Emergency Service, Hospital; D006323:Heart Arrest / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D006336:Heart Massage; D006801:Humans; D008297:Male