Details

Autor(en) / Beteiligte

• Achleitner, Ulrich
• Wenzel, Volker
• Strohmenger, Hans-Ulrich
• Lindner, Karl H
• Baubin, Michael A
• Krismer, Annette C
• Mayr, Viktoria D
• Amann, Anton

Titel

The beneficial effect of basic life support on ventricular fibrillation mean frequency and coronary perfusion pressure

Ist Teil von

• Resuscitation, 2001-11, Vol.51 (2), p.151-158

Ort / Verlag

Shannon: Elsevier Ireland Ltd

Erscheinungsjahr

2001

Quelle

Elsevier Journal Backfiles on ScienceDirect (DFG Nationallizenzen)

Beschreibungen/Notizen

• Background and objective: Chest compressions before initial defibrillation attempts have been shown to increase successful defibrillation. This animal study was designed to assess whether ventricular fibrillation mean frequency after 90 s of basic life support cardiopulmonary resuscitation (CPR) may be used as an indicator of coronary perfusion and mean arterial pressure during CPR. Methods and results: After 4 min of ventricular fibrillation cardiac arrest in a porcine model, CPR was performed manually for 3 min. Mean ventricular fibrillation frequency and amplitude, together with coronary perfusion and mean arterial pressure were measured before initiation of chest compressions, and after 90 s and 3 min of basic life support CPR. Increases in fibrillation mean frequency correlated with increases in coronary perfusion and mean arterial pressure after both 90 s ( R=0.77, P<0.0001, n=30; R=0.75, P<0.0001, n=30, respectively) and 3 min ( R=0.61, P<0.001, n=30; R=0.78, P<0.0001, n=30, respectively) of basic life support CPR. Increases in fibrillation mean amplitude correlated with increases in mean arterial pressure after both 90 s ( R=0.46, P<0.01; n=30) and 3 min ( R=0.42, P<0.05, n=30) of CPR. Correlation between fibrillation mean amplitude and coronary perfusion pressure was not significant both at 90 s and 3 min of CPR. Conclusions: In this porcine laboratory model, 90 s and 3 min of CPR improved ventricular fibrillation mean frequency, which correlated positively with coronary perfusion pressure, and mean arterial pressure.