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10.1097/CCM.0b013e31820ed8a6

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suck abstract from ncbi


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pmid21358401
      Crit+Care+Med 2011 ; 39 (6 ): 1269-74
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  • Sodium nitroprusside enhanced cardiopulmonary resuscitation improves survival with good neurological function in a porcine model of prolonged cardiac arrest #MMPMID21358401
  • Yannopoulos D ; Matsuura T ; Schultz J ; Rudser K ; Halperin HR ; Lurie KG
  • Crit Care Med 2011[Jun]; 39 (6 ): 1269-74 PMID21358401 show ga
  • OBJECTIVE: To assess the effectiveness of sodium nitroprusside (SNP)-"enhanced" cardiopulmonary resuscitation (SNPeCPR) on 24-hr survival rates compared to standard CPR in animals after cardiac arrest. SNPeCPR consists of large intravenous SNP bolus doses during CPR enhanced by active compression-decompression CPR, an inspiratory impedance threshold device (ITD), and abdominal binding (AB). The combination of active compression-decompression CPR+ITD+AB without SNP will be called "enhanced" or eCPR. DESIGN: Randomized, blinded, animal study. SETTING: Preclinical animal laboratory. SUBJECTS: Twenty-four female farm pigs (30 ± 1 kg). INTERVENTIONS: Isoflurane anesthetized and intubated pigs were randomized after 8 mins of untreated ventricular fibrillation to receive either standard CPR (n = 8), SNPeCPR (n = 8), or eCPR (n = 8) for 25 mins followed by defibrillation. MEASUREMENTS AND MAIN RESULTS: The primary end point was carotid blood flow during CPR and 24-hr survival with good neurologic function defined as an overall performance category score of ?2 (1 = normal, 5 = brain dead or dead). Secondary end points included hemodynamics and end-tidal CO2. SNPeCPR significantly improved carotid blood flow and 24-hr survival rates with good neurologic function compared to standard CPR or eCPR (six of eight vs. zero of eight vs. one of eight, p < .05). The improved survival rates were associated with higher coronary perfusion pressure and ETco2 during CPR. CONCLUSION: In pigs, SNPeCPR significantly improved hemodynamics, resuscitation rates, and 24-hr survival rates with good neurologic function after cardiac arrest when compared with standard CPR or eCPR alone.
  • |Animals [MESH]
  • |Cardiopulmonary Resuscitation/*methods [MESH]
  • |Carotid Arteries/physiology [MESH]
  • |Disease Models, Animal [MESH]
  • |Female [MESH]
  • |Heart Arrest/etiology/*therapy [MESH]
  • |Nitroprusside/*therapeutic use [MESH]
  • |Regional Blood Flow [MESH]
  • |Swine [MESH]


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