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10.1164/rccm.201407-1343OC http://scihub22266oqcxt.onion/10.1164/rccm.201407-1343OC C4315818!4315818!25321490     free     free     free Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 267.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 267.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Am+J+Respir+Crit+Care+Med 2014 ; 190 (11): 1255-62 Nephropedia Template TP {{tp|p=25321490|t=2014. Patient-centric Blood Pressure?targeted Cardiopulmonary Resuscitation Improves Survival from Cardiac Arrest |pdf=|usr=}}{{25321490}} gab.com Text Patient-centric Blood Pressure targeted Cardiopulmonary Resuscitation Improves Survival from Cardiac Arrest JO: Am J Respir Crit Care Med http://www.kidney.de/pget.php?&tw=1&pmid=25321490 #FOAvip Rationale: Although current resuscitation guidelines are rescuer focused, the opportunity exists to develop patient-centered resuscitation strategies that optimize the hemodynamic response of the individual in the hopes to improve survival.Objectives: To determine if titrating cardiopulmonary resuscitation (CPR) to blood pressure would improve 24-hour survival compared with traditional CPR in a porcine model of asphyxia-associated ventricular fibrillation (VF).Methods: After 7 minutes of asphyxia, followed by VF, 20 female 3-month-old swine randomly received either blood pressure?targeted care consisting of titration of compression depth to a systolic blood pressure of 100 mm Hg and vasopressors to a coronary perfusion pressure greater than 20 mm Hg (BP care); or optimal American Heart Association Guideline care consisting of depth of 51 mm with standard advanced cardiac life support epinephrine dosing (Guideline care). All animals received manual CPR for 10 minutes before first shock. Primary outcome was 24-hour survival.Measurements and Main Results: The 24-hour survival was higher in the BP care group (8 of 10) compared with Guideline care (0 of 10); P?=?0.001. Coronary perfusion pressure was higher in the BP care group (point estimate +8.5 mm Hg; 95% confidence interval, 3.9?13.0 mm Hg; P?<?0.01); however, depth was higher in Guideline care (point estimate +9.3 mm; 95% confidence interval, 6.0?12.5 mm; P?<?0.01). Number of vasopressor doses before first shock was higher in the BP care group versus Guideline care (median, 3 [range, 0?3] vs. 2 [range, 2?2]; P?=?0.003).Conclusions: Blood pressure?targeted CPR improves 24-hour survival compared with optimal American Heart Association care in a porcine model of asphyxia-associated VF cardiac arrest. Twit Text FOAVip Patient-centric Blood Pressure targeted Cardiopulmonary Resuscitation Improves Survival from Cardiac Arrest ????Am J Respir Crit Care Med http://www.kidney.de/pget.php?&tw=1&pmid=25321490 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=25321490 #FOAvip English Wikipedia <ref>{{Cite pmid|25321490}}</ref> Patient-centric Blood Pressure?targeted Cardiopulmonary Resuscitation Improves Survival from Cardiac Arrest #MMPMID25321490 Sutton RM; Friess SH; Naim MY; Lampe JW; Bratinov G; Weiland TR; Garuccio M; Nadkarni VM; Becker LB; Berg RA Am J Respir Crit Care Med 2014[Dec]; 190 (11): 1255-62 PMID25321490show ga Rationale: Although current resuscitation guidelines are rescuer focused, the opportunity exists to develop patient-centered resuscitation strategies that optimize the hemodynamic response of the individual in the hopes to improve survival.Objectives: To determine if titrating cardiopulmonary resuscitation (CPR) to blood pressure would improve 24-hour survival compared with traditional CPR in a porcine model of asphyxia-associated ventricular fibrillation (VF).Methods: After 7 minutes of asphyxia, followed by VF, 20 female 3-month-old swine randomly received either blood pressure?targeted care consisting of titration of compression depth to a systolic blood pressure of 100 mm Hg and vasopressors to a coronary perfusion pressure greater than 20 mm Hg (BP care); or optimal American Heart Association Guideline care consisting of depth of 51 mm with standard advanced cardiac life support epinephrine dosing (Guideline care). All animals received manual CPR for 10 minutes before first shock. Primary outcome was 24-hour survival.Measurements and Main Results: The 24-hour survival was higher in the BP care group (8 of 10) compared with Guideline care (0 of 10); P?=?0.001. Coronary perfusion pressure was higher in the BP care group (point estimate +8.5 mm Hg; 95% confidence interval, 3.9?13.0 mm Hg; P? äPatient-centric Blood Pressure?targeted Cardiopulmonary Resuscitation (epmc).pdf DeepDyve Pubget Overpricing