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Why do chest compre...
Why do chest compressions aid delayed defibrillation?
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Chambertain, Douglas (author)
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Frenneaux, Michael (author)
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- Steen, Stig (author)
- Lund University,Lunds universitet,Thoraxkirurgi,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Thoracic Surgery,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine
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Smith, Andrew (author)
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(creator_code:org_t)
- Elsevier BV, 2008
- 2008
- English.
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In: Resuscitation. - : Elsevier BV. - 1873-1570 .- 0300-9572. ; 77:1, s. 10-15
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Abstract
Subject headings
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- The new resuscitation guidelines permit compressions before delayed, defibrillation, a change that has generally been welcomed. The benefits are generally assumed to relate to the immediate provision of limited coronary perfusion with protection or replenishment of myocardial metabolic reserves. In this paper we argue that the concept is inadequate to explain many experimental and clinical. observations made during resuscitation attempts. We argue that changes in the size and shape of the ventricles are the most important reason for the narrow window of opportunity for defibrillation alone and for the value of compressions in extending this period. We also draw attention to the implication for clinical resuscitation and to one aspect of the current guidelines of the European Resuscitation Council that we believe to be inconsistent with the evidence that we review. (C) 2007 Elsevier Ireland Ltd. All rights reserved.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Anestesi och intensivvård (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Anesthesiology and Intensive Care (hsv//eng)
Keyword
- ventricular interaction
- pathophysiology
- cardiac arrest compressions
- defibrittation
- coronary perfusion pressure
- guidelines
Publication and Content Type
- art (subject category)
- vet (subject category)
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