PMID- 19963312
OWN - NLM
STAT- MEDLINE
DCOM- 20100504
LR  - 20100201
IS  - 1873-1570 (Electronic)
IS  - 0300-9572 (Linking)
VI  - 81
IP  - 1
DP  - 2010 Jan
TI  - Imaging the human microcirculation during cardiopulmonary resuscitation in a 
      hypothermic victim of submersion trauma.
PG  - 123-5
LID - 10.1016/j.resuscitation.2009.09.032 [doi]
AB  - The microcirculation is essential for delivery of oxygen and nutrients to tissue. 
      However, the human microvascular response to cardiopulmonary resuscitation (CPR) 
      is unknown. We report on the first use of sidestream dark field imaging to assess 
      the human microcirculation during CPR with a mechanical chest 
      compression/decompression device (mCPR). mCPR was able to provide microvascular 
      perfusion. Capillary flow persisted even during brief mCPR interruption. However, 
      indices of microvascular perfusion were low and improved vastly after return of 
      spontaneous circulation. Microvascular perfusion was relatively independent from 
      blood pressure. The microcirculation may be a useful monitor for determining the 
      adequacy of CPR.
CI  - Copyright 2009 Elsevier Ireland Ltd. All rights reserved.
FAU - Elbers, Paul W G
AU  - Elbers PW
AD  - Department of Anesthesia, Intensive Care and Pain Management, St. Antonius 
      Ziekenhuis, Koekoekslaan 1, 3435 CM, Nieuwegein, The Netherlands. 
      info@acidbase.org
FAU - Craenen, Antonius J
AU  - Craenen AJ
FAU - Driessen, Antoine
AU  - Driessen A
FAU - Stehouwer, Marco C
AU  - Stehouwer MC
FAU - Munsterman, Luuk
AU  - Munsterman L
FAU - Prins, Miranda
AU  - Prins M
FAU - van Iterson, Mat
AU  - van Iterson M
FAU - Bruins, Peter
AU  - Bruins P
FAU - Ince, Can
AU  - Ince C
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20091205
PL  - Ireland
TA  - Resuscitation
JT  - Resuscitation
JID - 0332173
SB  - IM
CIN - Resuscitation. 2010 Jan;81(1):5. PMID: 20004508
MH  - Adult
MH  - *Cardiopulmonary Resuscitation
MH  - Fatal Outcome
MH  - Humans
MH  - Hypothermia/physiopathology/*therapy
MH  - Male
MH  - *Microcirculation
MH  - *Microscopy, Polarization
MH  - Near Drowning/physiopathology/*therapy
MH  - Rewarming/*methods
EDAT- 2009/12/08 06:00
MHDA- 2010/05/05 06:00
CRDT- 2009/12/08 06:00
PHST- 2009/08/13 00:00 [received]
PHST- 2009/09/05 00:00 [revised]
PHST- 2009/09/26 00:00 [accepted]
PHST- 2009/12/08 06:00 [entrez]
PHST- 2009/12/08 06:00 [pubmed]
PHST- 2010/05/05 06:00 [medline]
AID - S0300-9572(09)00549-8 [pii]
AID - 10.1016/j.resuscitation.2009.09.032 [doi]
PST - ppublish
SO  - Resuscitation. 2010 Jan;81(1):123-5. doi: 10.1016/j.resuscitation.2009.09.032. 
      Epub 2009 Dec 5.