Author, as appears in the article.: Azeli, Youcef; Lorente Olazabal, Juan Victor; Monge Garcia, Manuel Ignacio; Bardaji, Alfredo;

Department: Medicina i Cirurgia

URV's Author/s: Bardají Ruiz, Alfredo

Keywords: Thoracic injuries Sternum Rib Mechanical chest compressions Hospital cardiac-arrest Hemodynamics Guidelines Depth Decompression Cpr Complications Cardiopulmonary resuscitation Campbell diagram Age Adverse effect hemodynamics cardiopulmonary resuscitation campbell diagram adverse effect

Abstract: Chest compressions during cardiopulmonary resuscitation (CPR) generate cardiac output during cardiac arrest. Their quality performance is key to achieving the return of spontaneous circulation. Serious thoracic injuries (STIs) are common during CPR, and they can change the shape and mechanics of the thorax. Little is known about their hemodynamic effects, so a review of this emerging concept is necessary. The Campbell diagram (CD) is a theoretical framework that integrates the lung and chest wall pressure-volume curves, allowing us to assess the consequences of STIs on respiratory mechanics and hemodynamics. STIs produce a decrease in the compliance of the chest wall and lung. The representation of STIs on the CD shows a decrease in the intrathoracic negative pressure and a functional residual capacity decrease during the thoracic decompression, leading to a venous return impairment. The thorax with STIs is more vulnerable to the adverse hemodynamic effects of leaning, hyperventilation, and left ventricular outflow tract obstruction during CPR. A better understanding of the effects of STIs during CPR, and the study of avoidable injuries, can help to improve the effectiveness of chest compressions and the survival in cardiac arrest.

Thematic Areas: Zootecnia / recursos pesqueiros Saúde coletiva Química Psicología Physiology (medical) Physiology Odontología Nutrição Medicina veterinaria Medicina iii Medicina ii Medicina i Interdisciplinar Farmacia Ensino Engenharias iv Educação física Ciências biológicas iii Ciências biológicas ii Ciências biológicas i Ciências ambientais Ciências agrárias i Ciência de alimentos Biotecnología Astronomia / física Administração pública e de empresas, ciências contábeis e turismo

licence for use: https://creativecommons.org/licenses/by/3.0/es/

ISSN: 1664042X

Author's mail: alfredo.bardaji@urv.cat

Author identifier: 0000-0003-1900-6974

Record's date: 2023-02-22

Papper version: info:eu-repo/semantics/publishedVersion

Link to the original source: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6901598/

Licence document URL: http://repositori.urv.cat/ca/proteccio-de-dades/

Papper original source: Frontiers In Physiology. 10 (1475): 1475-

APA: Azeli, Youcef; Lorente Olazabal, Juan Victor; Monge Garcia, Manuel Ignacio; Bardaji, Alfredo; (2019). Understanding the Adverse Hemodynamic Effects of Serious Thoracic Injuries During Cardiopulmonary Resuscitation: A Review and Approach Based on the Campbell Diagram. Frontiers In Physiology, 10(1475), 1475-. DOI: 10.3389/fphys.2019.01475

Article's DOI: 10.3389/fphys.2019.01475

Entity: Universitat Rovira i Virgili

Journal publication year: 2019

Publication Type: Journal Publications