Articles producció científica> Medicina i Cirurgia

Understanding the Adverse Hemodynamic Effects of Serious Thoracic Injuries During Cardiopulmonary Resuscitation: A Review and Approach Based on the Campbell Diagram

  • Identification data

    Identifier: imarina:6013676
    Authors:
    Azeli, YoucefLorente Olazabal, Juan VictorMonge Garcia, Manuel IgnacioBardaji, Alfredo
    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.
  • Others:

    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/
    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
    Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
    Article's DOI: 10.3389/fphys.2019.01475
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2019
    Publication Type: Journal Publications
  • Keywords:

    Physiology,Physiology (Medical)
    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
    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
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