TY  - JOUR
PY  - 2010//
TI  - Imaging the human microcirculation during cardiopulmonary resuscitation in a hypothermic victim of submersion trauma
JO  - Resuscitation
A1  - Elbers, Paul W. G.
A1  - Craenen, Antonius J.
A1  - Driessen, Antoine
A1  - Stehouwer, Marco C.
A1  - Munsterman, Luuk
A1  - Prins, Miranda
A1  - van Iterson, Mat
A1  - Bruins, Peter
A1  - Ince, Can
SP  - 123
EP  - 125
VL  - 81
IS  - 1
N2  - 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.<p />  <p>Language: en</p>
LA  - en
SN  - 0300-9572
UR  - http://dx.doi.org/10.1016/j.resuscitation.2009.09.032
ID  - ref1
ER  -