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首页> 外文期刊>The American surgeon. >Treatment Effect or Effective Treatment? Cardiac Compression Fraction and End-tidal Carbon Dioxide Are Higher in Patients Resuscitative Endovascular Balloon Occlusion of the Aorta Compared with Resuscitative Thoracotomy and Open-Chest Cardiac Massage
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Treatment Effect or Effective Treatment? Cardiac Compression Fraction and End-tidal Carbon Dioxide Are Higher in Patients Resuscitative Endovascular Balloon Occlusion of the Aorta Compared with Resuscitative Thoracotomy and Open-Chest Cardiac Massage

机译：治疗效果或有效治疗？ 与复苏胸廓切开术和露胸部心脏按摩相比，心脏压缩分数和末端二氧化碳患者复苏血管球囊闭塞的患者闭塞

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摘要

The purpose of this study is to compare end-tidal carbon dioxide (EtCO_2) during resuscitation of open-chest cardiac massage (OCCM) with aortic cross-clamp (ACC) versus receiving resuscitative endovascular balloon occlusion of the aorta (REBOA) with closed-chest compressions (CCCs). Patients who received REBOA were compared with patients receiving OCCM for traumatic arrest using continuous vital sign monitoring and videography. Thirty-three patients were enrolled in the REBOA group and 18 patients were enrolled in the OCCM group. Of the total patients, 86.3 per cent were male with a mean age of 36.2 +- 13.9 years. Ninety-four percent of patients suffered penetrating trauma in the OCCM group compared with 30.3 per cent of the REBOA group (P = < 0.001). Before aortic occlusion (AO), there was no difference in initial EtCO_2 values, but mean, median, peak, and final EtCO_2 values were lower in OCCM (P < 0.005). During CPR after AO, the initial, mean, and median values were higher with REBOA (P = 0.015, 0.036, and 0.038). The rate of return of spontaneous circulation was higher in REBOA versus OCCM (20/33 [60.1%] vs 5/18 [33.3%]; P = 0.04), and REBOA patients survived to operative intervention more frequently (P 5 0.038). REBOA patients had greater total cardiac compression fraction (CCF) before AO than OCCM (85.3 +- 12.7% vs 35.2 +- 18.6%, P < 0.0001) and after AO (88.3 +- 7.8% vs 71.9 +- 24.4%, P 5 0.0052). REBOA patients have higher EtCO_2 and cardiac compression fraction before and after AO compared with patients who receive OCCM.
机译：本研究的目的是将末端潮汐二氧化碳（ETCO_2）与主动脉交叉钳（ACC）与主动脉交叉夹（ACC）与接受主动脉（REBOA）的复苏血管瘤闭塞的复苏（REBOA）进行复苏 - 胸部按压（CCC）。将接受ReboA的患者与接受OCCM的患者进行比较，使用连续的重要标志监测和摄像性进行创伤逮捕。患有三十三名患者注册了REBOA组，18名患者注册了OCCM组。总患者，86.3％的是男性，平均年龄为36.2±13.9岁。百分之九十四名患者在综合体组中遭受渗透性创伤，而REBOA组的30.3％（p = <0.001）。在主动脉闭塞（AO）之前，初始EtCO_2值没有差异，但平均值，中值，峰值和最终的EtCO_2值以OCCM较低（P <0.005）。在CPR期间，通过REBOA（P = 0.015,0.036和0.038），初始，平均值和中值值较高。恢复速度循环率较高，转化率较高（20/33 [60.1％] Vs 5/18 [33.3％]; p = 0.04），并且Reboa患者更频繁地存活到手术干预（p 5.038）。在AO之前，REBOA患者在AO之前具有更大的总心脏压缩级分（CCF）（85.3 + - 12.7％VS 35.2 + - 18.6％，P <0.0001）和AO之后（88.3 + - 7.8％VS 71.9 + - 24.4％，P 5 0.0052）。与接受OCCM的患者相比，REBOA患者在AO之前和之后具有更高的ETCO_2和心脏压缩分数。

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