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Full-Text Articles in Engineering
Methods For Calculating Coronary Perfusion Pressure During Cpr, Michael P. Otlewski, Leslie A. Geddes, Michael Pargett, Charles F. Babbs
Methods For Calculating Coronary Perfusion Pressure During Cpr, Michael P. Otlewski, Leslie A. Geddes, Michael Pargett, Charles F. Babbs
Weldon School of Biomedical Engineering Faculty Publications
Coronary perfusion pressure (CPP) is a major indicator of the effectiveness of cardiopulmonary resuscitation in human and animal research studies; however methods for calculating CPP differ among research groups. Here we compare the 6 published methods for calculating CPP using the same data set of aortic (Ao) and right atrial (RA) blood pressures. CPP was computed using each of the 6 calculation methods in an anesthetized pig model, instrumented with catheters with Cobe pressure transducers. Aortic and right atrial pressures were recorded continuously during electrically induced ventricular fibrillation and standard CPR. CPP calculated from the same raw data set by …
Meta-Analysis Of Two-Treatment Clinical Trials Including Both Continuous And Dichotomous Results, Charles F. Babbs
Meta-Analysis Of Two-Treatment Clinical Trials Including Both Continuous And Dichotomous Results, Charles F. Babbs
Weldon School of Biomedical Engineering Faculty Publications
To expedite the timely creation of medical practice guidelines, a meta-analytic method was developed to combine of both dichotomous survival data and continuous physiologic data from multiple studies comparing the same innovative clinical intervention to standard care. The method is adapted for synthesis of small, early studies of novel treatments. An aggregate ratio, R*, of the observed treatment effect to a clinically optimal treatment effect for studies in a series is computed, and compared to the 95% confidence limit for R* under the null hypothesis. Weights assigned to each study may reflect its precision, quality, or clinical relevance. Input data …
Preclinical Studies Of Abdominal Counterpulsation In Cpr, Charles F. Babbs
Preclinical Studies Of Abdominal Counterpulsation In Cpr, Charles F. Babbs
Weldon School of Biomedical Engineering Faculty Publications
Abdominal counterpulsation added to standard cardiopulmonary resuscitation improves blood flow in animal models when compared to chest compressions alone. Similar effects can be demonstrated in analog and digital computer models of the circulation. The technique generates both central aortic and central venous pressure pulses, and successful application of the method depends on maximizing the former and minimizing the latter. Proper technique is important in order to generate the largest possible arteriovenous pressure difference.
Intrapulmonary Epinephrine During Prolonged Cardipulmonary Resuscitation: Improved Regional Blood Flow And Resuscitation In Dogs, Sandra H. Ralston, William D. Voorhees, Charles F. Babbs
Intrapulmonary Epinephrine During Prolonged Cardipulmonary Resuscitation: Improved Regional Blood Flow And Resuscitation In Dogs, Sandra H. Ralston, William D. Voorhees, Charles F. Babbs
Weldon School of Biomedical Engineering Faculty Publications
Blood flow to vital organs was measured at five-minute intervals during 20 minutes of cardiopulmonary resuscitation (CPR) and ventricular fibrillation in two groups of anesthetized dogs (n = 15 per group). The relationship between organ blood flow and restoration of circulation after 20 minutes was assessed with no additional treatment in Group I and with intrapulmonary epinephrine in Group II. Cardiac output and organ blood flow did not vary significantly in Group I. In Group II, intrapulmonary epinephrine significantly improved blood flow to the myocardium, the brain, and the adrenal glands. A mean myocardial blood flow of less than 0.13 …