Aortic occlusion during cardiac arrest – Mechanical adrenaline?

Cardiac arrest remains a public health problem. With cardiopulmonary resuscitation (CPR), approximately-one in ten survive, but there are large differences in survival between countries and health care systems. 1. Gräsner J.T. Wnent J. Herlitz J. et al. Survival after out-of-hospital cardiac arrest in Europe – results of the EuReCa TWO study. Resuscitation. 2020; 148: 218-226https://doi.org/10.1016/j.resuscitation.2019.12.042 Abstract Full Text Full Text PDF PubMed Scopus (229) Google Scholar , 2. Yan S. Gan Y. Jiang N. et al. The global survival rate among adult out-of-hospital cardiac arrest patients who received cardiopulmonary resuscitation: a systematic review and meta-analysis. Crit Care. 2020; 24: 61https://doi.org/10.1186/s13054-020-2773-2 Crossref PubMed Scopus (178) Google Scholar Survival is not merely about surviving until hospital admission, but also long-term survival with the potential for a meaningful existence. However, you cannot achieve long-term survival without first achieving return of spontaneous circulation (ROSC). Hence, all potential adjunct treatments to increase the rate of ROSC should be assessed. Resuscitative endovascular occlusion of the aorta (REBOA) as a mechanical method for increasing the coronary perfusion pressure in non-traumatic out-of-hospital cardiac arrest patientsResuscitationVol. 179PreviewResuscitative endovascular balloon occlusion of the aorta (REBOA), originally designed to block blood flow to the distal part of the aorta by placing a balloon in trauma patients, has recently been shown to increase coronary perfusion in cardiac arrest patients. This study evaluated the effect of REBOA on aortic pressure and coronary perfusion pressure (CPP) in non-traumatic out of-hospital cardiac arrest (OHCA) patients. Full-Text PDF