Evidence map›Paper›PMID 36736947›Full record

ArticleResuscitation2023

High central venous pressure amplitude predicts successful defibrillation in a porcine model of cardiac arrest.

Claudius Balzer, Susan S Eagle, Demetris Yannopoulos, Tom P Aufderheide, Matthias L Riess

Open access · greenAbstract read
In one paragraph

Article in Resuscitation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
3.5field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 10 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 1 country.

Claudius BalzerDepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN, USA.
Susan S EagleDepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN, USA.
Demetris YannopoulosCardiovascular Division, University of Minnesota, Minneapolis, MN, USA.
Tom P AufderheideDepartment of Emergency Medicine, Medical College of Wisconsin, Milwaukee, WI, USA.
Matthias L RiessAnesthesiology, TVHS VA Medical Center, Nashville, TN, USA; Department of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN, USA; Department of Pharmacology, Vanderbilt University, Nashville, TN, USA. Electronic address: matthias.riess@vanderbilt.edu.
Vanderbilt University Medical Center · USMedical College of Wisconsin · USUniversity of Minnesota · USVanderbilt University · US

Funding

Reperfusion Injury Protection Strategies During Basic Life SupportR01HL123227 · NHLBI · UNIVERSITY OF MINNESOTA · PI YANNOPOULOS, DEMETRIS · 2013 to 2017
$5.1M
Novel Copolymer-based Cell Membrane Stabilizers to Attenuate Myocardial InfarctionI01BX003482 · VA · VETERANS HEALTH ADMINISTRATION · PI RIESS, MATTHIAS L. · 2018 to 2022
–
BLRD VA I01 BX003482NHLBI NIH HHS R01 HL123227
6 · The paper itself

Abstract

aimIncreasing venous return during cardiopulmonary resuscitation (CPR) has been shown to improve hemodynamics during CPR and outcomes following cardiac arrest (CA). We hypothesized that a high central venous pressure amplitude (CVP-A), the difference between the maximum and minimum central venous pressure during chest compressions, could serve as a robust predictor of return of spontaneous circulation (ROSC) in addition to traditional measurements of coronary perfusion pressure (CPP) and end-tidal CO

methodsAfter 10 min of ventricular fibrillation, 9 anesthetized and intubated female pigs received mechanical chest compressions with active compression/decompression (ACD) and an impedance threshold device (ITD). CPP, CVP-A and etCO

resultsFive animals out of 9 experienced ROSC. CVP-A showed a statistically significant difference (p = 0.003) between the two groups during 3 min of CPR before defibrillation compared to CPP (p = 0.056) and etCO

conclusionIn our study, CVP-A was a potentially useful predictor of successful defibrillation and return of spontaneous circulation. Overall, CVP-A could serve as a marker for prediction of ROSC with increased venous return and thereby monitoring the beneficial effects of ACD and ITD.

Indexed as

Cardiopulmonary ResuscitationHeart ArrestAnimalsCentral Venous PressureDisease Models, AnimalFemaleHemodynamicsSwineVentricular FibrillationCardiopulmonary resuscitationCentral venous pressureCoronary perfusion pressureEnd-tidal CO2Return of spontaneous circulationVentricular fibrillation

Identifiers

PMID36736947
PMCPMC11087940
OpenAlexW4318757246

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.