Publications by authors named "Adrien Drouet"
Introduction: The management of out-of-hospital traumatic cardiac arrest (TCA) for professional rescuers entails Advanced Life Support (ALS) with specific actions to treat the potential reversible causes of the arrest: hypovolemia, hypoxemia, tension pneumothorax (TPx), and tamponade. The aim of this study was to assess the impact of specific rescue measures on short-term outcomes in the context of resuscitating patients with a TCA.
Methods: This retrospective study concerns all TCA patients treated in two emergency medical units, which are part of the Northern French Alps Emergency Network (RENAU), from January 2004 through December 2017.
Introduction: Traumatic cardiac arrest (TCA) guidelines emphasize specific actions that aim to treat the potential reversible causes of the arrest. The aim of this study was to measure the impact of these recommendations on specific rescue measures carried out in the field, and their influence on short-term outcomes in the resuscitation of TCA patients.
Methods: We conducted a retrospective study of all TCA patients treated in two emergency medical units, which are part of the Northern Alps Emergency Network, from January 2004 to December 2017.
Rationale: End-tidal CO (EtCO) is used to monitor cardiopulmonary resuscitation (CPR), but it can be affected by intrathoracic airway closure. Chest compressions induce oscillations in expired CO, and this could reflect variable degrees of airway patency.
Objectives: To understand the impact of airway closure during CPR, and the relationship between the capnogram shape, airway closure, and delivered ventilation.
Article Synopsis
- The study examines the effects of chest compressions (CC) on ventilation and intrathoracic pressure (ITP) in Thiel-embalmed cadavers, comparing them to cardiac arrest patients and theoretical models.
- It involved measuring respiratory mechanics, ITP variations, and airway pressure changes during CC, using equipment like an esophageal catheter in 11 cadavers and clinical data from 9 patients.
- Results showed that the respiratory system's compliance and resistance in the cadavers were similar to the patients, and ITP changes during CC were influenced by PEEP, indicating potential airway closure issues at low lung volumes.