Estimation of cerebral blood flow during cardiopulmonary resuscitation in humans

Resuscitation. 1990 Apr;19(2):115-23. doi: 10.1016/0300-9572(90)90034-c.

Abstract

Cerebral blood flow (CBF) and cardiac output (CO) were measured during cardiopulmonary resuscitation in patients who were unsuccessfully resuscitated by use of C14-iodoantipyrine injected into the left ventricle. CO varied between 1.3 and 2.2 l/min with mean 1.8 +/- 0.6 l/min (+/- SD) (28 ml/kg/min). The cortical CBF was found between 14 and 211 ml 100 g-1.min-1 with mean 42 ml 100 g-1.min-1 and mean white matter CBF equal to 27 ml 100 g-1.min-1. It is suggested that the external cardiac massage in humans may be of poor efficacy in terms of brain revival. Cortical CBF after long-lasting cardiopulmonary resuscitation showed signs of maldistribution suggestive of a patchy and incomplete perfusion.

MeSH terms

  • Aged
  • Antipyrine / analogs & derivatives
  • Blood Gas Analysis
  • Carbon Radioisotopes
  • Cardiac Output / physiology
  • Cerebrovascular Circulation / physiology*
  • Electric Countershock
  • Female
  • Heart Massage
  • Humans
  • Male
  • Middle Aged
  • Resuscitation*

Substances

  • Carbon Radioisotopes
  • Antipyrine
  • iodoantipyrine