Factors affecting survival from avalanche burial-A randomised prospective porcine pilot study

Resuscitation

Volumn 84, Issue 2, 2013, Pages 239-243

  Paal, Peter ^a   Strapazzon, Giacomo ^b   Braun, Patrick ^a   Ellmauer, Peter Paul ^a   Schroeder, Daniel Carl ^a   Sumann, Guenther ^c   Werner, Andreas ^d   Wenzel, Volker ^a   Falk, Markus ^e,f   Brugger, Hermann ^b  

^a UNIVERSITY HOSPITAL INNSBRUCK   (Austria)

^b INSTITUTE FOR RENEWABLE ENERGY   (Italy)

^c General Hospital Voecklabruck   (Austria)

^d CHARITÉ UNIVERSITÄTSMEDIZIN BERLIN   (Germany)

^e Province College for Health Care Professions Claudiana   (Italy)

^f Inova Q Inc   (Italy)

Author keywords

Asphyxia; Avalanche; Cardiac arrest; Hypercapnia; Hypothermia; Hypoxia

Indexed keywords

POTASSIUM;

AMBIENT AIR; ARTERIAL CARBON DIOXIDE PARTIAL PRESSURE; ARTERIAL OXYGEN PARTIAL PRESSURE; ARTERIAL PRESSURE; ARTICLE; AVALANCHE; COOLING; HEART ARREST; HEART OUTPUT; HYPERCAPNIA; HYPOTHERMIA; HYPOXIA; INTUBATION; NONHUMAN; PH; PILOT STUDY; POSTHUMOUS CARE; PRIORITY JOURNAL; PROSPECTIVE STUDY; SURVIVAL;

ANIMALS; ANOXIA; ASPHYXIA; AVALANCHES; FEMALE; HYPERCAPNIA; HYPOTHERMIA; MALE; PILOT PROJECTS; PROSPECTIVE STUDIES; RANDOM ALLOCATION; SURVIVAL; SWINE;

EID: 84873439109     PISSN: 03009572     EISSN: 18731570     Source Type: Journal    
DOI: 10.1016/j.resuscitation.2012.06.019     Document Type: Article

References (27)

1. Falk M., Brugger H., Adler-Kastner L. Avalanche survival chances. Nature 1994, 368:21.
2. Brugger H., Durrer B., Adler-Kastner L., et al. Field management of avalanche victims. Resuscitation 2001, 51:7-15.
3. Schwarz B., Mair P., Wagner-Berger H., et al. Neither vasopressin nor amiodarone improve CPR outcome in an animal model of hypothermic cardiac arrest. Acta Anaesthesiol Scand 2003, 47:1114-1118.
4. Soar J., Perkins G.D., Abbas G., et al. European Resuscitation Council Guidelines for Resuscitation 2010: Section 8. Cardiac arrest in special circumstances: electrolyte abnormalities, poisoning, drowning, accidental hypothermia, hyperthermia, asthma, anaphylaxis, cardiac surgery, trauma, pregnancy, electrocution. Resuscitation 2010, 81:1219-1276.
5. Morrison L.J., Deakin C.D., Morley P.T., et al. Part 8: advanced life support: 2010 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations. Circulation 2010, 122:S345-S421.
6. Wood S.C. Interactions between hypoxia and hypothermia. Annu Rev Physiol 1991, 53:71-85.
7. Oberhammer R., Beikircher W., Hormann C., et al. Full recovery of an avalanche victim with profound hypothermia and prolonged cardiac arrest treated by extracorporeal re-warming. Resuscitation 2008, 76:474-480.
8. Gilbert M., Busund R., Skagseth A., et al. Resuscitation from accidental hypothermia of 13.7 degrees C with circulatory arrest. Lancet 2000, 355:375-376.
9. Locher T., Walpoth B. Differential diagnosis of circulatory failure in hypothermic avalanche victims: retrospective analysis of 32 avalanche accidents. Schweiz Rundsch Med Prax 1996, 85:1275-1282.
10. Brugger H., Sumann G., Meister R., et al. Hypoxia and hypercapnia during respiration into an artificial air pocket in snow: implications for avalanche survival. Resuscitation 2003, 58:81-88.
11. Brugger H., Oberhammer R., Adler-Kastner L., Beikircher W. The rate of cooling during avalanche burial; a " Core" issue. Resuscitation 2009, 80:956-958.
12. Putzer G., Schmid S., Braun P., et al. Cooling of six centigrades in an hour during avalanche burial. Resuscitation 2010, 81:1043-1044.
13. Strapazzon G., Nardin M., Zanon P., Kaufmann M., Kritzinger M., Brugger H. Respiratory failure and spontaneous hypoglycemia during noninvasive rewarming from 24.7 degrees C (76.5 degrees F) core body temperature after prolonged avalanche burial. Ann Emerg Med 2011, [Epub ahead of print].
14. Idris A.H., Becker L.B., Ornato J.P., et al. Utstein-style guidelines for uniform reporting of laboratory CPR research. Resuscitation 1996, 33:69-84.
15. Brugger H., Paal P., Falk M. Outcry stopped approved pig study of avalanche survival. Nature 2010, 463:877.
16. Paal P., Braun P., Brugger H., et al. How the media and animal rights activists put avalanche burial study on ice. BMJ 2010, 341:c3778.
17. Wenzel V., Padosch S.A., Voelckel W.G., et al. Survey of effects of anesthesia protocols on hemodynamic variables in porcine cardiopulmonary resuscitation laboratory models before induction of cardiac arrest. Comp Med 2000, 50:644-648.
18. Schwarz B., Mair P., Raedler C., et al. Vasopressin improves survival in a pig model of hypothermic cardiopulmonary resuscitation. Crit Care Med 2002, 30:1311-1314.
19. Kornberger E., Lindner K.H., Mayr V.D., et al. Effects of epinephrine in a pig model of hypothermic cardiac arrest and closed-chest cardiopulmonary resuscitation combined with active rewarming. Resuscitation 2001, 50:301-308.
20. Grissom C.K., Radwin M.I., Harmston C.H., et al. Respiration during snow burial using an artificial air pocket. JAMA 2000, 283:2266-2271.
21. Brugger H., Paal P., Boyd J. Prehospital resuscitation of the buried avalanche victim. High Alt Med Biol 2011, 12:199-205.
22. Haegeli P., Falk M., Brugger H., et al. Comparison of avalanche survival patterns in Canada and Switzerland. CMAJ 2011, 183:789-795.
23. Hannon J.P., Bossone C.A., Wade C.E. Normal physiological values for conscious pigs used in biomedical research. Lab Anim Sci 1990, 40:293-298.
24. Vanden Hoek T.L., Morrison L.J., Shuster M., et al. Part 12: cardiac arrest in special situations: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2010, 122:S829-S861.
25. Boyd J., Brugger H., Shuster M. Prognostic factors in avalanche resuscitation: a systematic review. Resuscitation 2010, 81:645-652.
26. Mair P., Kornberger E., Furtwaengler W., et al. Prognostic markers in patients with severe accidental hypothermia and cardiocirculatory arrest. Resuscitation 1994, 27:47-54.
27. Morgan E., Mikhail M., Murray M. Clinical anesthesiology 2006, McGraw Hill. 4th ed.