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2024, Number 1

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Med Crit 2024; 38 (1)

Cardiopulmonary resuscitation in microgravity and in human space flight

Robles RMA, Carrillo ER

Language: Spanish
References: 28
Page: 40-50
PDF size: 551.65 Kb.


ABSTRACT

Cardiac arrest is a critical medical condition with high expected morbidity and mortality. In a spaceflight cardiac arrest will result in the death of crewmember and has the potential to endager the whole mission. CPR guidelines from the American Heart Association (AHA) and the European Resuscitation Council (ERC) include a section on CPR in special circumstances, they do not address cardiac arrest management in microgravity. Several investigations have assessed CPR techniques in microgravity, the most of those studies concentrated on the application of chest compressions, and only few have investigated airway management in microgravity. The evidence for many others aspects of CPR such as defibrillation, drug therapy or post resuscitation care remains minimal Furthermore, the available studies were either performed in microgravity during parabolic flights, during simulated microgravity in a body suspension device or underwater. Nonetheless CPR in microgravity is feasible, however, it requires modifications of the terrestrial guidelines to consider the unique challenges of microgravity and long duration spaceflight. The aim of this paper is to present the advances in microgravity RCP techniques.


REFERENCES

  1. American Heart Association. Soporte vital cardiovascular avanzado. Libro del proveedor. Estados Unidos de América: Ed. Orora Visual; 2021. p. 202.

  2. Panchal AR, Bartos JA, Cabañas JG, et al. Part 3: Adult basic and advanced life support. 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2020;142(suppl 2):S366-S468.

  3. Soar J, Bottiger BW, Carli P, Couper K, Deakin CD, Djarv T, et al. European Resuscitation Council Guidelines 2021: Adult advanced life support. Resuscitation. 2021;161:115-151.

  4. Galván OH, Robles RM. Reanimación cardiopulmonar. En: Saturno CG, Lupercio MK, editores. Manual de conducta y terapéutica cardiovascular. 2ª edición. Ciudad de México: Manual Moderno; 2020. pp. 231-246.

  5. Billica R, Gosbee J, Krupa D. Evaluation of cardiopulmonary resuscitation techniques in microgravity. Medical Evaluations on the KC-135: 1990 flight report summary. 1990;91:163-183. Available in: http://ntrs.nasa.gov/search.jsp?R=19910023475

  6. Robles RM. Reanimación cardiopulmonar en ambiente de microgravedad. En: Carrillo ER, Díaz PMJ, Padrón LS. Medicina espacial. México: Ed. Intersistemas; 2016. pp. 235-263.

  7. National Space Society. Space shuttle flight 41 (STS 40) post flight presentation. Available in: https://www.youtube.com/watch?v=G_DLwBTkbRc

  8. Smith M, Barratt M, Lloyd C. Advanced cardiac life support (ACLS) utilizing man-tended capability (MTC) hardware onboard Space Station Freedom. NASA Technical Reports Server (NTRS). Available in: http://ntrs.nasa.gov/search.jsp?R=19950010360

  9. Jay GD, Lee PHU, Goldsmith H, Battat J, Maurer J, Suner S. CPR effectiveness in microgravity: comparison of three positions and a mechanical device. Aviat Space Environ Med. 2003;74(11):1183-1189.

  10. Johnston SL, Campbell MR, Billica RD, Gilmore SM. Cardiopulmonary resuscitation in microgravity: efficacy in the swine during parabolic flight. Aviat Space Environ Med. 2004;75(6):546-550.

  11. Evetts SN, Evetts LM, Russomano T, Castro JC, Ernsting J. Basic life support in microgravity: evaluation of a novel method during parabolic flight. Aviat Space Environ Med. 2005;76(5):506-510.

  12. Rehnberg L, Russomano T, Falcao F, Campos F, Evetts SN. Evaluation of a novel basic life support method in simulated microgravity. Aviat Space Environ Med. 2011;82(2):104-110.

  13. Russomano T, Baers JH, Velho R, Cardoso RB, Ashcroft A, Rehnberg L, et al. A comparison between the 2010 and 2005 basic life support guidelines during simulated hypogravity and microgravity. Extrem Physiol Med. 2013;2(1):11.

  14. International Space Station Medical Monitoring. Available in: https://www.nasa.gov/mission_pages/station/research/experiments/1025.html

  15. Bacal K, Beck G, McSwain NE Jr. A concept of operations for contingency medical care on the International Space Station. Mil Med. 2004;169(8):631-641.

  16. Summers RL, Johnston SL, Marshburn TH, Williams DR. Emergencies in space. Ann Emerg Med. 2005;46:177-184.

  17. Aubert AE, Beckers F, Verheyden B. Cardiovascular function and basics of physiology in microgravity. Acta Cardiol. 2005;60(2):129-151.

  18. Kordi M, Kluge N, Kloeckner M, Russomano T. Gender influence on the performance of chest compressions in simulated hypogravity and microgravity. Aviat Space Environ Med. 2012;83:643-648.

  19. Krygiel RG, Waye AB, Baptista RR, Heidner GS, Rehnberg L, Russomano T. The evaluation of upper body muscle activity during the performance of external chest compressions in simulated hypogravity. Life Sci Space Res (Amst). 2014;1:60-66.

  20. Baptista RR, Susin T, Dias M, Correa N, Cardoso R, et al. Muscle Activity during the performance of CPR in simulated microgravity and hypogravity. Am J Biomed Res. 2015;3(4):82-87.

  21. Carrillo ER. Reanimación cardiopulmonar en microgravedad. Rev Mex Anest. 2016;39(Supl. 1):S8-S10.

  22. Mackaill C, Sponchiado G, Leite AK, Dias P, Da Rosa M, Brown EJ, et al. A new method for the performance of external chest compressions during hypogravity simulation. Life Sci Space Res (Amst). 2018;18:72-79.

  23. Schmitz J, Ahlback A, DuCanto J, Kerkhoff S, Komorowski M, Low V, et al. Randomized comparison of two new methods for chest compressions during CPR in microgravity-a manikin study. J Clin Med. 2022;11(3):646.

  24. Rehnberg L, Ashcroft A, Baers JH, Campos F, Cardoso RB, et al. Three methods of manual external chest compressions during microgravity simulation. Aviat Space Environ Med. 2014;85(7):687-693.

  25. Braunecker S, Douglas B, Hinkelbein J. Comparison of different techniques for in microgravity - a simple mathematic estimation of cardiopulmonary resuscitation quality for space environment. Am J Emerg Med. 2015;33:920-924.

  26. Groemer GE, Brimacombe J, Haas T, de Negueruela C, Soucek A, Thomsen M, et al. The feasibility of laryngoscope-guided tracheal intubation in microgravity during parabolic flight: a comparison of two techniques. Anesth Analg. 2005;101(5):1533-1535.

  27. Keller C, Brimacombe J, A FR, Giampalmo M, Kleinsasser A, Loeckinger A, et al. Airway management during spaceflight: A comparison of four airway devices in simulated microgravity. Anesthesiology. 2000;92(5):1237-1241.

  28. Hinkelbein J, Kerkhoff S, Adler C, Ahlback A, Braunecker S, Burgard D, et al. Cardiopulmonary resuscitation (CPR) during spaceflight - a guideline for CPR in microgravity from the German Society of Aerospace Medicine (DGLRM) and the European Society of Aerospace Medicine Space Medicine Group (ESAM-SMG). Scand J Trauma Resusc Emerg Med. 2020;28(1):108.




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