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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1990-2-15
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pubmed:abstractText |
A prospective, randomized, blinded study was conducted to evaluate the efficacy of standard compared with high-dose epinephrine in cardiac arrest in dogs. Twenty-five mongrel dogs were anesthetized and monitored by central venous catheter, intra-arterial catheter, and ECG. A left lateral thoracotomy was performed, and the proximal left anterior descending artery was ligated. After ten minutes of myocardial ischemia, ventricular fibrillation was obtained by application of 6-V AC. Mechanical ventilation was stopped. Total arrest time was ten minutes. All animals were randomized into one of five resuscitation protocols; each protocol was identical except for the dose and route of epinephrine administration. Group 1 animals comprised the control group and received normal saline. Group 2 and 3 animals received epinephrine in doses of 0.014 mg/kg by central venous and intracardiac injection, respectively. Group 4 and 5 animals received epinephrine in doses of 0.071 mg/kg by central venous and intracardiac injection, respectively. None of the dogs receiving normal saline had a return of spontaneous circulation, defined as a spontaneous systolic blood pressure of more than 50 mm Hg. Nine of the ten animals from groups 2 and 3 and all of the ten animals from groups 4 and 5 had a return of spontaneous circulation. However, animals receiving the standard dose of epinephrine had a significantly longer resuscitation time compared with the high-dose group (P = .05) and required more doses of epinephrine for successful resuscitation than did animals receiving high doses (P less than .02).(ABSTRACT TRUNCATED AT 250 WORDS)
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jan
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pubmed:issn |
0196-0644
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
19
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
8-11
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pubmed:dateRevised |
2003-11-14
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pubmed:meshHeading |
pubmed-meshheading:2297160-Animals,
pubmed-meshheading:2297160-Blood Pressure,
pubmed-meshheading:2297160-Dogs,
pubmed-meshheading:2297160-Dose-Response Relationship, Drug,
pubmed-meshheading:2297160-Double-Blind Method,
pubmed-meshheading:2297160-Epinephrine,
pubmed-meshheading:2297160-Heart Arrest,
pubmed-meshheading:2297160-Heart Massage,
pubmed-meshheading:2297160-Prospective Studies,
pubmed-meshheading:2297160-Random Allocation
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pubmed:year |
1990
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pubmed:articleTitle |
Comparison of standard versus high-dose epinephrine in the resuscitation of cardiac arrest in dogs.
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pubmed:affiliation |
Department of Emergency Medicine, Hennepin County Medical Center, Minneapolis, Minnesota 55415.
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pubmed:publicationType |
Journal Article
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