Kyleigh Moll
Pronouns:
Research Mentor(s): Mohamad Tiba
Co-Presenter: Morris, Kendall
Research Mentor School/College/Department: Emergency Medicine / Medicine
Presentation Date: April 20
Presentation Type: Poster
Session: Session 6 – 4:40pm – 5:30 pm
Room: League Ballroom
Authors: Kyleigh Moll, Kendall Morris, Hakam Tiba
Presenter: 46
Abstract
Despite the many medical advancements made over the last decade, survival rates of cardiac arrest remain low and the percentage of survivors that are able to maintain neurological function is even lower. Rates of achieving return of spontaneous circulation (ROSC) are detrimentally low. There are currently multiple treatments that have proven to be successful; however, there is a possibility that combining some of these treatments might further improve survival rates in addition to increasing the preservation of neurological function. Resuscitative endovascular aortic balloon occlusion (REBOA) is a procedure proven to increase blood flow to the heart and brain by occluding the aorta. An Impella device is a type of left ventricular assist device (LVAD) that propels blood from the left ventricle out through the aorta, effectively circulating blood better than mechanical compressions alone. By conducting a randomized study with three groups (control, aortic balloon occlusion, aortic balloon occlusion and Impella), the effectiveness of using both aortic balloon occlusion and an Impella device simultaneously (while following BLS CPR protocols) can be evaluated. With a goal of achieving ROSC, Intracranial pressure (ICP), central venous pressure (CVP), central arterial pressure (CAP), PaCO2, and blood flow are all measured throughout the procedure. Right atrial pressure can be measured via a triple lumen catheter, allowing for the calculation of coronary perfusion pressure. Although there is not yet enough data to draw a concrete conclusion, it is hypothesized that using both REBOA and an Impella device during CPR will increase coronary perfusion pressure and blood flow rate, showing that the amount of blood reaching both cardiac tissue and the brain is increased. This improved blood flow increases the chances of achieving ROSC and maintaining neurological function.
Biomedical Sciences, Interdisciplinary, Natural/Life Sciences
