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March 1, 1980Critical Care Medicine

Documentation of systemic perfusion in man and in an experimental model

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Why the study?

Does vigorous coughing maintain systemic perfusion and consciousness during ventricular fibrillation?

Population

4 patients with unstable rhythms and an experimental model of fibrillating dogs

Design

Case_series

Authors

JNJames T. NiemannUniversity of California, Los AngelesJRJohn P. RosboroughUnited States Department of Veterans AffairsMHMARK HAUSKNECHTMethodist Hospital

Discussion

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Implication

Case reports suggest cough may sustain output in arrest; hypothesis-generating and should not change practice without validation.

Structured PICO

Does vigorous coughing maintain systemic perfusion and consciousness during ventricular fibrillation?

P
Population
4 patients with unstable rhythms and an experimental model of fibrillating dogs
I
Intervention
Vigorous coughing during ventricular fibrillation or circulatory arrest
O
Outcome
Systemic perfusion (arterial pulse, aortic valve opening, forward blood flow) and maintenance of consciousnesssurrogate

Vigorous coughing during ventricular fibrillation can maintain systemic perfusion and consciousness, likely via increased intrathoracic pressure compressing the pulmonary vascular bed.

Cite This Study

Niemann et al. (1980) studied this question.

synapsesocial.com/papers/6a94de6defe1bb9e53eff47dhttps://doi.org/10.1097/00003246-198003000-00011
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Cough-Induced Cardiac Compression1976 · 457 citations
  2. 2Cough‐Cardiopulmonary resuscitation in the cardiac catheterization laboratory: Hemodynamics during an episode of prolonged hypotensive ventricular tachycardia1989 · 25 citations
  3. 3Blood Shift During Cough: Negligible or Significant?2018 · 17 citations
  4. 4Recent Advances in Cardiopulmonary Resuscitation1980 · 1 citations
  5. 5Recent Developments in the Treatment of Sudden Death Syndrome1982