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Mechanical Assistance in the Treatment of Shock

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Shock and the Adult Respiratory Distress Syndrome

Part of the book series: Current Concepts in Critical Care ((CRITICAL CARE))

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Abstract

The use of mechanical assistance devices in the management of shock is a subject which has received serious attention both in the literature and in clinical practice for two decades. The attraction of these techniques lies in their ability to improve haemodynamic status while minimizing the use of inotropes with their often detrimental effect on myocardial oxygen consumption. The current status of intra-aortic balloon counterpulsation and pneumatic anti-shock trousers is reviewed below.

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References

  • Abraham E, Cobo JC, Bland RD, Shoemaker WC (1984) Cardiorespiratory effects of pneumatic trousers in critically ill patients. Arch Surg 119:912–915.

    PubMed  CAS  Google Scholar 

  • Alcan K, Stertzer SH, Wallish E, Bruno MS, Depasquale NP (1984) Current status of intra-aortic balloon counterpulsation in critical care cardiology. Crit Care Med 12:489–495.

    Article  PubMed  CAS  Google Scholar 

  • Baxter FJ, Kessaram RA, Baillie F (1984) Pneumatic antishock trousers. Can J Surg 27:423–427.

    PubMed  CAS  Google Scholar 

  • Berger RL, Virender SK, Long W, Hechtman M, Hood V (1973) The use of diastolic augmentation with the intra-aortic balloon in human septic shock with associated coronary artery disease. Surgery 74:601–606.

    PubMed  CAS  Google Scholar 

  • Braunwald E (1971) Control of myocardial oxygen consumption: Physiologic and clinical considerations. Am J Cardiol 27:416–432.

    Article  PubMed  CAS  Google Scholar 

  • Butson ARC (1983) The clinical use of antishock trousers. Can Med Assoc J 128:1428.

    PubMed  CAS  Google Scholar 

  • Civetta JM, Nussenfeld SR, Rowe TR, Hirschman JC, McCullough KE, Nagel EL, Kaplan BH, Pettyjohn FS (1976) Pre-hospital use of the military antishock trouser (MAST). J Am Coll Emerg Phys 5:581–587.

    Article  CAS  Google Scholar 

  • Clauss RH, Birtwell WC, Albertal G, Lunzer S, Taylor WJ, Fosberg AM, Harken DE (1961) Assisted circulation I. The arterial counterpulsator. J Thorac Cardiovasc Surg 41:447–458.

    CAS  Google Scholar 

  • Committee on Trauma (1977) Committee on Trauma, American College of Surgeons: essential equipment for ambulances. Bull Am Coll Surg 62:7–12.

    Google Scholar 

  • Cutler BS, Daggett WM (1971) Application of the “G-suit” to the control of hemorrhage in massive trauma. Ann Surg 173:511–514.

    Article  PubMed  CAS  Google Scholar 

  • Dannewitz SR, Lilja GP, Ruiz E (1981) Effect of pneumatic trousers on intracranial pressure in hypovolaemic dogs with an intracranial mass. Ann Emerg Med 10:176–181.

    Article  PubMed  CAS  Google Scholar 

  • Davis JW, McKone TK, Cram AE (1981) Hemodynamic effects of military antishock trousers (MAST) in experimental cardiac tamponade. Ann Emerg Med 10:185–186.

    Article  PubMed  CAS  Google Scholar 

  • Dunn JM, Kirsch MM, Harness J, Lee R, Straker J, Sloan H (1974) The role of assisted circulation in the management of endotoxic shock. Ann Thorac Surg 17:574–583.

    Article  Google Scholar 

  • Enrich DA, Biddle TL, Krowenberg MW, Yu PN (1977) The haemodynamic response to intra-aortic balloon counterpulsation in patients with cardiogenic shock complicating acute myocardial infarction. Am Heart J 93:274–280.

    Article  Google Scholar 

  • Fuchs RM, Brin KP, Brinker JA, Guzman PA, Heuser RR, Yin FCP (1983) Augmentation of regional coronary blood flow by intra-aortic balloon counterpulsation in patients with unstable angina. Circulation 68(1): 117–123.

    Article  PubMed  CAS  Google Scholar 

  • Goldberger M, Tabak SW, Prediman KS (1986) Clinical experience with intra-aortic balloon counterpulsation in 112 consecutive patients. Am Heart J 111:497–502.

    Article  PubMed  CAS  Google Scholar 

  • Goldman BS, Hill TJ, Rosenthal GA, Scully HE, Weisel RD, Baird RJ (1982) Complications associated with use of the intra-aortic balloon pump. Can J Surg 25:153–156.

    PubMed  CAS  Google Scholar 

  • Hagemeijer F, Laird JD, Hallebos MMP, Hugenholtz PG (1977) Effectiveness of intra-aortic balloon pumping without cardiac surgery for patients with severe heart failure secondary to a recent myocardial infarction. Am J Cardiol 40:951–956.

    Article  PubMed  CAS  Google Scholar 

  • Hinshaw LB (1974) Role of the heart in the pathogenesis of endotoxic shock. A review of the clinical findings and observations on animal species. J Surg Res 17:134–145.

    Article  PubMed  CAS  Google Scholar 

  • Hinshaw LB, Shanbour LL, Greenfield LJ (1970) Mechanism of decreased venous return. Subhuman primate administered endotoxin. Arch Surg 100:600–606.

    PubMed  CAS  Google Scholar 

  • Hoffman JR (1980) External counterpressure and the MAST suit: current and future roles. Ann Emerg Med 9:419–421.

    Article  PubMed  CAS  Google Scholar 

  • Isner JM, Cohen SR, Virmani R, Lawrinson W, Roberts WC (1980) Complications of the intra-aortic balloon counterpulsation device: clinical and morphologic observations in 45 necropsy patients. Am J Cardiol 45:260–268.

    Article  PubMed  CAS  Google Scholar 

  • Kantrowitz A, Tjonneland S, Freed PS, Phillips SJ, Butner AN, Sherman JL (1968) Initial clinical experience with intra-aortic balloon pumping in cardiogenic shock. JAMA 203:113–118.

    Article  PubMed  CAS  Google Scholar 

  • Leinbach RC, Buckley MJ, Austen WG, Petschek ME, Kantrowitz AR, Sanders CA (1971) Effects of intra-aortic balloon pumping on coronary flow and metabolism in man. Circulation 43(1):77–81.

    Google Scholar 

  • Leinbach RC, Gold HK, Dinsmore RE, Munoth ED, Buckley MJ, Austen WG, Sanders CA (1973) The role of angiography in cardiogenic shock. Circulation 48(3):95–98.

    Google Scholar 

  • Mauli KI, Capehart JE, Cardea JA, Haynes BW (1981) Limb loss following Military Anti-Shock Trousers (MAST) application. J Trauma 21:602.

    Google Scholar 

  • McEnany MT, Kay HR, Buckley MJ, Daggett WM, Erdmann AJ, Munoth ED, Rao RS, Detoeuf J, Austen WG (1978) Clinical experience with intra-aortic balloon pump support in 728 patients. Circulation 58(1): 124–132.

    Google Scholar 

  • McSwain NE (1977) Pneumatic trousers and the management of shock. J Trauma 17:719–724.

    Article  PubMed  CAS  Google Scholar 

  • Mercer D, Doris P, Salerno TA (1981) Intra-aortic balloon counterpulsation in septic shock. Can J Surg 24:643–645.

    PubMed  CAS  Google Scholar 

  • Michels R, Kint PP, Hagemeiser F, Baakumaran K, Van Der Brand M, Serruys PW, Hugenholtz PG (1980) Intra-aortic balloon pumping in myocardial infarction and unstable angina. Eur Heart J 1:31–34.

    PubMed  CAS  Google Scholar 

  • Moulopoulos SD, Topaz S, Kolff WJ (1962) Diastolic balloon pumping (with carbon dioxide) in the aorta: a mechanical assistance to the failing circulation. Am Heart J 63:669–675.

    Article  PubMed  CAS  Google Scholar 

  • Niemann JT, Stapczynski JS, Rosborough JP, Rothstein RJ (1983) Haemodynamic effects of pneumatic external counterpressure in canine hemorrhage shock. Ann Emerg Med 661:13–16.

    Google Scholar 

  • Palafox BA, Johnson MN, McEwen DK, Gazzaniga AB (1981) ICP changes following application of the MAST suit. J Trauma 21:55–59.

    Article  PubMed  CAS  Google Scholar 

  • Pelligra R, Sandberg EC (1979) Control of intractable abdominal bleeding by external counterpressure. JAMA 241:708–713.

    Article  PubMed  CAS  Google Scholar 

  • Pennington DG, Swartz M, Codd JE, Merjavy JP, Kallser GC (1983) Intra-aortic balloon pumping in cardiac surgical patients: a nine year experience. Ann Thorac Surg 36:125–130.

    Article  PubMed  CAS  Google Scholar 

  • Powell WJ, Daggett WM, Magro AE, Bianco JA, Buckley MJ, Sanders CA, Kantrowitz AR, Austen WG (1970) Effects of intra-aortic balloon counterpulsation on cardiac performance oxygen consumption and coronary blood flow in dogs. Circ Res 26:753–764.

    PubMed  Google Scholar 

  • Ransom K, McSwain NE (1978) Respiratory function following application of MAST trousers. J Am Coll Emerg Phys 7:297–299.

    Article  CAS  Google Scholar 

  • Resnekov L (1977) Circulatory support and early cardiac surgery in the management of cardiogenic shock complicating myocardial infarction. Ann Clin Res 9:134–143.

    PubMed  CAS  Google Scholar 

  • Roberts AJ, Hoover EL, Alonso DR, Combes JR, Dineen P, Gay WA, Subramanian VA (1979) Prolonged intra-aortic balloon pumping in Klebsiella induced hypodynamic shock: cardiopulmonary, haematologic metabolic and pathological observations. Ann Thorac Surg 28:73–86.

    Article  PubMed  CAS  Google Scholar 

  • Saarnof SJ, Braunwald E, Welch GH, Case RB, Stainsby WN, Macruz R (1958) Haemodynamic determinants of oxygen consumption of the heart with special reference to the time-tension index. Am J Physiol 192:148–156.

    Google Scholar 

  • Sanfelippo PM, Baker NH, Ewy HG, Moore PJ, Thomas JW, Bramos GJ, McVicker RF (1986) Experience with intra-aortic balloon counterpulsation. Ann Thorac Surg 41:36–41.

    Article  PubMed  CAS  Google Scholar 

  • Scheidt S, Wilner G, Mueller H, Summers D, Lesch M, Waff G, Krakauer J, Rubenfire M, Fleming P, Noon G, Oldham N, Killip T, Kantrowitz A (1973) Intra-aortic balloon counterpulsation in cardiogenic shock. N Engl J Med 288:979–984.

    Article  PubMed  CAS  Google Scholar 

  • Sponitz HM, Covell JW, Ross J, Braunwald E (1969) Left ventricular mechanics and oxygen consumption during arterial counterpulsation. Am J Physiol 217:1352–1358.

    Google Scholar 

  • Tobias MA (1981) Intra-aortic balloon pumps. Br J Hosp Med 26:542–548.

    PubMed  CAS  Google Scholar 

  • Wayne MA, Macdonald SC (1983) Clinical evaluation of the antishock trouser: retrospective analysis of five years of experience. Ann Emerg Med 342:13–18.

    Google Scholar 

  • Weber KT, Ratsmin RA, Janicki JS, Rackley CE, Russell RD (1973) Left ventricular dysfunction following acute myocardial infarction. A clinicopathologic and haemodynamic profile of shock and failure. Am J Med 54:697–705.

    Article  PubMed  CAS  Google Scholar 

  • Weisel RD, Vito L, Dennis RC, Valeri CR, Hechtman HB (1977) Myocardial depression during sepsis. Am J Surg 133:512–521.

    Article  PubMed  CAS  Google Scholar 

  • Willerson JT, Curry GC, Watson JT, Lesmin SJ, Ecker RR, Mullins CB, Platt MR, Sugg WL (1975) Intra-aortic balloon counterpulsation in patients in cardiogenic shock, medically refractory left ventricular failure and/or recurrent ventricular tachycardia. Am J Med 58:183–191.

    Article  PubMed  CAS  Google Scholar 

  • Williams TM, Knopp R, EUyson JH (1982) Compartment syndrome after antishock trouser use without lower extremity trauma. J Trauma 22:595–597.

    Article  PubMed  CAS  Google Scholar 

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Authors
  1. C. A. Marshall
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  2. W. Kox
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Editor information

Editors and Affiliations

  1. Department of Anaesthesia, Charing Cross and Westminster Medical School, Fulham Palace Road, London, W6 8RF, England

    Wolfgang Kox MD (Senior Lecturer, Honorary Consultant Anaesthetist (Director, Intensive Care Unit) (Senior Lecturer, Honorary Consultant Anaesthetist (Director, Intensive Care Unit)

  2. Charing Cross Hospital, Fulham Palace Road, London, W6 8RF, England

    Wolfgang Kox MD (Senior Lecturer, Honorary Consultant Anaesthetist (Director, Intensive Care Unit) (Senior Lecturer, Honorary Consultant Anaesthetist (Director, Intensive Care Unit)

  3. Department of Medicine, The Middlesex Hospital Medical School, Mortimer Street, London, W1P 7PN, England

    David Bihari MA, MRCP (Lecturer in Medicine) (Lecturer in Medicine)

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© 1988 Springer-Verlag Berlin Heidelberg

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Marshall, C.A., Kox, W. (1988). Mechanical Assistance in the Treatment of Shock. In: Kox, W., Bihari, D. (eds) Shock and the Adult Respiratory Distress Syndrome. Current Concepts in Critical Care. Springer, London. https://doi.org/10.1007/978-1-4471-1443-7_15

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  • DOI: https://doi.org/10.1007/978-1-4471-1443-7_15

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-1445-1

  • Online ISBN: 978-1-4471-1443-7

  • eBook Packages: Springer Book Archive

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