6
Views
0
CrossRef citations to date
0
Altmetric
Original Article

External Cardiac Massage as a Method of Treatment of Neonatal Asphyxia: A Cineangiographic Study in the Piglet

, &
Pages 367-370 | Received 18 Apr 1972, Published online: 09 Jul 2009
 

Abstract

Eight piglets were delivered at term by abdominal hysterotomy. They were prevented from breathing. The umbilical vein and artery and the jugular vein were cannulated. Arterial blood pressure and ECG were recorded and, when heart activity had ceased, cineangiography was performed with injection of contrast medium into the umbilical vein, or with injection through the jugular vein catheter, advanced to the superior vena cava. When contrast medium was injected into the umbilical vein it passed through the right atrium to the left atrium and left ventricle. When it was injected into the superior vena cava it was distributed to the right and left atrium and also to the right ventricle. External cardiac massage forced contrast medium into the arterial system. Evidently, contrast medium thereby reached the ascending aorta, the coronary arteries, and the brachiocephalic artery more readily following injection into the umbilical vein than into the superior vena cava. By the latter route, it would be distributed partly through the ductus arteriosus to the descending aorta. Infusion of oxygenated blood in a heart at standstill resulted in vigorous heart contractions.

Reprints and Corporate Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

To request a reprint or corporate permissions for this article, please click on the relevant link below:

Academic Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

Obtain permissions instantly via Rightslink by clicking on the button below:

If you are unable to obtain permissions via Rightslink, please complete and submit this Permissions form. For more information, please visit our Permissions help page.