Hydroxocobalamin with Cardiopulmonary Resuscitation Compared to Cardiopulmonary Resuscitation Alone in Protection of Neuronal Cell Death Produced by Global Brain Ischemia Induced by Cardiac Arrest in Swine (sus scrofa)

Abstract

Purpose: To evaluate the effects of hydroxocobalamin (HOC) in post cardiac arrest swine 24-72hrs post injury global and microscopic neurohistology. Methods: Swine (22-32kg) were anesthetized, intubated and instrumented for continuous monitoring. Ventricular fibrillation (VF) was induced followed by BLS and ACLS until return of spontaneous circulation (ROSC). Monitored for 60 mins post ROSC and then recovered and observed for 72hrs. After observation period, animals were euthanized and brains immediately removed and placed in 10 NBF for fixation. Results: The study was not completed, closed due to triennial renewal date. Based on the work that was done, an 8 minute cardiac arrest model was survivable and produced "rare neuornal necrosis in the CA1 area of the hippocampus" per staff pathologist. Conclusions: After much discussion between the study team and collaborators, moving forward in the next phase, the primary focus will be the neurological function of the treated animal versus the control animals in a 8 minute cardiac arrest model.

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Document Details

Document Type
Technical Report
Publication Date
Dec 06, 2018
Accession Number
AD1064827

Entities

People

  • Joseph K Maddry
  • Kavsie Canellis
  • Kaysie Canellis
  • Kole Spaulding
  • Maria G. Castaneda
  • Normalynn Bebarta
  • Normalynn Garrett
  • Susan M. Boudreau
  • Vikhyat S Bebarta

Organizations

  • 59th Medical Wing

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Air Force
  • Cardiac Arrest
  • Cardiac Arrhythmias
  • Cardiopulmonary Resuscitation
  • Cardiovascular Diseases
  • Cardiovascular Physiological Phenomena
  • Cell Physiological Processes
  • Cerebrovascular Disorders
  • Compression
  • Contracts
  • Diseases And Disorders
  • Emergencies
  • Health Services
  • Hippocampus
  • Hospitals
  • Ischemia
  • Medical Personnel
  • Military Medicine
  • Necrosis
  • Observation
  • Physicians
  • Quality Of Life
  • Resuscitation

Fields of Study

  • Biology
  • Medicine

Readers

  • Cardiovascular Physiology
  • Trauma Surgery or Emergency Medicine.