Journal of Applied Physiology
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J Appl Physiol 93: 1222-1226, 2002. First published July 5, 2002; doi:10.1152/japplphysiol.01079.2001
8750-7587/02 $5.00
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Vol. 93, Issue 4, 1222-1226, October 2002

Cardiopulmonary resuscitation in the mouse

Lei Song1, Max Harry Weil1,2, Wanchun Tang1,2, Shijie Sun1,2, and Tommaso Pellis1

1 Institute of Critical Care Medicine, Palm Springs, 92262; and 2 Keck School of Medicine of the University of Southern California, Los Angeles, California 90033

We sought to develop a model of cardiac arrest and resuscitation on mice that would be comparable to that of large mammals and would allow for more fundamental investigations on cardiopulmonary arrest and cardiac resuscitation. A model of cardiopulmonary resuscitation previously developed by our group on rats was adapted to anesthetized, mechanically ventilated adult male Institute of Cancer Research mice that weighed 46 ± 3 g. The trachea was intubated through the mouth, and end-tidal PCO2 (PETCO2) was measured with a microcapnometer. Catheters were advanced into the aorta and into the right atrium, and coronary perfusion pressure (CPP) was computed. A 1.5-mA alternating current was delivered to the right ventricular endocardium, which produced ventricular fibrillation or a pulseless rhythm. Precordial compression was begun 4 min later. Ten sequential studies were performed, during which five animals were successfully resuscitated and five failed resuscitation efforts. Successful resuscitation was contingent on the restoration of threshold levels of CPP and PETCO2 during chest compression. As in rats, swine, and human patients, threshold levels of mean aortic pressure, CPP, and PETCO2 were critical determinates of resuscitability in this murine model of threshold level of cardiac arrest and resuscitation.

cardiac arrest; precordial compression; coronary perfusion pressure; end-tidal partial pressure of carbon dioxide


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