Objective To establish a less-damage method for tracheal intubation so as to improve the quality of post-cardiac arrest syndrome. Methods Thirty rabbits were divided into 3 groups of 10 rabbits each according to the random number table: group A receiving direct endotracheal intubation after anesthesia, Group B separation of cervical tissue and retrograde tracheal intubation after anesthesia and Group C percutaneous retrograde tracheal intubation after anesthesia. After the intravenous injection of forskolin, cardiac arrest was induced by endotracheal tube clamping. After 5 minutes of untreated arrest, conventional cardiopulmonary resuscitation was initiated. Changes in arterial pressure, occurrence of post-resuscition syndrome and survival time were examined in all groups. Results Groups A, B and C showed 40%, 60% and 80% success rate in cardiopulmonary resuscitation (P<0.01) and animal survival time of 23.4 hours (11.6-35.8 hours), 62.7 hours (29.4-88.6 hours) and 79.5 hours (40.9-118.2 hours) (P<0.01). Conclusions Percutaneous retrograde tracheal intubation is suitable to increase cardiopulmonary resuscitation rate and survival rate in rabbits with post-cardiac arrest. The model has good stability and repeatability and can be used for study of post-cardiac arrest syndrome. Key words: Trachea; Heart arrest; Rabbits
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