Biomedical subjects

P Delpech

Publications and source records attributed to P Delpech.

9 recordsLinked to original sources

PubMed2001

Prehospital use of minimally invasive direct cardiac massage (MID-CM): a pilot study.

BACKGROUND: Internal cardiac compressions are more efficient than closed chest compressions (CCC) in cardiac arrest (CA). AIM OF THE STUDY: To evaluate the prehospital feasibility of performing a new method of minimally invasive direct cardiac massage (MID-CM TheraCardia Inc.). METHODS: Prospective non-randomized open study, after ethical committee approval. Inclusion of 18-85 years old patients in witnessed CA if BLS>5 min and unsuccessful ACLS>20 min after CA. The MID-CM is an atraumatic manual cardiac pumping system deployed in the thoracic cavity through a small incision. Evaluation of: ease of insertion and performing MID-CM, complications, end-tidal CO(2) (PETCO(2)), non invasive arterial blood pressure (NIBP) and return of spontaneous circulation (ROSC). Values are mean+/-SD (min-max). RESULTS: Twenty-five patients included. Mean age 59+/-16 years (26-85); BLS started at 8+/-5 min (0-20), compressions started at 47+/-10 min (29-74) after CA. Dissection and insertion was fast and easy (<1 min). Deployment of the MID-CM was difficult in two patients because of pericardium adhesions and cardiomegaly. In six patients compressions were more difficult because of a 'stone heart' phenomenon. Compressions were possible during ambulance transport of four patients. There was a good palpable carotid pulse in all patients receiving internal compressions. There was a trend in increase of PETCO(2) compared to CCC. NIBP could be measured during MID-CM compressions in 9 patients (systolic>85 mmHg), never during CCC. Seven patients had a ROSC, but only four patients were admitted alive. There was no long term survival. One patient had a serious complication (heart rupture). DISCUSSION: Prehospital use of MID-CM is possible, but it is not comparable to any other resuscitation technique. Training of medical teams is mandatory to obtain good skills and to avoid complications. Further studies are necessary to evaluate efficiency and survival compared to closed chest compressions.

Adult↗

PubMed2001

Selection of strains of Lentinula edodes and Lentinula boryana adapted for efficient mycelial growth on wheat straw.

Mycelial growth rates are presented for 11 strains of Lentinula edodes and six strains of Lentinula boryana cultivated on solid media: derived from malt extract (MEA); malt yeast extract (YMEA); and, YMEA plus soluble lignin derivatives (YMEA+WSLD). The results were compared with data for mycelial growth rates, of the same strains cultivated on substrates derived from wheat straw treated at different temperatures (50, 65, 75 and autoclaving at 121 degrees C). In general, the addition of WSLD significantly reduced mycelial growth rates in both species. The greatest mycelial growth rate was obtained on sterilized straw at 121 degrees C for the majority of strains. However, this growth was not significantly different from that obtained at 75 degrees C. L. edodes showed greater growth rates than L. boryana. The feasibility of using estimates of mycelial growth rate on YMEA and YMEA+WSLD are discussed as possible indicators of a strain's potential for mycelial growth on substrates derived from wheat straw.

Journal Article↗

PubMed1995

End-tidal carbon dioxide during out-of-hospital cardiac arrest resuscitation: comparison of active compression-decompression and standard CPR.

STUDY OBJECTIVES: To compare the maximal end-tidal carbon dioxide pressure (ETCO2 peak) values obtained during standard (S-CPR) and active compression-decompression CPR (ACD-CPR) during prolonged resuscitation in out-of-hospital cardiac arrest. DESIGN: Prospective, randomized crossover study. SETTING: City with a population of 3.5 million, served by an emergency medical service system providing advanced cardiac life support. PARTICIPANTS: Patients with nontraumatic out-of-hospital cardiac arrest. INTERVENTIONS: Patients were randomly assigned to receive first, for a period of 3 minutes, either ACD-CPR or S-CPR; then the two methods were alternated. ETCO2 was continuously monitored and computed. MEASUREMENTS AND RESULTS: Sixteen patients (48 +/- 20 years old) were included; in 12, return of spontaneous circulation was achieved, and 5 were admitted alive to the hospital. A statistically significant increase in ETCO2 peak was obtained with ACD-CPR (27.6 +/- 3 mm Hg) compared with S-CPR (15.6 +/- 2.2 mm Hg). No major adverse effect possibly related to ACD-CPR was observed. CONCLUSION: This prospective study suggests that ACD-CPR may improve cardiac output compared with S-CPR.

Adult↗

PubMed1993

[Stopping of chromosome condensation in the interspecific hybrid between common duck and Cairina moschata].

The study of mitotic chromosomes from mule embryos at the 72-96 hour stage has shown that there is a blockage in the condensation of large regions of the small arms of the inherited number 1 parent chromosomes. Zones of decondensation on chromosomes 2 and 3 were also observed. In some cells there is a blockage of condensation ("prophazing") in most of the microchromosomes. These phenomena could be linked to the inactivation of part of the hybrid genome and explain at least some of the early mortality of these intergeneric embryos.

Animals↗

PubMed1968