{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T08:10:56Z","timestamp":1747210256664,"version":"3.40.5"},"reference-count":18,"publisher":"American Veterinary Medical Association (AVMA)","issue":"9","license":[{"start":{"date-parts":[[2024,9,1]],"date-time":"2024-09-01T00:00:00Z","timestamp":1725148800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ajvr"],"published-print":{"date-parts":[[2024,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n<jats:sec id=\"sc_a1\">\n<jats:title>OBJECTIVE<\/jats:title>\n<jats:p>To describe the detailed surgical procedure for open-chest CPR (OC-CPR) through a transdiaphragmatic (TD) approach during planned laparotomy and to evaluate the procedure time and damage to organs.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sc_a2\">\n<jats:title>ANIMALS<\/jats:title>\n<jats:p>7 mixed-breed canine cadavers.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sc_a3\">\n<jats:title>METHODS<\/jats:title>\n<jats:p>The procedure was divided into 3 stages. Durations for each of the 3 stages of the procedure and total time from diaphragmatic incision to the end of Rumel tourniquet application were recorded. Subjective assessment of ease of procedures and postprocedural physical evaluation of thoracoabdominal organs were also performed.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sc_a4\">\n<jats:title>RESULTS<\/jats:title>\n<jats:p>Mean time from diaphragmatic incision to pericardiotomy was 15.1 seconds (SD, 4.0). Performing 10 cardiac compressions took 12.0 seconds (SD, 1.8). Dissection of the aorta and application of a Rumel tourniquet took 130.4 seconds (SD, 52.2). The mean total time from start of first procedure to end of last procedure was 157.6 seconds (SD, 21.5). The mean length of diaphragmatic incision was 11.5 cm (SD, 2.2). Lung laceration was identified in one dog, and liver laceration was identified in another dog. The mean ease of pericardiotomy was 10, and application of a Rumel tourniquet was 4 (SD, 1.9). There was no instance of abdominal organs moving into the thoracic cavity during the procedure in any of the dogs.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sc_a5\">\n<jats:title>CLINICAL RELEVANCE<\/jats:title>\n<jats:p>Resuscitation techniques during TD OC-CPR can be performed with acceptable timing and effort, except for aortic Rumel tourniquet application, which was difficult and time consuming. Avoidable damage to thoracoabdominal organs can occur.<\/jats:p>\n<\/jats:sec>","DOI":"10.2460\/ajvr.24.04.0109","type":"journal-article","created":{"date-parts":[[2024,7,11]],"date-time":"2024-07-11T15:55:14Z","timestamp":1720713314000},"source":"Crossref","is-referenced-by-count":0,"title":["Open-chest cardiopulmonary resuscitation through a transdiaphragmatic approach in dogs: a cadaveric study to describe the surgical approach and manipulations"],"prefix":"10.2460","volume":"85","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5501-7983","authenticated-orcid":true,"given":"Jinsu","family":"Kang","sequence":"first","affiliation":[{"name":"Department of Veterinary Surgery, College of Veterinary Medicine, Kyungpook National University, Daegu, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6181-0216","authenticated-orcid":true,"given":"F. A.","family":"Mann","sequence":"additional","affiliation":[{"name":"Department of Veterinary Medicine and Surgery, College of Veterinary Medicine, University of Missouri, Columbia, MO"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1272","reference":[{"issue":"suppl 2","key":"B1","series-title":"Crit Care Med","first-page":"3S","article-title":"On the history of modern resuscitation","volume":"24","author":"Safar P","year":"1996","unstructured":"Safar P. On the history of modern resuscitation. Crit Care Med. 1996;24(suppl 2):3S\u2013S11. doi:10.1097\/00003246-199602000-00044"},{"issue":"16","key":"B2","series-title":"Circulation","first-page":"S366","article-title":"Part 3: adult basic and advanced life support: 2020 American heart association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care","volume":"142","author":"Panchal AR","year":"2020","unstructured":"Panchal AR, Bartos JA, Caba\u00f1as JG, et al. Part 3: adult basic and advanced life support: 2020 American heart association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2020;142(16)(suppl 2):S366\u2013S468. doi:10.1161\/CIR.0000000000000916"},{"issue":"suppl 1","key":"B3","series-title":"J Vet Emerg Crit Care","first-page":"S44","article-title":"RECOVER evidence and knowledge gap analysis on veterinary CPR. Part 4: advanced life support","volume":"22","author":"Rozanski EA","year":"2012","unstructured":"Rozanski EA, Rush JE, Buckley GJ, Fletcher DJ, Boller M; RECOVER Advanced Life Support Domain Worksheet Authors. RECOVER evidence and knowledge gap analysis on veterinary CPR. Part 4: advanced life support. J Vet Emerg Crit Care. 2012;22(suppl 1):S44\u2013S64."},{"issue":"suppl 1","key":"B4","series-title":"J Vet Emerg Crit Care","first-page":"S102","article-title":"RECOVER evidence and knowledge gap analysis on veterinary CPR. Part 7: clinical guidelines","volume":"22","author":"Fletcher DJ","year":"2012","unstructured":"Fletcher DJ, Boller M, Brainard BM, et al. RECOVER evidence and knowledge gap analysis on veterinary CPR. Part 7: clinical guidelines. J Vet Emerg Crit Care. 2012;22(suppl 1):S102\u2013S131."},{"key":"B5","series-title":"Manual of Small Animal Emergency and Critical Care Medicine","first-page":"21","article-title":"Cardiopulmonary-cerebral resuscitation (CPCR).","author":"Haskins SC","year":"2012","unstructured":"Haskins SC. Cardiopulmonary-cerebral resuscitation (CPCR). In: Macintire DK, Drobatz KJ, Haskins SC, Saxon WD, eds. Manual of Small Animal Emergency and Critical Care Medicine. 2nd ed. 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