Liu Xin, Li Yan, Gu Yinghua, Wang Fa, Tian Biyun, Liu Wenxun, Ye Qingshan
Department of Anesthesiology, People's Hospital of Ningxia Hui Autonomous Region, Ningxia Medical University,Yinchuan, Ningxia Hui Autonomous Region, China.
PLoS One. 2025 Apr 29;20(4):e0322473. doi: 10.1371/journal.pone.0322473. eCollection 2025.
The animal model of cardiac arrest (CA) and cardiopulmonary resuscitation (CPR) serves as a crucial tool for investigating the pathophysiology and treatment strategies associated with cardiac arrest, however, standardized procedures for such models remain insufficiently established. We aimed to modify and specify the existing rat model of asphyxial CA and CPR while providing an analysis of long-term outcomes.A total of 46 rats were allocated into two groups,sham and CA group.In CA group, cardiac arrest was induced through 8 minutes of hypoxia prior to the administration of CPR. In sham group, only tracheal intubation and vascular catheterization were conducted under isoflurane anesthesia. Key parameters along with arterial blood gas results during modeling were meticulously recorded. After a 2-week postoperative observation period, the survival rate of rats and neurobehavioral changes on days 1, 3, 7, and 14 following resuscitation were assessed. Two weeks later, a pathological examination of brain tissue was conducted to evaluate neuronal damage. Results indicated that the average duration of cardiac arrest in CA group was 292.9 ± 12.5 seconds, with a return of spontaneous circulation rate of 78.95% and a survival rate at day 14 reaching 32%. After a duration of 2 weeks, the neurobehavioral scores of the surviving rats returned to their initial baseline levels; however, pathological examination revealed evidence of neuronal damage. In conclusion, we present a refined protocol for establishing a stable rat model of asphyxial CA and CPR, which may assist researchers in this field in enhancing the success rate of modeling.
心脏骤停(CA)和心肺复苏(CPR)的动物模型是研究与心脏骤停相关的病理生理学和治疗策略的关键工具,然而,此类模型的标准化程序仍未充分确立。我们旨在修改并明确现有的窒息性CA和CPR大鼠模型,同时分析长期结果。总共46只大鼠被分为两组,即假手术组和CA组。在CA组中,在进行CPR之前,通过8分钟的缺氧诱导心脏骤停。在假手术组中,仅在异氟烷麻醉下进行气管插管和血管插管。建模过程中仔细记录关键参数以及动脉血气结果。术后观察2周后,评估大鼠的存活率以及复苏后第1、3、7和14天的神经行为变化。两周后,对脑组织进行病理检查以评估神经元损伤。结果表明,CA组心脏骤停的平均持续时间为292.9±12.5秒,自主循环恢复率为78.95%,第14天的存活率达到32%。持续2周后,存活大鼠的神经行为评分恢复到初始基线水平;然而,病理检查显示存在神经元损伤的证据。总之,我们提出了一种完善的方案来建立稳定的窒息性CA和CPR大鼠模型,这可能有助于该领域的研究人员提高建模成功率。