A Simple Cardiovascular Model for the Study of Hemorrhagic Shock.


Journal

Computational and mathematical methods in medicine
ISSN: 1748-6718
Titre abrégé: Comput Math Methods Med
Pays: United States
ID NLM: 101277751

Informations de publication

Date de publication:
2020
Historique:
received: 25 06 2020
revised: 08 09 2020
accepted: 25 11 2020
entrez: 11 1 2021
pubmed: 12 1 2021
medline: 28 8 2021
Statut: epublish

Résumé

Hemorrhagic shock is the number one cause of death on the battlefield and in civilian trauma as well. Mathematical modeling has been applied in this context for decades; however, the formulation of a satisfactory model that is both practical and effective has yet to be achieved. This paper introduces an upgraded version of the 2007 Zenker model for hemorrhagic shock termed the ZenCur model that allows for a better description of the time course of relevant observations. Our study provides a simple but realistic mathematical description of cardiovascular dynamics that may be useful in the assessment and prognosis of hemorrhagic shock. This model is capable of replicating the changes in mean arterial pressure, heart rate, and cardiac output after the onset of bleeding (as observed in four experimental laboratory animals) and achieves a reasonable compromise between an overly detailed depiction of relevant mechanisms, on the one hand, and model simplicity, on the other. The former would require considerable simulations and entail burdensome interpretations. From a clinical standpoint, the goals of the new model are to predict survival and optimize the timing of therapy, in both civilian and military scenarios.

Identifiants

pubmed: 33425003
doi: 10.1155/2020/7936895
pmc: PMC7781723
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

7936895

Informations de copyright

Copyright © 2020 Luciano Curcio et al.

Déclaration de conflit d'intérêts

The authors declare no conflicts of interest in this paper.

Références

Arch Surg. 1981 Oct;116(10):1344-53
pubmed: 7283706
Circulation. 1985 May;71(5):994-1009
pubmed: 3986986
N Engl J Med. 2018 Jan 25;378(4):370-379
pubmed: 29365303
Crit Care Med. 2016 Mar;44(3):468-77
pubmed: 26901542
Lab Anim Sci. 1990 May;40(3):293-8
pubmed: 2162986
J Physiol. 1896 May 5;19(4):312-26
pubmed: 16992325
N Am J Med Sci. 2014 Sep;6(9):450-2
pubmed: 25317389
Am J Surg. 1975 Nov;130(5):565-9
pubmed: 1200270
Surgery. 2013 Aug;154(2):384-7
pubmed: 23889965
Anesth Analg. 2006 Aug;103(2):350-8, table of contents
pubmed: 16861416
Am J Physiol. 1976 Jun;230(6):1683-7
pubmed: 937557
Eur Surg Res. 2013;50(2):57-70
pubmed: 23615606
Acta Anaesthesiol Scand. 2020 Aug;64(7):884-887
pubmed: 32270471
Med Eng Phys. 1995 Apr;17(3):215-8
pubmed: 7795859
Mil Med. 2018 Sep 1;183(suppl_2):55-59
pubmed: 30189087
Injury. 2014 Jan;45(1):61-5
pubmed: 23391451
Cardiovasc Res. 2010 Jul 15;87(2):198-210
pubmed: 20200043
Ann Surg. 1963 Oct;158:698-712
pubmed: 14067514
Crit Care. 2013 Aug 12;17(4):R172
pubmed: 23938104
Microvasc Res. 1999 Nov;58(3):281-304
pubmed: 10527770
Postgrad Med J. 2018 May;94(1111):289-295
pubmed: 29374091
J Am Coll Cardiol. 1992 Jun;19(7):1522-30
pubmed: 1593048
Lancet. 2012 Dec 15;380(9859):2095-128
pubmed: 23245604
J Trauma Acute Care Surg. 2017 Mar;82(3):605-617
pubmed: 28225743
Am J Cardiol. 2006 Jan 1;97(1):101-5
pubmed: 16377292
Shock. 2014 Oct;42(4):307-12
pubmed: 24978897
Acta Anaesthesiol Scand. 2020 Sep;64(8):1032-1037
pubmed: 32270491
Stud Health Technol Inform. 2000;71:179-200
pubmed: 10977598
Br J Anaesth. 2012 Mar;108(3):384-94
pubmed: 22290457
Shock. 1994 Mar;1(3):188-95
pubmed: 7735950
PLoS One. 2013;8(3):e57594
pubmed: 23483915
J Trauma. 2011 Feb;70(2):384-8; discussion 388-90
pubmed: 21307738
Med Eng Phys. 1996 Jun;18(4):339-43
pubmed: 8782193
Eur J Med Res. 2015 Sep 04;20:73
pubmed: 26338818
F1000Res. 2013 Oct 08;2:208
pubmed: 24555102
Am J Physiol Heart Circ Physiol. 2004 Jun;286(6):H2272-9
pubmed: 14962840
Philos Trans A Math Phys Eng Sci. 2008 Sep 13;366(1878):3175-97
pubmed: 18565814
Shock. 2012 Dec;38(6):685-6
pubmed: 23160522
Physiol Rev. 1983 Oct;63(4):1281-342
pubmed: 6361810
Adv Physiol Educ. 2015 Dec;39(4):267-71
pubmed: 26628647
World J Emerg Med. 2012;3(2):114-7
pubmed: 25215048
Mil Med. 1984 Feb;149(2):55-62
pubmed: 6427656
Physiol Meas. 2020 Jun 10;41(5):055010
pubmed: 32325439
Am J Emerg Med. 2013 Aug;31(8):1260-3
pubmed: 23806728
J Vis Exp. 2016 Nov 20;(117):
pubmed: 27911370
PLoS Comput Biol. 2019 Jun 24;15(6):e1007155
pubmed: 31233499
Am J Physiol Regul Integr Comp Physiol. 2001 Apr;280(4):R1105-15
pubmed: 11247833
Anesthesiology. 2005 May;102(5):985-94
pubmed: 15851886
PLoS Comput Biol. 2007 Nov;3(11):e204
pubmed: 17997590

Auteurs

Luciano Curcio (L)

National Research Council of Italy, Institute for Biomedical Research and Innovation, Via Ugo La Malfa, 153, 90146 Palermo, Italy.

Laura D'Orsi (L)

National Research Council of Italy, Institute for Systems Analysis and Computer Science "A. Ruberti", BioMatLab (Biomathematics Laboratory), UCSC Largo A. Gemelli 8, 00168 Rome, Italy.

Fabio Cibella (F)

National Research Council of Italy, Institute for Biomedical Research and Innovation, Via Ugo La Malfa, 153, 90146 Palermo, Italy.

Linn Wagnert-Avraham (L)

Institute for Research in Military Medicine (IRMM), Faculty of Medicine, The Hebrew University of Jerusalem and the Israel Defense Forces Medical Corps, Israel.

Dean Nachman (D)

Institute for Research in Military Medicine (IRMM), Faculty of Medicine, The Hebrew University of Jerusalem and the Israel Defense Forces Medical Corps, Israel.
Department of Internal Medicine, Hadassah University Hospital, Jerusalem, Israel.

Andrea De Gaetano (A)

National Research Council of Italy, Institute for Biomedical Research and Innovation, Via Ugo La Malfa, 153, 90146 Palermo, Italy.
National Research Council of Italy, Institute for Systems Analysis and Computer Science "A. Ruberti", BioMatLab (Biomathematics Laboratory), UCSC Largo A. Gemelli 8, 00168 Rome, Italy.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH