Animal research in cardiac arrest

The purpose of this narrative review is to provide an overview of lessons learned from experimental cardiac arrest studies, limitations, translation to clinical studies, ethical considerations and future directions.Cardiac arrest animal studies have provided valuable insights into the pathophysiolog...

Full description

Bibliographic Details
Main Authors: Lars W. Andersen, Lauge Vammen, Asger Granfeldt
Format: Article
Language:English
Published: Elsevier 2024-03-01
Series:Resuscitation Plus
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666520423001546
_version_ 1797242948411195392
author Lars W. Andersen
Lauge Vammen
Asger Granfeldt
author_facet Lars W. Andersen
Lauge Vammen
Asger Granfeldt
author_sort Lars W. Andersen
collection DOAJ
description The purpose of this narrative review is to provide an overview of lessons learned from experimental cardiac arrest studies, limitations, translation to clinical studies, ethical considerations and future directions.Cardiac arrest animal studies have provided valuable insights into the pathophysiology of cardiac arrest, the effects of various interventions, and the development of resuscitation techniques. However, there are limitations to animal models that should be considered when interpreting results. Systematic reviews have demonstrated that animal models rarely reflect the clinical condition seen in humans, nor the complex treatment that occurs during and after a cardiac arrest. Furthermore, animal models of cardiac arrest are at a significant risk of bias due to fundamental issues in performing and/or reporting critical methodological aspects. Conducting clinical trials targeting the management of rare cardiac arrest causes like e.g. hyperkalemia and pulmonary embolism is challenging due to the scarcity of eligible patients. For these research questions, animal models might provide the highest level of evidence and can potentially guide clinical practice.To continuously push cardiac arrest science forward, animal studies must be conducted and reported rigorously, designed to avoid bias and answer specific research questions. To ensure the continued relevance and generation of valuable new insights from animal studies, new approaches and techniques may be needed, including animal register studies, systematic reviews and multilaboratory trials.
first_indexed 2024-03-09T02:12:35Z
format Article
id doaj.art-532889017d5b418c9ae776025febfd0b
institution Directory Open Access Journal
issn 2666-5204
language English
last_indexed 2024-04-24T18:47:20Z
publishDate 2024-03-01
publisher Elsevier
record_format Article
series Resuscitation Plus
spelling doaj.art-532889017d5b418c9ae776025febfd0b2024-03-27T04:52:55ZengElsevierResuscitation Plus2666-52042024-03-0117100511Animal research in cardiac arrestLars W. Andersen0Lauge Vammen1Asger Granfeldt2Department of Anesthesiology and Intensive Care Medicine, Aarhus University Hospital, Aarhus, Denmark; Department of Clinical Medicine, Aarhus University, Denmark; Department of Anesthesiology and Intensive Care, Viborg Regional Hospital, Viborg, Denmark; Prehospital Emergency Medical Services, Central Region Denmark, DenmarkDepartment of Anesthesiology and Intensive Care Medicine, Aarhus University Hospital, Aarhus, DenmarkDepartment of Anesthesiology and Intensive Care Medicine, Aarhus University Hospital, Aarhus, Denmark; Department of Clinical Medicine, Aarhus University, Denmark; Corresponding author at: Department of Anesthesiology and Intensive Care, Aarhus University Hospital, Denmark.The purpose of this narrative review is to provide an overview of lessons learned from experimental cardiac arrest studies, limitations, translation to clinical studies, ethical considerations and future directions.Cardiac arrest animal studies have provided valuable insights into the pathophysiology of cardiac arrest, the effects of various interventions, and the development of resuscitation techniques. However, there are limitations to animal models that should be considered when interpreting results. Systematic reviews have demonstrated that animal models rarely reflect the clinical condition seen in humans, nor the complex treatment that occurs during and after a cardiac arrest. Furthermore, animal models of cardiac arrest are at a significant risk of bias due to fundamental issues in performing and/or reporting critical methodological aspects. Conducting clinical trials targeting the management of rare cardiac arrest causes like e.g. hyperkalemia and pulmonary embolism is challenging due to the scarcity of eligible patients. For these research questions, animal models might provide the highest level of evidence and can potentially guide clinical practice.To continuously push cardiac arrest science forward, animal studies must be conducted and reported rigorously, designed to avoid bias and answer specific research questions. To ensure the continued relevance and generation of valuable new insights from animal studies, new approaches and techniques may be needed, including animal register studies, systematic reviews and multilaboratory trials.http://www.sciencedirect.com/science/article/pii/S2666520423001546AnimalsCardiac arrestCardiopulmonary resuscitationPreclinicalExperimental
spellingShingle Lars W. Andersen
Lauge Vammen
Asger Granfeldt
Animal research in cardiac arrest
Resuscitation Plus
Animals
Cardiac arrest
Cardiopulmonary resuscitation
Preclinical
Experimental
title Animal research in cardiac arrest
title_full Animal research in cardiac arrest
title_fullStr Animal research in cardiac arrest
title_full_unstemmed Animal research in cardiac arrest
title_short Animal research in cardiac arrest
title_sort animal research in cardiac arrest
topic Animals
Cardiac arrest
Cardiopulmonary resuscitation
Preclinical
Experimental
url http://www.sciencedirect.com/science/article/pii/S2666520423001546
work_keys_str_mv AT larswandersen animalresearchincardiacarrest
AT laugevammen animalresearchincardiacarrest
AT asgergranfeldt animalresearchincardiacarrest