Guro Mæhlum Krüger
Om
Consultant in intenisve care medicine at St. Olavs Hospital.
Former anesthesiologist in cardiothoracic surgery and vascular surgery.
PhD student at NTNU in the project:
- RescueDoppler, a innovationproject that involves clinical testing of the RescueDoppler technology, which is a pulsed wave Doppler probe with a unique fastening device placed over the common carotid artery.
- The project involves the use of the Doppler probe in adult cardiac arrest patients to detect if there is a pulse or not.
- We have also tested the RescueDoppler technology in adult patients going through planned cardiac surgery.
Forskning
I am studying a novel ultrasound method, RescueDoppler, which aims to replace manual pulse palpation during ongoing cardiopulmonary resuscitation (CPR). RescueDoppler is an ultrasound probe that is placed over the common carotid artery using an self-adhesive patch. This allows for continuous monitoring of blood flow and, importantly, the method is user-independent. This feature may prove highly valuable in emergency situations where immediate feedback on circulatory status can be lifesaving.
Developing new medical equipment while conducting research on patients in acute, life-threatening conditions presents both practical and ethical challenges. Our research group is actively working on further development of the concept, and we have recently completed a pilot study involving cardiac arrest patients both in the prehospital setting in Bodø and in-hospital at St. Olavs Hospital.
Some findings from the pilot study have been presented in an abstract at the Resuscitation Science Symposium in Chicago, November 2024 (see under Publications). The main article is currently under peer review.
Following completion of patient inclusion in the pilot, we immediately launched a multicenter study in which RescueDoppler is being applied to cardiac arrest cases. A total of eight centres are participating: prehospital units in Bodø, Rosten, Lørenskog, and Bergen, and in-hospital settings at St. Olavs Hospital, Akershus University Hospital (Ahus), Rikshospitalet, and Ullevål Hospital.
Additionally, we have conducted a comparative study evaluating RescueDoppler technology against conventional ultrasound methods for measuring carotid blood flow in 42 patients undergoing cardiac surgery. We also performed intraoperative measurements with RescueDoppler to assess its ability to detect changes in pulsatility and circulation when the cardiovascular system is manipulated under controlled and safe conditions.
Publikasjoner
Realtime Detection of Spontaneous Circulation in Humans During Cardiopulmonary Resuscitation Using a Continuous Hands-Free Carotid Doppler: A Cardiac Arrest Pilot Study.
Circulation. 2024;150:e712–e763. DOI: 10.1161/CIR.0000000000001299
https://www.rescuedoppler.com/_files/ugd/ac2251_137823d863764da39adc19bcd8b13246.pdf
Poster på American Heart Association Resuscitation Science Symposium 2024. Ny ultralydmetode (RescueDoppler) som måler blodstrøm i halspulsåra under pågående hjerte- lungeredning. Viktigste funn er at metoden fungerer i en reel klinisk setting og at den presist fanger opp spontan sirkulasjon både under pågående brystkompresjoner og i pauser, samtidig som at den fanger opp ulike blodstrømshastigheter ved ulike brystkompresjoner.
Realtime detection of spontaneous circulation in humans during cardiopulmonary resuscitation using a continuous hands-free carotid Doppler:a pilot study
Resuscitation Plus 2025 Sep 3:26:101080. doi: 10.1016/j.resplu.2025.101080
https://pubmed.ncbi.nlm.nih.gov/41050165/
Return of spontaneous circulation immediately after defibrillation detected by continuous hands-free carotid Doppler
https://www.ahajournals.org/doi/abs/10.1161/circ.152.suppl_3.Or114
Dette abstraktet, som ble presentert på American Heart Association Resuscitation Science Symposium 2025, omfatter hovedfunnene fra en pasientgruppe med ventrikkelflimmer eller ventrikkeltakykardi. Vi fant at kontinuerlig overvåkning av halspulsåren med Doppler-ultralyd kan vise om det er blodstrøm rett etter en defibrillering eller ikke. Dette gir viktig kunnskap for videre forskning på hvordan HLR-protokoller bør bygges opp – spesielt når det gjelder balansen mellom brystkompresjoner og sjekk av rytme og sirkulasjon
2025
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Krüger, Guro Mæhlum;
Birkeli, Sunniva Gjerald;
Hansen, Øystein Myrlund;
Faldaas, Bjørn Ove;
Norvik, Anders;
Lund, Hedda Juni.
(2025)
Realtime detection of spontaneous circulation in humans during cardiopulmonary resuscitation using a continuous hands-free carotid Doppler: a pilot study.
Resuscitation Plus
Vitenskapelig artikkel
Tidsskriftspublikasjoner
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Krüger, Guro Mæhlum;
Birkeli, Sunniva Gjerald;
Hansen, Øystein Myrlund;
Faldaas, Bjørn Ove;
Norvik, Anders;
Lund, Hedda Juni.
(2025)
Realtime detection of spontaneous circulation in humans during cardiopulmonary resuscitation using a continuous hands-free carotid Doppler: a pilot study.
Resuscitation Plus
Vitenskapelig artikkel