Active compression-decompression versus standard cardiopulmonary resuscitation in a porcine model: no improvement in outcome

American Heart Journal
K B KernG A Ewy

Abstract

Active compression-decompression cardiopulmonary resuscitation (CPR) is a new innovative basic life-support technique during which the anterior chest wall is actively decompressed by a suction device. CPR techniques were studied in 36 swine to test the hypothesis that active compression-decompression CPR improves coronary perfusion pressure, myocardial blood flow during CPR, and 24-hour survival. After 30 seconds of untreated ventricular fibrillation, CPR was begun and continued for 12.5 minutes by one of the three following methods: (1) active compression-decompression CPR with a suction device modified to include a precision force transducer; (2) standard CPR performed with a force transducer device; and (3) standard manual CPR performed without a force transducer device. CPR-generated coronary perfusion pressure, myocardial blood flow, and the force of compression were measured at 3 and 10 minutes of resuscitation effort. Initial return of spontaneous circulation, 24-hour survival, and trauma scores were also evaluated. Active compression-decompression CPR produced consistently better results than did standard CPR performed with a force transducer, but not better than standard CPR performed manually without a force transduce...Continue Reading

References

Jun 3, 1992·JAMA : the Journal of the American Medical Association·T J CohenM M Scheinman
Mar 1, 1985·The American Journal of Emergency Medicine·A B SandersS Bragg
Apr 26, 1995·JAMA : the Journal of the American Medical Association·T M SchwabT A Utecht
Nov 1, 1994·Annals of Emergency Medicine·P A CarliJ J Eledjam
Jul 1, 1994·Journal of the American College of Cardiology·K J TuckerR F Redberg
May 11, 1994·JAMA : the Journal of the American Medical Association·K G LurieL Long

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Citations

Mar 22, 2012·Critical Care Clinics·Henry Halperin
Nov 24, 2011·Emergency Medicine Clinics of North America·Steven C BrooksJonathan Hsu
Jul 10, 2003·Critical Care Clinics·Marilyn C Morris, Vinay M Nadkarni
Jun 3, 2011·Resuscitation·Mathias ZuercherRobert A Berg
Apr 13, 1999·Critical Care Medicine·G A Ewy
Apr 8, 2006·Critical Care and Resuscitation : Journal of the Australasian Academy of Critical Care Medicine·P Morley

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