A Feasibility Study of Cerebral Oximetry During In-Hospital Mechanical and Manual Cardiopulmonary Resuscitation*

Abstract

The integration of cerebral oximetry into cardiac arrest resuscitation provides a novel noninvasive method to determine the quality of cerebral perfusion and oxygen delivery to the brain. The use of automated mechanical chest compression device during in-hospital cardiac arrest may lead to improved oxygen delivery and organ perfusion.

Abdominal oxygen saturation for monitoring return of spontaneous circulation in out-of-hospital cardiac arrest using near infrared spectrophometry

“…Initial measurements in patients with arrest were also low in our study, rising when spontaneous circulation was restored and systemic blood pressure was established. Studies focusing on the circulation of major organs during CPR are on the increase [25][26][27][28][29]. In this regard, although monitoring of cerebral saturation by NIRS has been projected as the only aid in determining ROSC, it has become apparent that monitoring of abdominal saturation can serve the same purpose.…”

An Update on Cardiopulmonary Resuscitation in Children

“…It is likely that the appropriate therapies for preserving an adequate degree of cerebral perfusion and oxygenation during and after CPR are different between individuals. Monitoring of cerebral blood flow and cerebral oxygenation during and after CPR may allow for titration of therapies as well as for prognostication [104][105][106][107].…”

Assisted Beating of the Ischemic Heart

“…The system allows defibrillation without interruption, and its safe use has been reported during PCI percutaneous transluminal coronary angioplasty. 11 Experimental and clinical studies pinpoint toward improved outcomes after in-hospital-resuscitation 10,12,13 ; nevertheless, current evidence is insufficient to allow any definite conclusion regarding the super-or inferiority of mechanical chest compressions compared to manual CPR.…”

“…9 Mechanical automated chest compression devices represent a promising alternative and have recently been shown to achieve higher mean regional cerebral oxygen saturation levels. 10 Different types of mechanical devices exist, working as pneumatic vests, load distributing bands, or pistons. The LUCAS chest compression system is a compressed airor battery-driven piston working at a rate of 100 per minute with equal compression and decompression times.…”