Active chest compression-decompression for cardiopulmonary resuscitation

Lafuente-Lafuente, Carmelo; Melero-Bascones, María

doi:10.1002/14651858.cd002751

Cited by 13 publications

(7 citation statements)

References 35 publications

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“…[794][795][796][797][798] The efficacy of ACD-CPR may be highly dependent on the quality and duration of training. 799 A meta-analysis of 10 trials of out-of-hospital cardiac arrest and two of in-hospital cardiac arrest showed no early or late survival benefit to ACD-CPR over conventional CPR 234,800 and this is confirmed by another recent meta-analysis. 801 Two post-mortem studies have shown more rib and sternal fractures after ACD-CPR compared with conventional CPR, 802,803 but another found no difference.…”

Section: Active Compression-decompression Cpr (Acd-cpr)mentioning

confidence: 91%

European Resuscitation Council Guidelines for Resuscitation 2015

et al. 2015

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These Guidelines are based on the International Liaison Committee on Resuscitation (ILCOR) 2015 Consensus on Science and Treatment Recommendations (CoSTR) for ALS. 4 The 2015 ILCOR review focused on 42 topics organised in the approximate sequence of ALS interventions: defibrillation, airway, oxygenation and ventilation, circulatory support, monitoring during CPR, and drugs during CPR. For these Guidelines the ILCOR recommendations were supplemented by focused literature reviews undertaken by the ERC ALS Writing Group for those topics not reviewed in the 2015 ILCOR CoSTR. Guidelines were drafted and agreed by the ALS Writing Group members before final approval by the ERC General Assembly and ERC Board. Summary of changes since 2010 GuidelinesThe 2015 ERC ALS Guidelines have a change in emphasis aimed at improved care and implementation of these guidelines in order to improve patient focused outcomes. 5 The 2015 ERC ALS Guidelines do not include any major changes in core ALS interventions since the previous ERC guidelines published in 2010. 1,2 The key changes since 2010 are:• Continuing emphasis on the use of rapid response systems for care of the deteriorating patient and prevention of in-hospital cardiac arrest. • Continued emphasis on minimally interrupted high-quality chest compressions throughout any ALS intervention: chest

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Section: Active Compression-decompression Cpr (Acd-cpr)mentioning

confidence: 91%

European Resuscitation Council Guidelines for Resuscitation 2015

et al. 2015

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“…Studies indirectly comparing resuscitation outcomes between physician-staffed and other systems are difficult to interpret because of the heterogeneity among systems, independent of physician-staffing (LOE 5) 324 . High survival rates after cardiac arrest have been reported from systems that employ experienced physicians as part of the EMS response (LOE 3 325,326 ; LOE 4 310,312,327 ) and these survival rates may be higher than in systems that rely on nonphysician providers (LOE 2 328 ; LOE 3 325,326,329 ). Other comparisons noted no difference in survival between systems using paramedics or physicians as part of the response (LOE 3) 330,331 .…”

Section: Consensus On Sciencementioning

confidence: 99%

Part 12: Education, implementation, and teams

Mancini¹,

Soar²,

Bhanji³

et al. 2010

Resuscitation

180

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“…The use of mechanical devices may be involved in some cases ( 4 ) although they do not increase the incidence of serious complications. ( 2 ) Of note, only manual compressions were used in the patient we describe. The age of the patient and the fact that the CPR was performed by laypersons may perhaps have played a role.…”

Section: Discussionmentioning

confidence: 99%

Aortic luminal thrombus and intramural hematoma after cardiopulmonary resuscitation

Fagnoul¹,

Herpain²,

Vincent³

et al. 2013

Revista Brasileira De Terapia Intensiva

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We describe the case of a patient with an intramural hematoma and floating thrombus after cardiopulmonary resuscitation. The 92-year old man had a cardiac arrest due to ventricular fibrillation and witnesses immediately initiated manual cardiopulmonary resuscitation. Transesophageal echocardiography was performed immediately on hospital admission because the patient was in cardiogenic shock. In addition to an akinetic anterior wall, examination of the descending thoracic aorta demonstrated an intramural hematoma and a floating intra-aortic thrombus at a distance of 40cm from the dental arch. There was no aortic dissection. The thrombus was attributed to aortic compression during cardiopulmonary resuscitation. Although the aortic thrombus and intramural hematoma were not associated with any complications in this patient, insertion of an intra-aortic balloon may have led to aortic rupture or embolic events. Transesophageal echocardiography should be performed, when available, prior to insertion of an intra-aortic balloon for counterpulsation in patients who have undergone cardiopulmonary resuscitation.

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Active chest compression-decompression for cardiopulmonary resuscitation

Cited by 13 publications

References 35 publications

European Resuscitation Council Guidelines for Resuscitation 2015

European Resuscitation Council Guidelines for Resuscitation 2015

Part 12: Education, implementation, and teams

Aortic luminal thrombus and intramural hematoma after cardiopulmonary resuscitation

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