Comparison of CPR outcome predictors between rhythmic abdominal compression and continuous chest compression CPR techniques

Kammeyer, Ryan; Pargett, Michael; Rundell, Ann E.

doi:10.1136/emermed-2012-202326

Cited by 14 publications

(6 citation statements)

References 42 publications

(36 reference statements)

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“…108,109 However, its role in patients after cardiac surgery has been questioned, 110 and recent studies have not found it to be as effective as closed chest massage for cardiopulmonary resuscitation (CPR) in other circumstances. 111,112 Thus, my recommendations (which are the personal opinion of this author and not evidence based) for management of cardiac arrest in a patient with a VAD are the following:…”

Section: Arrhythmia Management and Cardiac Arrest In Patients With Lvadsmentioning

confidence: 99%

Management of Patients With Implanted Ventricular Assist Devices for Noncardiac Surgery

Hessel

2013

Semin Cardiothorac Vasc Anesth

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The latest report (fifth report, 2013) of the Interagency Registry for Mechanical Assist Circulatory Support (INTERMACS) reported that since June 2006, 6561 adult patients had received primary implants of left ventricular assist devices (LVADs). 1 Of the devices, 136 were total artificial hearts, 901 were pulsatile devices, and 5515 were continuous flow (CF) devices, of which 5366 involved isolated LVAD implantations. Of the 6561 implants, 4644 were implanted as bridges to heart transplantation (BTT) and 1834 (28%) as destination therapy (DT); however in 2012, 44% of these were implanted for DT. Patients with CF devices had fewer complications and better survival than those with pulsatile devices. Since 2010, essentially 100% of patients stratified to DT received CF devices. Actuarial survival of all patients with CF devices is 80% at 1 year, 70% at 2 years, 59% at 3 years, and 47% at 4 years. Lietz et al 2 reported their later results with the Heart Mate XVE device after the REMATCH trial, and John et al, 3 Loforte et al, 4 and Slaughter et al 5 reported early results with the HeartMate II. More recently, John et al 6 and Adamson et al 7 reported their results with HeartMate II devices implanted in 130 and 55 patients, respectively, between 2005 and 2010. Adverse events included bleeding (requiring red blood cells or reexploration, at time of initial implantation or late gastrointestinal [GI] bleeding [~18%]) in 15% to 36%, infection (local, device and driveline related, or sepsis) in 25% to 50%, neurologic events (ischemic or hemorrhagic strokes or other events) in 10% to 20%, right ventricular (RV) failure in 3% to 5%, and renal failure in 2% to 3%. Device failure or malfunction or thrombosis was infrequent (Table 1). Early deaths were related to multi-organ failure, respiratory failure, RV failure, sepsis, hemorrhage, neurologic events, device thrombosis, and withdrawal. Kirklin and colleagues 40 have summarized the incidence of adverse events during the first 12 months following implantation of CF devices for DT in 1160 patients in the INTERMACS registry (Table 2). Adamson et al 7 did not find significant difference in outcome of the 20 patients over 70 years of age at time of implantation compared with 25 patients under 70 years of age. Kirklin et al presented data that suggest that in lowrisk patients (ie, those without biventricular support, previous cancer, cardiogenic shock, severe RV failure, blood urea nitrogen >50, age >70, and body mass index >32) CF 506788S CVXXX10.

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Section: Arrhythmia Management and Cardiac Arrest In Patients With Lvadsmentioning

confidence: 99%

Management of Patients With Implanted Ventricular Assist Devices for Noncardiac Surgery

Hessel

2013

Semin Cardiothorac Vasc Anesth

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“…Complete recoil cannot be achieved when performing effective-depth chest compressions at a 100/min rate, 50-mm compression depth and 50% duty cycle (or without high-impulse CPR) [9]. But, evidence suggests that very few rescuers can perform effective CPR despite receiving high quality basic life support training and/or while using feedback technology [10][11][12][13][14] likely because the typical rescuer (bystander or professional) lacks a combination of adequate height and upper-body weight [15,16].…”

Section: Accepted Manuscriptmentioning

confidence: 98%

“…However, the generation of substantial compression-induced ventilation requires that the compression depth not only has to be deep enough to displace adequately more air out of the lungs than dead space, but also, recoil time has to be long enough to allow the lung to refill with the amount of air displaced. A 38-mm compression depth is not deep enough to displace enough air from the lungs such that it is greater than the dead space [9];…”

Section: Accepted Manuscriptmentioning

confidence: 99%

Should unobstructed gasping be facilitated and confirmed before administering adrenaline, otherwise, give titrated vasopressin?

Rottenberg¹

2015

The American Journal of Emergency Medicine

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“…Studies of alternative CPR techniques require evaluation of the resulting perfusion of vessels supplying the heart, brain, and other vital organs. [ 1 ] Hand-only CPR is recommended in OHCA, especially in adults, because several important studies found that layperson hand-only CPR was associated with better survival after OHCA compared to conventional CPR. [ 2 3 4 ]…”

Section: Ompression and V Entilation mentioning

confidence: 99%

A Review of Compression, Ventilation, Defibrillation, Drug Treatment, and Targeted Temperature Management in Cardiopulmonary Resuscitation

Pan

Zhu

Kee

et al. 2015

Chinese Medical Journal

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Objective:Important studies of cardiopulmonary resuscitation (CPR) techniques influence the development of new guidelines. We systematically reviewed the efficacy of some important studies of CPR.Data Sources:The data analyzed in this review are mainly from articles included in PubMed and EMBASE, published from 1964 to 2014.Study Selection:Original articles and critical reviews about CPR techniques were selected for review.Results:The survival rate after out-of-hospital cardiac arrest (OHCA) is improving. This improvement is associated with the performance of uninterrupted chest compressions and simple airway management procedures during bystander CPR. Real-time feedback devices can be used to improve the quality of CPR. The recommended dose, timing, and indications for adrenaline (epinephrine) use may change. The appropriate target temperature for targeted temperature management is still unclear.Conclusions:New studies over the past 5 years have evaluated various aspects of CPR in OHCA. Some of these studies were high-quality randomized controlled trials, which may help to improve the scientific understanding of resuscitation techniques and result in changes to CPR guidelines.

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Comparison of CPR outcome predictors between rhythmic abdominal compression and continuous chest compression CPR techniques

Cited by 14 publications

References 42 publications

Management of Patients With Implanted Ventricular Assist Devices for Noncardiac Surgery

Management of Patients With Implanted Ventricular Assist Devices for Noncardiac Surgery

Should unobstructed gasping be facilitated and confirmed before administering adrenaline, otherwise, give titrated vasopressin?

A Review of Compression, Ventilation, Defibrillation, Drug Treatment, and Targeted Temperature Management in Cardiopulmonary Resuscitation

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