Evaluation of an impedance threshold device in patients receiving active compression–decompression cardiopulmonary resuscitation for out of hospital cardiac arrest

Mechanical Chest Compression Devices: Historical Evolution, Classification and Current Practices, A Short Review

“…Table 3 presents the results of some studies that have reported on other MCCDs and techniques. Some trials on ResQCPR (ACD+ITD CPR) have reported short-and long-term survival rates to be higher than those for S-CPR (47,72,73). The results of trials with simultaneous sterno-thoracic CPR devices (SST-CPR/X-CPR) reveal hope for the future of these devices.…”

Part 6: Alternative Techniques and Ancillary Devices for Cardiopulmonary Resuscitation

“…9,[13][14][15][16] Two of these trials evaluated ACD-CPR with the ITD in comparison with ACD-CPR alone. 9,13 The first of these used femoral artery catheters to measure improved hemodynamic parameters but found no difference in ROSC, 24-hour survival, or survival to hospital discharge. 9 In a follow-up RCT of 400 patients, the ACD-CPR with a functioning ITD increased 24-hour survival, but again there was no difference in survival to hospital discharge or survival with good neurologic function as compared with the ACD-CPR with sham ITD group.…”

“…9 In a follow-up RCT of 400 patients, the ACD-CPR with a functioning ITD increased 24-hour survival, but again there was no difference in survival to hospital discharge or survival with good neurologic function as compared with the ACD-CPR with sham ITD group. 13 The remaining 2 RCTs compared ACD-CPR with the ITD versus conventional CPR. The first was a single-center RCT in which 210 patients were randomly assigned to ACD-CPR+ITD or conventional CPR after intubation by the advanced life support team, which arrived on scene a mean of 9.5 minutes after the 9-1-1 call.…”

Cardiac Arrest Resuscitation

“…Four randomized controlled trials have failed to show a benefit in survival to hospital discharge or neurologic outcomes. [161][162][163][164] …”