Mechanical chest compressions improve rate of return of spontaneous circulation and allow for initiation of percutaneous circulatory support during cardiac arrest in the cardiac catheterization laboratory

Venturini, Joseph; Retzer, Elizabeth; Estrada, Jeremy Raider; Friant, Janet; Beiser, David G.; Edelson, Dana P.; Paul, Jonathan; Blair, John E.; Nathan, Sandeep; Shah, Atman P.

doi:10.1016/j.resuscitation.2017.03.037

Cited by 35 publications

(27 citation statements)

References 13 publications

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“…Fifteen of the included studies were in adult OHCA [16–30]. Eight studies were performed in Asia [18–22,24,26,27], 4 studies in Europe [16,17,23,25], and 3 studies in North America [28,17–30]. Three studies included both OHCA and IHCA patients [17,21,28].…”

Section: Resultsmentioning

confidence: 99%

“…Eight studies were performed in Asia [18–22,24,26,27], 4 studies in Europe [16,17,23,25], and 3 studies in North America [28,17–30]. Three studies included both OHCA and IHCA patients [17,21,28]. The cohort and/or time-frame was overlapping for some studies [19,22,27,29,30].…”

Section: Resultsmentioning

confidence: 99%

“…Some studies in adult OHCA restricted their inclusion criteria to patients with a witnessed cardiac arrest, very short no-flow times, and/or required a certain duration of conventional CPR prior to ECPR [17,18,22,25,26]. Three studies assessed the availability and/or use of ECPR in the cardiac catheterization laboratory [28–30]. The results of these studies are not easily applicable to other settings.…”

Section: Discussionmentioning

confidence: 99%

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Extracorporeal cardiopulmonary resuscitation for cardiac arrest: A systematic review

et al. 2018

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Extracorporeal cardiopulmonary resuscitation for cardiac arrest: A systematic review

et al. 2018

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“…Another pilot autopsy study of 85 patients who died from cardiac arrest suggested that there was no difference in the variety and incidence of internal injuries between patients on whom mechanical compressions were performed and those who received manual CPR . It is noteworthy that the use of mechanical chest compressions on patients in full cardiac arrest during coronary interventions or initiation of percutaneous mechanical circulatory support in the cardiac catheterization laboratory may increase the rate of return of spontaneous circulation . However, there is no evidence to suggest that mechanical CPR improves outcomes when compared with a manual strategy …”

Section: Discussionmentioning

confidence: 99%

An insidious and deadly complication of mechanical chest compressions in a patient on anticoagulation and the subtle echocardiographic findings that enabled timely diagnosis

et al. 2018

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Good-quality chest compressions improve outcomes in cardiac arrest. While manual chest compressions are suboptimal in this regard, the LUCAS device has been shown to improve the effectiveness of chest compressions during cardiopulmonary resuscitation (CPR). The complication rate associated with mechanical CPR, however, has not been adequately studied. Limited evidence suggests no difference in internal injury between manual and mechanical CPR. We report the case of a patient on anticoagulation who developed a mediastinal hematoma post mechanical CPR and on whom subtle findings on initial echocardiography could have alerted the clinician to this complication early during the clinical course. This case further suggests that there may be special populations of patients in whom we may need to be more vigilant in the use of mechanical CPR.

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“…80,82,85,87À89,91À94,97À101 Three studies included both patients with OHCA and those with IHCA. 82,89,99 Most studies defined the exposure as ECPR use; 1 study93 defined the exposure as ECPR availability; and 2 studies 100,101 defined the exposure as an ECPR strategy. Twelve studies reported survival to hospital discharge 80,82,85,87À89,91À93,97À99 ; 6 studies reported long-term survival 82,88,91,93,97,98 ; 8 studies reported favorable neurological outcome at hospital discharge 85,87,88,92,93,97,100,101 ; and 6 studies reported long-term favorable neurological outcomes.…”

Section: Consensus On Sciencementioning

confidence: 99%

2019 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations

Soar¹,

Maconochie²,

Wyckoff³

et al. 2019

Resuscitation

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The International Liaison Committee on Resuscitation has initiated a continuous review of new, peer-reviewed, published cardiopulmonary resuscitation science. This is the third annual summary of the International Liaison Committee on Resuscitation International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. It addresses the most recent published resuscitation evidence reviewed by International Liaison Committee on Resuscitation Task Force science experts. This summary addresses the role of cardiac arrest centers and dispatcher-assisted cardiopulmonary resuscitation, the role of extracorporeal cardiopulmonary resuscitation in adults and children, vasopressors in adults, advanced airway interventions in adults and children, targeted temperature management in children after cardiac arrest, initial oxygen concentration during resuscitation of newborns, and interventions for presyncope by first aid providers. Members from 6 International Liaison Committee on Resuscitation task forces have assessed, discussed, and debated the certainty of the evidence on the basis of the Grading of Recommendations, Assessment, Development, and Evaluation criteria, and their statements include consensus treatment recommendations. Insights into the deliberations of the task forces are provided in the Justification and Evidence to Decision Framework Highlights sections. The task forces also listed priority knowledge gaps for further research.

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Mechanical chest compressions improve rate of return of spontaneous circulation and allow for initiation of percutaneous circulatory support during cardiac arrest in the cardiac catheterization laboratory

Cited by 35 publications

References 13 publications

Extracorporeal cardiopulmonary resuscitation for cardiac arrest: A systematic review

Extracorporeal cardiopulmonary resuscitation for cardiac arrest: A systematic review

An insidious and deadly complication of mechanical chest compressions in a patient on anticoagulation and the subtle echocardiographic findings that enabled timely diagnosis

2019 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations

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