Pancreatic injury associated with interposed abdominal compressions in pediatric cardiopulmonary resuscitation

Waldman, Peter J.; Walters, Bradford L.; Grunau, Charles Fv

doi:10.1016/0735-6757(84)90076-7

Cited by 43 publications

(23 citation statements)

References 13 publications

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“…This phenomenon has been reported to be a frequent finding when thrombolytic treatment is unsuccessful. 5 In their bibliographic review, Silber et al did not mention these three reports that we feel support the conclusions that are drawn from their study.…”

Section: Thrombolysis As the First Line Of Therapy For Cardiac Valve mentioning

confidence: 47%

High stored iron and the risk of ischemic heart disease.

Walker¹,

Walker²,

Labadarios³

1993

Circulation

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Section: Thrombolysis As the First Line Of Therapy For Cardiac Valve mentioning

confidence: 47%

High stored iron and the risk of ischemic heart disease.

Walker¹,

Walker²,

Labadarios³

1993

Circulation

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“…Only one isolated case report of traumatic pancreatitis in a child 45 describes local trauma from abdominal compression during CPR. These data compare favorably with the well-known and frequent incidence of rib fracture and pulmonary contusion from chest compression during CPR [55][56][57] .…”

Section: Complications Of Iac-cprmentioning

confidence: 99%

Interposed abdominal compression CPR: a comprehensive evidence based review

Babbs

2003

Resuscitation

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Interposed abdominal compression (IAC)-CPR includes all steps of standard external CPR with the addition of manual mid-abdominal compressions in counterpoint to the rhythm of chest compressions. IAC-CPR can increase blood flow during CPR about two fold compared to standard CPR without IAC, as shown by 6 of 6 studies in computer models and 19 of 20 studies in various animal models. The addition of IAC has clinical benefit in humans, as indicated in 10 of 12 small to medium sized clinical studies. The technique increases the frequency of immediate return of spontaneous circulation for in-hospital resuscitations from roughly 25% to 50%. Improved survival to discharge is also likely on the basis of two small in-hospital trials. Possible harm from abdominal compression is minimal on the basis of 426 humans, 151, dogs and 14 pigs that received IAC in published reports. The complexity of performing IAC is similar to that of opening the airway and is less than that of other basic life support maneuvers. The aggregate evidence suggests that IAC-CPR is a safe and effective means to increase organ perfusion and survival, when performed by professionally trained responders in a hospital and when initiated early in the resuscitation protocol. Cost and logistical considerations discourage use of IAC-CPR outside of hospitals.

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“…This case of necropsy-confirmed pancreatic injury occurred in a child receiving interposed abdominal compression during CPR. 38 Initial concerns regarding the possibility of more frequent emesis during IAC-CPR than during conventional CPR have remained unsubstantiated. All three randomized clinical trials previously cited failed to show a difference in rates of emesis between the IAC and standard CPR groups.…”

Section: Clinical Studiesmentioning

confidence: 99%

The Evolution of Abdominal Compression in Cardiopulmonary Resuscitation

Babbs

1994

Academic Emergency Medicine

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Objective: To review the history of external abdominal compression as an adjunct to cardiopulmonary resuscitation (CPR), tracking the development of five major themes over the course of the 20th century: 1) augmentation of peripheral resistance by physical means, 2) risk of hepatic injury with abdominal compression, 3) counterpulsation vs sustained compression, 4) the abdominal pump mechanism, and 5) contact compression techniques. Methods: Literature retrieved from successive MEDLINE English‐language searches was reviewed with a special emphasis on work and concepts highlighted by participants at the First Purdue Conference on Interposed Abdominal Compression‐CPR, September 1992. Results: External abdominal compression of one form or another has been studied as a means of resuscitation by many investigators throughout the 20th century. Experimental and clinical studies have shown generally consistent evidence of hemodynamic augmentation by abdominal compression during various forms of CPR. Recent advances include a modified theoretical understanding of hemodynamic mechanisms and demonstration of clinical potential in humans. Inconsistencies in published results may be due to differences in mechanical techniques of abdominal compression. Based on these studies, a modified manual technique for “contact compression” of the abdominal aorta is recommended. Conclusions: A technique for left‐of‐center, angled compression of the abdominal aorta against the crest of the spine is recommended. Further well‐supervised and controlled clinical trials using this standardized technique are warranted as a prelude to more widespread clinical application of abdominal compression in CPR.

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Pancreatic injury associated with interposed abdominal compressions in pediatric cardiopulmonary resuscitation

Cited by 43 publications

References 13 publications

High stored iron and the risk of ischemic heart disease.

High stored iron and the risk of ischemic heart disease.

Interposed abdominal compression CPR: a comprehensive evidence based review

The Evolution of Abdominal Compression in Cardiopulmonary Resuscitation

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