Abstract
Active compression-decompression cardiopulmonary resuscitation (CPR) is a new innovative basic life-support technique during which the anterior cheat wall is actively decompressed by a suction device. CPR techniques were studied in 36 swine to test the hypothesis that active compression- decompression CPR improves coronary perfusion pressure, myocardial blood flow during CPR, and 24-hour survival. After 30 seconds of untreated ventricular fibrillation, CPR was begun and continued for 12.5 minutes by one of the three following methods: (1) active compression-decompression CPR with a auction device modified to include a precision force transducer; (2) standard CPR performed with a force transducer device; and (3) standard manual CPR performed without a force transducer device. CPR-generated coronary perfusion pressure, myocardial blood flow, and the force of compression were measured at 3 and 10 minutes of resuscitation effort. Initial return of spontaneous circulation, 24-hour survival, and trauma scores were also evaluated. Active compression-decompression CPR produced consistently better results than did standard CPR performed with a force transducer, but not better than standard CPR performed manually without a force transducer. The use of a force- measuring device with standard CPR may compromise hemodynamic response and outcome.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1156-1162 |
| Number of pages | 7 |
| Journal | American Heart Journal |
| Volume | 132 |
| Issue number | 6 |
| DOIs | |
| State | Published - 1996 |
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ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
Cite this
Active compression-decompression versus standard cardiopulmonary resuscitation in a porcine model : No improvement in outcome. / Kern, Karl B; Figge, Gary; Hilwig, Ronald W.; Sanders, Arthur B; Berg, Robert A.; Otto, Charles W; Ewy, Gordon A.
In: American Heart Journal, Vol. 132, No. 6, 1996, p. 1156-1162.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Active compression-decompression versus standard cardiopulmonary resuscitation in a porcine model
T2 - No improvement in outcome
AU - Kern, Karl B
AU - Figge, Gary
AU - Hilwig, Ronald W.
AU - Sanders, Arthur B
AU - Berg, Robert A.
AU - Otto, Charles W
AU - Ewy, Gordon A.
PY - 1996
Y1 - 1996
N2 - Active compression-decompression cardiopulmonary resuscitation (CPR) is a new innovative basic life-support technique during which the anterior cheat wall is actively decompressed by a suction device. CPR techniques were studied in 36 swine to test the hypothesis that active compression- decompression CPR improves coronary perfusion pressure, myocardial blood flow during CPR, and 24-hour survival. After 30 seconds of untreated ventricular fibrillation, CPR was begun and continued for 12.5 minutes by one of the three following methods: (1) active compression-decompression CPR with a auction device modified to include a precision force transducer; (2) standard CPR performed with a force transducer device; and (3) standard manual CPR performed without a force transducer device. CPR-generated coronary perfusion pressure, myocardial blood flow, and the force of compression were measured at 3 and 10 minutes of resuscitation effort. Initial return of spontaneous circulation, 24-hour survival, and trauma scores were also evaluated. Active compression-decompression CPR produced consistently better results than did standard CPR performed with a force transducer, but not better than standard CPR performed manually without a force transducer. The use of a force- measuring device with standard CPR may compromise hemodynamic response and outcome.
AB - Active compression-decompression cardiopulmonary resuscitation (CPR) is a new innovative basic life-support technique during which the anterior cheat wall is actively decompressed by a suction device. CPR techniques were studied in 36 swine to test the hypothesis that active compression- decompression CPR improves coronary perfusion pressure, myocardial blood flow during CPR, and 24-hour survival. After 30 seconds of untreated ventricular fibrillation, CPR was begun and continued for 12.5 minutes by one of the three following methods: (1) active compression-decompression CPR with a auction device modified to include a precision force transducer; (2) standard CPR performed with a force transducer device; and (3) standard manual CPR performed without a force transducer device. CPR-generated coronary perfusion pressure, myocardial blood flow, and the force of compression were measured at 3 and 10 minutes of resuscitation effort. Initial return of spontaneous circulation, 24-hour survival, and trauma scores were also evaluated. Active compression-decompression CPR produced consistently better results than did standard CPR performed with a force transducer, but not better than standard CPR performed manually without a force transducer. The use of a force- measuring device with standard CPR may compromise hemodynamic response and outcome.
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U2 - 10.1016/S0002-8703(96)90458-5
DO - 10.1016/S0002-8703(96)90458-5
M3 - Article
C2 - 8969566
AN - SCOPUS:0030465369
VL - 132
SP - 1156
EP - 1162
JO - American Heart Journal
JF - American Heart Journal
SN - 0002-8703
IS - 6
ER -