Comparison of prehospital conventional and simultaneous compression-ventilation cardiopulmonary resuscitation

Jp, Krischer; Eg, Fine; Weisfeldt, M. L.; Ad, Guerci; Nagel, Eugene L.; Chandra, Nisha

doi:10.1097/00003246-198912000-00005

Cited by 72 publications

(15 citation statements)

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“…However, 3 additional studies (LOE 1 244 ; LOE 2 245 ; LOE 5 246 ) failed to consistently show improvement in survival to hospital discharge when compression-only CPR compared with conventional CPR was administered by professionals to adult patients with an OHCA.…”

Section: Consensus On Sciencementioning

confidence: 99%

Part 5: Adult Basic Life Support

Sayre¹,

Koster²,

Botha³

et al. 2010

Circulation

151

136

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Section: Consensus On Sciencementioning

confidence: 99%

Part 5: Adult Basic Life Support

Sayre¹,

Koster²,

Botha³

et al. 2010

Circulation

151

136

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“…However, the outcome in clinical trials was disappointing [99]. One reason for this is that breath-stacking occurs when ventilation is as rapid as typical compression rates.…”

Section: Steady-state Effects Positive End-expiratory Pressure and Comentioning

confidence: 99%

Heart-lung interactions: applications in the critically ill

Fessler¹

1997

Eur Respir J

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Since the circulatory and pulmonary systems are both driven by pressure and share space in the thorax, it is inevitable that they interact. These mechanical interactions, whilst relatively few in number, are protean in their manifestations.The circulatory system of the critically ill is often particularly susceptible to interference from respiration. Compensatory reserve is limited, ventilatory effort increased, and many critical care respiratory interventions place strain on the circulation, not seen in health.This review will examine the basic physiological mechanisms through which the pulmonary and circulatory systems interact. These mechanisms will then be applied to a variety of weaning, positive end-expiratory pressure (PEEP), and cardiopulmonary resuscitation techniques. It is hoped that this will provide the tools to understand clinical observations which would otherwise appear inexplicable.

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“…For the modified device (Life-Stat) capable of performing ventilation and chest compressions, there was no consistent haemodynamic benefit reported; a randomised trial showed no benefit compared with standard CPR, with survival superior in the conventional CPR group 24. This was largely thought to be secondary to a faster compression rate being required in the mechanical group or due to difficulties in deploying the device efficiently.…”

Section: Efficacy Of Mcpr Devicesmentioning

confidence: 99%

Military application of mechanical CPR devices: a pressing requirement?

2018

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Maintaining high-quality chest compressions during cardiopulmonary resuscitation following cardiac arrest presents a challenge. The currently available mechanical CPR (mCPR) devices are described in this review, coupled with an analysis of the evidence pertaining to their efficacy. Overall, mCPR appears to be at least equivalent to high-quality manual CPR in large trials. There is potential utility for mCPR devices in the military context to ensure uninterrupted quality CPR following a medical cardiac arrest. Particular utility may be in a prohibitive operational environment, where manpower is limited or where timelines to definitive care are stretched resulting in a requirement for prolonged resuscitation. mCPR can also act as a bridge to advanced endovascular resuscitation techniques should they become more mainstream therapy.

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Comparison of prehospital conventional and simultaneous compression-ventilation cardiopulmonary resuscitation

Cited by 72 publications

References 0 publications

Part 5: Adult Basic Life Support

Part 5: Adult Basic Life Support

Heart-lung interactions: applications in the critically ill

Military application of mechanical CPR devices: a pressing requirement?

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