Incomplete chest wall decompression: a clinical evaluation of CPR performance by EMS personnel and assessment of alternative manual chest compression–decompression techniques

Aufderheide, Tom P.; Pirrallo, Ronald G.; Yannopoulos, Demetris; Klein, John P.; Briesen, Chris von; Sparks, Christopher W.; Deja, Kimberly A.; Conrad, Craig J.; Kitscha, David J.; Provo, Terry A.; Lurie, Keith G.

doi:10.1016/j.resuscitation.2004.10.007

Cited by 220 publications

(116 citation statements)

References 17 publications

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“…Compression must be of adequate number and force, while allowing for full recoil of the chest (no leaning) in order to provide optimal blood flow generation. [16][17][18] CPR-Generated Coronary Perfusion Pressure (CPP) An important concept underlying successful resuscitation is CPRgenerated CPP, which is defined as the pressure gradient between the aortic and right atrial pressures during the decompression phase of rhythmic chest compressions/decompressions. This correlates well with myocardial blood flow produced during resuscitation, as well as subsequent survival from cardiac arrest.…”

Section: Manual Cprmentioning

confidence: 99%

Mechanical Cardiopulmonary Resuscitation In and On the Way to the Cardiac Catheterization Laboratory

William

Rao

Kanakadandi

et al. 2016

Circ J

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Cardiac arrest, though not common during coronary angiography, is increasingly occurring in the catheterization laboratory because of the expanding complexity of percutaneous interventions (PCI) and the patient population being treated. Manual chest compression in the cath lab is not easily performed, often interrupted, and can result in the provider experiencing excessive radiation exposure. Mechanical cardiopulmonary resuscitation (CPR) provides unique advantages over manual performance of chest compression for treating cardiac arrest in the cardiac cath lab. Such advantages include the potential for uninterrupted chest compressions, less radiation exposure, better quality chest compressions, and less crowded conditions around the catheterization table, allowing more attention to ongoing PCI efforts during CPR. Out-of-hospital cardiac arrest patients not responding to standard ACLS therapy can be transported to the hospital while mechanical CPR is being performed to provide safe and continuous chest compressions en route. Once at the hospital, advanced circulatory support can be instituted during ongoing mechanical CPR. This article summarizes the epidemiology, pathophysiology and nature of cardiac arrest in the cardiac cath lab and discusses the mechanics of CPR and defibrillation in that setting. It also reviews the various types of mechanical CPR and their potential roles in and on the way to the laboratory. (Circ J 2016; 80: 1292 -1299

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Section: Manual Cprmentioning

confidence: 99%

Mechanical Cardiopulmonary Resuscitation In and On the Way to the Cardiac Catheterization Laboratory

William

Rao

Kanakadandi

et al. 2016

Circ J

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“…In addition to minimizing chest compression interruptions, high-quality CPR-including optimal rate, depth, full recoil, and appropriate ventilations-has been shown to improve survival [12][13][14][15][16][17][18][19][20][21].…”

Section: Link 2: Early Cpr With An Emphasis On Chest Compressionsmentioning

confidence: 99%

Review of Clinical Guidelines for Cardiopulmonary Resuscitation

Pearson¹

2015

North Carolina Medical Journal

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“…For instance, laypersons, emergency medical personnel, nurses, and physicians alike often perform CPR poorly in terms of compression rate, depth, and interruptions, as well as allowing for adequate chest wall recoil between compressions and avoidance of hyperventilation. [35][36][37][38] CPR interruptions Reprinted from Neumar et al 17 occur frequently during patient transport (loading and unloading), rhythm analysis, and preshock and postshock periods. 39 A coordinated effort directed toward frequent retraining is essential to maintain skills that otherwise deteriorate rapidly.…”

Section: Airway and Breathingmentioning

confidence: 99%