Mechanical chest compression devices at in-hospital cardiac arrest: A systematic review and meta-analysis

Couper, Keith; Yeung, Joyce; Nicholson, Thomas; Quinn, Tom; Lall, Ranjit; Perkins, Gavin D.

doi:10.1016/j.resuscitation.2016.03.004

Cited by 46 publications

(43 citation statements)

References 48 publications

(77 reference statements)

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“…Bonnes et al 43 reached a similar conclusion after having analyzed 20 studies, 5 randomized controlled trials, and 15 studies with non-randomized design, for a total of 21,363 patients. Couper et al 44 carried out a review and meta-analysis to ascertain the effectiveness of automated devices during in-hospital CPR. They included nine studies in their analysis, for a total of 689 patients.…”

Section: Is the Automatic Cpr Effective?mentioning

confidence: 99%

Automatic and manual devices for cardiopulmonary resuscitation: A review

Remino

Baronio

Pellegrini

et al. 2018

Advances in Mechanical Engineering

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Rate of survival without any neurological consequence after cardiac arrest is driven not only by early recognition but also by high-quality cardiopulmonary resuscitation. Because the effectiveness of the manual cardiopulmonary resuscitation is usually impaired by rescuers' fatigue, devices have been devised to improve it by appliances or ergonomic solutions. However, some devices are thought to replace the manual resuscitation altogether, either mimicking its action or generating hemodynamic effects with working principles which are entirely different. This article reviews such devices, both manual and automatic. They are mainly classified by actuation method, applied force, working space, and positioning time. Most of the trials and meta-analyses have not demonstrated that chest compressions given with automatic devices are more effective than those given manually. However, advances in clinical research and technology, with an improved understanding of the organizational implications of their use, are constantly improving the effectiveness of such devices.

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Section: Is the Automatic Cpr Effective?mentioning

confidence: 99%

Automatic and manual devices for cardiopulmonary resuscitation: A review

Remino

Baronio

Pellegrini

et al. 2018

Advances in Mechanical Engineering

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show abstract

“…Mechanical chest compression devices automate the process and deliver consistent, high quality chest compressions. Two devices have been evaluated in large, multicenter pre-hospital clinical trials which enrolled 12,206 patient with out of hospital cardiac arrest (49) Despite the absence of benefit from strategies which routinely deploy mechanical chest compression in out of hospital cardiac arrest, there remain situations where manual chest compressions are either not possible or hazardous where it is reasonable to consider mechanical CPR. Examples include during land ambulance / helicopter transfer to hospital, during percutaneous coronary interventions and as a bridge to advanced therapies (e.g.…”

Section: Manual Versus Mechanical Cardiopulmonary Resuscitationmentioning

confidence: 99%

Out-of-hospital cardiac arrest: prehospital management

2018

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(no more than 150 words)Sudden out of hospital cardiac arrest is the most time critical medical emergency. In this expert opinion and literature review, we consider important issues in the pre-hospital management of cardiac arrest. Successful resuscitation is reliant on a strong chain of survival drawn from the community, dispatch center, ambulance and hospital working together. Early cardiopulmonary resuscitation and defibrillation has the greatest impact on survival. If the community response does not restart the heart, resuscitation is continued by emergency medical services staff. There is uncertainty about the best approaches for airway management and the effectiveness of current drug treatments. Prognostic factors and termination of resuscitation rules may guide the duration of a resuscitation attempt and decision to transport to hospital. If return of spontaneous circulation is achieved, the focus of treatment shifts to stabilization, restoring normal physiological parameters and transporting to hospital for on-going care.2

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“…Keith Couper et al stellen in Resuscitation [17] die Ergebnisse ihrer systematischen Übersichtsarbeit bzw. Meta-analyse zur Anwendung von mechanischen Reanimationshilfen bei einem innerklinischen Herz-Kreislauf-Stillstand (IHCA) vor.…”

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