Video-recording and time-motion analyses of manual versus mechanical cardiopulmonary resuscitation during ambulance transport

Wang, Hui-Chih; Chiang, Wen-Chu; Chen, Shey-Ying; Ke, Yi-Ling; Chi, Chun-Lin; Yang, Chih‐Wei; Lin, Pei-Ching; Ko, Patrick Chow-In; Wang, Yaocheng; Tsai, Tsong-Ru; Huang, Chien-Hwa; Hsiung, Kuan-Hwa; Huei‐Ming, Matthew; Chen, Shyr‐Chyr; Chen, Wen‐Jone; Lin, Fang‐Yue

doi:10.1016/j.resuscitation.2007.01.018

Cited by 73 publications

(26 citation statements)

References 23 publications

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“…[2] However, studies showed that standard CPR can only supply vital organs with limited blood pressure (BP), [24] even specialists are unable to perform high-quality resuscitation because of energy consumption. [25] The overall survival rate after cardiac arrest remains low. In 74 studies involving 36 communities as reported, the survival rate ranged from 2% to 44%.…”

Section: Discussionmentioning

confidence: 99%

Active compression-decompression cardiopulmonary resuscitation (CPR) versus standard CPR for cardiac arrest patients: a meta-analysis

Luo

Zhang

Chen

et al. 2013

World Journal of Emergency Medicine

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BACKGROUND: Active compression-decompression cardiopulmonary resuscitation (ACD-CPR) has been popular in the treatment of patients with cardiac arrest (CA). However, the effect of ACD-CPR versus conventional standard CPR (S-CRP) is contriversial. This study was to analyze the effi cacy and safety of ACD-CPR versus S-CRP in treating CA patients. METHODS:Randomized or quasi-randomized controlled trials published from January 1990 to March 2011 were searched with the phrase "active compression-decompression cardiopulmonary resuscitation and cardiac arrest" in PubMed, EmBASE, and China Biomedical Document Databases. The Cochrane Library was searched for papers of meta-analysis. Restoration of spontaneous circulation (ROSC) rate, survival rate to hospital admission, survival rate at 24 hours, and survival rate to hospital discharge were considered primary outcomes, and complications after CPR were viewed as secondary outcomes. Included studies were critically appraised and estimates of effects were calculated according to the model of fi xed or random effects. Inconsistency across the studies was evaluated using the I 2 statistic method. Sensitivity analysis was made to determine statistical heterogeneity. RESULTS:Thirteen studies met the criteria for this meta-analysis. The studies included 396 adult CA patients treated by ACD-CPR and 391 patients by S-CRP. Totally 234 CA patients were found out hospitals, while the other 333 CA patients were in hospitals. Two studies were evaluated with high-quality methodology and the rest 11 studies were of poor quality. ROSC rate, survival rate at 24 hours and survival rate to hospital discharge with favorable neurological function indicated that ACD-CPR is superior to S-CRP, with relative risk (RR) values of 1.39 (95% CI 0.99-1.97), 1.94 (95% CI 1.45-2.59) and 2.80 (95% CI 1. 60-5.24). No significant differences were found in survival rate to hospital admission and survival rate to hospital discharge for ACD-CPR versus S-CRP with RR values of 1.06 (95% CI 0.76-1.60) and 1.00 (95% CI 0.73-1.38).CONCLUSION: Quality controlled studies confirmed the superiority of ACD-CPR to S-CRP in terms of ROSC rate and survival rate at 24 hours. Compared with S-CRP, ACD-CPR could not improve survival rate to hospital admission or survival rate to hospital discharge.

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Section: Discussionmentioning

confidence: 99%

Active compression-decompression cardiopulmonary resuscitation (CPR) versus standard CPR for cardiac arrest patients: a meta-analysis

Luo

Zhang

Chen

et al. 2013

World Journal of Emergency Medicine

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“…Wang et al 6 conducted the first video recorded CPR performance analysis in the prehospital setting from 2005 to 2006 in Taipei City, the metropolis of Taiwan. They identified many unnecessary intervals with no chest compressions during ambulance CPR.…”

Section: Discussionmentioning

confidence: 99%

Chest compression fraction in ambulance while transporting patients with out-of-hospital cardiac arrest to the hospital in rural Taiwan

et al. 2016

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“…39 In addition, mechanical CPR used in combination with an extrication sheet has been shown to reduce hands-off time during extrication and ambulance transport in adult OHCA of presumed cardiac origin. 42 Although there has been some evidence to suggest that mechanical CPR improves the quality of resuscitation during ambulance transport, not all the data support this conclusion. In a prospective study, 42 resuscitation efforts in ambulances with manual CPR and mechanical CPR were compared using time-motion analyses of digital video recordings.…”

Section: Mechanical Cpr In Ems and Cath Labmentioning

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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Video-recording and time-motion analyses of manual versus mechanical cardiopulmonary resuscitation during ambulance transport

Cited by 73 publications

References 23 publications

Active compression-decompression cardiopulmonary resuscitation (CPR) versus standard CPR for cardiac arrest patients: a meta-analysis

Active compression-decompression cardiopulmonary resuscitation (CPR) versus standard CPR for cardiac arrest patients: a meta-analysis

Chest compression fraction in ambulance while transporting patients with out-of-hospital cardiac arrest to the hospital in rural Taiwan

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

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