ACTIVE COMPRESSION-DECOMPRESSION CPR - A PROGRESS REPORT

被引：30

作者：

LURIE, KG

机构：

[1] Department of Medicine, University of Minnesota, Minneapolis, MN 55455, Box 508 U.M.H.C.

来源：

RESUSCITATION | 1994年 / 28卷 / 02期

关键词：

CARDIOPULMONARY RESUSCITATION; ACTIVE COMPRESSION-DECOMPRESSION; CARDIAC ARREST; EPINEPHRINE;

D O I：

10.1016/0300-9572(94)90083-3

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Within the last several years a new method of CPR, termed active compression-decompression (ACD) CPR was developed. Based upon the theory that active rather than passive chest wall decompression would augment venous return and ventilation by causing an increase in negative intrathoracic pressure during the decompression phase of CPR, a hand-held device was designed and is now being used clinically. Studies in dogs and pigs in ventricular fibrillation have demonstrated a significant improvement in systolic blood pressure, coronary perfusion pressure and total brain and myocardial blood flow with ACD CPR compared with standard CPR. Animal and human studies suggest that the mechanism of ACD CPR is complex, with coronary perfusion occurring during both the compression and decompression phases. Clinical studies comparing ACD to standard CPR in patients in cardiac arrest demonstrate that immediate resuscitation rates are nearly doubled when ACD CPR is started within 10 min after cardiac arrest. The potential long term benefits of ACD CPR remain under investigation.

引用

页码：115 / 122

页数：8

共 48 条

[1] Cohen, Tucker, Lurie, Redberg, Dutton, Dwyer, Schwab, Chin, Gelb, Scheinman, Schiller, Callaham, Active compression-decompression: a new method of cardiopulmonary resuscitation, J Am Med Assoc, 267, pp. 2916-2923, (1992)
[2] Chang, Coffeen, Lurie, Shultz, Bache, White, Tissue perfusion during standard vs. active compression decompression CPR in the dog, Chest, (1994)
[3] Cohen, Tucker, Redberg, Lurie, Chin, Dutton, Scheinman, Schiller, Callaham, Active compression-decompression resuscitation: a novel method of cardiopulmonary resuscitation, Am Heart J, 124, pp. 1445-1449, (1992)
[4] Lindner, Pfenninger, Lurie, Schurmann, Lindner, Effects of active compression-decompression resuscitation on myocardial and cerebral blood flow in pigs, Circulation, 88, pp. 1254-1263, (1993)
[5] Shultz, Coffeen, Sweeney, Detloff, Kohler, Pineda, Yakshe, Adler, Chang, Lurie, Evaluation of standard and active compression-decompression CPR in an acute human model of ventricular fibrillation, Circulation, 89, pp. 684-693, (1994)
[6] Lurie, Schultz, Callaham, Schwab, Gisch, Rector, Frascone, Long, Evaluation of active compression-decompression CPR in victims of out-of-hospital cardiac arrest, J Am Med Assoc, 271, pp. 1405-1411, (1994)
[7] Callaham, Schwab, Shultz, Utetch, Madsen, Gisch, Lurie, A randomized prospective trial of active compression-decompression CPR versus manuel CPR in prehospital cardiac arrest, Annals of Emergency Medicine, 22, (1993)
[8] Malzer, Knappitsch, Donanovits, Sterz, Active decompression during external cardiac massage — will the rescue breathing become superfuous?, Intensivmedizin Notfallmedizin, 30, 6, pp. 260-261, (1993)
[9] Rivers, Boczar, Smithline, Lurie, Nowak, A comparison of mechanical, standard and active compression-decompression CPR in out-of-hospital cardiac arrest patients, Circulation, 88, pp. I-193, (1993)
[10] Cohen, Goldner, Maccaro, Ardito, Trazzera, Cohen, Dibs, A comparison of active compression-decompression cardiopulmonary resuscitation with standard cardiopulmonary resuscitation for cardiac arrest occurring in the hospital, N Engl J Med, 329, pp. 1918-1921, (1993)

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