CARDIOPULMONARY-RESUSCITATION WITH SIMULTANEOUS CHEST AND ABDOMINAL COMPRESSION - COMPARATIVE-STUDY IN HUMANS

被引：17

作者：

BARRANCO, F

LESMES, A

IRLES, JA

BLASCO, J

LEAL, J

RODRIGUEZ, J

LEON, C

机构：

[1] Department of Intensive Medicine, Virgen de Valme Universitary Hospital, Seville

来源：

RESUSCITATION | 1990年 / 20卷 / 01期

关键词：

Cardiopulmonary resuscitation; Hemodynamics;

D O I：

10.1016/0300-9572(90)90088-V

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

To assess the efficacy of the simultaneous application of chest and abdominal compression (SCAC) in cardiopulmonary resuscitation (CPR), we performed a prospective study on 18 patients shortly after cardiac arrest. Three different CPR procedures were carried out consecutively: (1) Standard CPR; (2) CPR interposed with abdominal compression (IAC-CPR); and (3) SCAC-CPR. Standard CPR was repeated at the end of-each sequence. Thoracic aortic and right atrial pressures were recorded during maneuvers and no vasoactive drugs were administered. Systolic aortic pressures were 39.02 ± 21 mmHg, 63.6 ± 21 mmHg and 94.04 ± 21 mmHg during standard CPR, IAC-CPR and SCAC-CPR, respectively (P < 0.001). There was no evidence of intra-abdominal injury in the eight autopsies performed. We have reached the conclusion that the use of SCAC-CPR on humans does produce greater intravascular pressure and we recommend this technique as a possible alternative to standard CPR. © 1990.

引用

页码：67 / 77

页数：11

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