Article Data

  • Views 130
  • Dowloads 3

Review

Open Access

Mechanical CPR devices

  • HENRY HALPERIN1
  • DAVID J. CARVER1

1ohns Hopkins Hospital

DOI: 10.22514/SV51.092010.16 Vol.5,Issue S1,September 2010 pp.69-73

Published: 07 September 2010

*Corresponding Author(s): HENRY HALPERIN E-mail: inoh@kbd.hrhhalper@jhmi.edu

PDF (171.38 kB)

Abstract

It is recognized that the quality of cardiopulmonary resuscitation (CPR) is an important predictor of outcome from cardiac arrest. Mechanical chest-compression devices provide an alternative to manual CPR. Physiological and animal data sug-gest that mechanical chest-compression devices are more effective than manual CPR. Consequently, there has been much interest in the development of new techniques and devices to improve the efficacy of CPR. This review will consider the evidence and current indications for the use of some of the more common mechanical devices developed to increase the safety and efficacy of CPR administration.

Key words

cardiac arrest, chest compression, automatic mechanical devices, piston chest compression, LUCAS, vest CPR, Autpulse – load distributing band CPR, cost effec-tiveness, outcome, survival

Cite And Share

HENRY HALPERIN,DAVID J. CARVER. Mechanical CPR devices. Signa Vitae. 2010. 5(S1);69-73.

References

1. Tunstall-Pedoe H, Bailey L, Chamberlain DA, Marsden AK, Ward ME, Zideman DA. Survey of 3765 cardiopulmonary resuscitations in British hospitals (the BRESUS Study): methods and overall results. Bmj 1992;304(6838):1347-51.

2. Halperin HR, Weisfeldt ML. New approaches to CPR. Four hands, a plunger, or a vest. Jama 1992;267(21):2940-1.

3. Ochoa FJ, Ramalle-Gomara E, Lisa V, Saralegui I. The effect of rescuer fatigue on the quality of chest compressions. Resuscitation 1998;37(3):149-52.

4. Van Hoeyweghen RJ, Bossaert LL, Mullie A, Calle P, Martens P, Buylaert WA, et al. Quality and efficiency of bystander CPR. Belgian Cere-bral Resuscitation Study Group. Resuscitation 1993;26(1):47-52.

5. McDonald JL. Systolic and mean arterial pressures during manual and mechanical CPR in humans. Ann Emerg Med 1982;11(6):292-5.

6. Ward KR, Menegazzi JJ, Zelenak RR, Sullivan RJ, McSwain NE. Comparison of chest compressions between mechanical and manual CPR by monitoring end-tidal PCO2 during human cardiac arrest. Ann Emerg Med 1993;22(4):669-74.

7. Krischer JP, Fine EG, Davis JH, Nagel EL. Complications of cardiac resuscitation. Chest 1987;92(2):287-91.

8. Chandra N, Weisfeldt ML, Tsitlik J, Vaghaiwalla F, Snyder LD, Hoffecker M, et al. Augmentation of carotid flow during cardiopulmonary resuscitation by ventilation at high airway pressure simultaneous with chest compression. Am J Cardiol 1981;48(6):1053-63.

9. Chandra N, Rudikoff M, Weisfeldt ML. Simultaneous chest compression and ventilation at high airway pressure during cardiopulmonary resuscitation. Lancet 1980;1(8161):175-8.

10. Krischer JP, Fine EG, Weisfeldt ML, Guerci AD, Nagel E, Chandra N. Comparison of prehospital conventional and simultaneous compres-sion-ventilation cardiopulmonary resuscitation. Crit Care Med 1989;17(12):1263-9.

11. Lurie KG, Lindo C, Chin J. CPR: the P stands for plumber‘s helper. Jama 1990;264(13):1661.

12. Carli PA, De La Coussaye JE, Riou B, Sassine A, Eledjam JJ. Ventilatory effects of active compression-decompression in dogs. Ann Emerg Med 1994;24(5):890-94.

13. Wenzel V, Fuerst RS, Idris AH, Banner MJ, Rush WJ, Orban DJ. Automatic mechanical device to standardize active compression-decom-pression CPR. Ann Emerg Med 1995;25(3):386-9.

14. Plaisance P, Lurie KG, Vicaut E, Adnet F, Petit JL, Epain D, et al. A comparison of standard cardiopulmonary resuscitation and active com-pression-decompression resuscitation for out-of-hospital cardiac arrest. French Active Compression-Decompression Cardiopulmonary Resuscitation Study Group. N Engl J Med 1999;341(8):569-75.

15. Steen S, Liao Q, Pierre L, Paskevicius A, Sjoberg T. Evaluation of LUCAS, a new device for automatic mechanical compression and active decompression resuscitation. Resuscitation 2002;55(3):285-99.

16. Steen S, Sjoberg T, Olsson P, Young M. Treatment of out-of-hospital cardiac arrest with LUCAS, a new device for automatic mechanical compression and active decompression resuscitation. Resuscitation 2005;67(1):25-30.

17. Axelsson C, Axelsson AB, Svensson L, Herlitz J. Characteristics and outcome among patients suffering from out-of-hospital cardiac arrest with the emphasis on availability for intervention trials. Resuscitation 2007;75(3):460-8.

18. Halperin HR, Tsitlik JE, Guerci AD, Mellits ED, Levin HR, Shi AY, et al. Determinants of blood flow to vital organs during cardiopulmonary resuscitation in dogs. Circulation 1986;73(3):539-50.

19. Halperin HR, Brower R, Weisfeldt ML, Tsitlik JE, Chandra N, Cristiano LM, et al. Air trapping in the lungs during cardiopulmonary resusci-tation in dogs. A mechanism for generating changes in intrathoracic pressure. Circ Res 1989;65(4):946-54.

20. Halperin HR, Tsitlik JE, Gelfand M, Weisfeldt ML, Gruben KG, Levin HR, et al. A preliminary study of cardiopulmonary resuscitation by circumferential compression of the chest with use of a pneumatic vest. N Engl J Med 1993;329(11):762-8.

21. Timerman S, Cardoso LF, Ramires JA, Halperin H. Improved hemodynamic performance with a novel chest compression device during treatment of in-hospital cardiac arrest. Resuscitation 2004;61(3):273-80.

22. Paradis NA, Martin GB, Rivers EP, Goetting MG, Appleton TJ, Feingold M, et al. Coronary perfusion pressure and the return of spontaneous circulation in human cardiopulmonary resuscitation. Jama 1990;263(8):1106-13.

23. Casner M, Andersen D, Isaacs SM. The impact of a new CPR assist device on rate of return of spontaneous circulation in out-of-hospital cardiac arrest. Prehosp Emerg Care 2005;9(1):61-7.

24. Hallstrom A, Rea TD, Sayre MR, Christenson J, Anton AR, Mosesso VN Jr, et al. Manual chest compression vs use of an automated chest compression device during resuscitation following out-of-hospital cardiac arrest: a randomized trial. Jama 2006;295(22):2620-8.

25. Paradis NA, Young G, Lemeshow S, Brewer JE, Halperin HR. Inhomogeneity and temporal effects in AutoPulse Assisted Prehospital International Resuscitation-an exception from consent trial terminated early. Am J Emerg Med 2010;28(4):391-8.

26. Ong ME, Ornato JP, Edwards DP, Dhindsa HS, Best AM, Ines CS, et al. Use of an automated, load-distributing band chest compression device for out-of-hospital cardiac arrest resuscitation. Jama 2006;295(22):2629-37.

27. Becker L, Zaloshnja E, Levick N, Guohua L, Miller T. Relative risk of injury and death in ambulances and other emergency vehicles. Accid Anal Prev 2003;35(6):941-8.

28. Slattery DE, Silver A. The hazards of providing care in emergency vehicles: an opportunity for reform. Prehosp Emerg Care 2009;13(3):388-97.

Abstracted / indexed in

Science Citation Index Expanded (SciSearch) The Science Citation Index (SCI) is a citation index originally produced by the Institute for Scientific Information (ISI) and created by Eugene Garfield. It (Science Citation Index Expanded) covers more than 8,500 notable and significant journals, across 150 disciplines in science and technology, from 1900 to the present.

Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.

Chemical Abstracts Service Source Index The CAS Source Index (CASSI) Search Tool is an online resource that can quickly identify or confirm journal titles and abbreviations for publications indexed by CAS since 1907, including serial and non-serial scientific and technical publications.

IndexCopernicus The Index Copernicus International (ICI) Journals database’s is an international indexation database of scientific journals. It covered international scientific journals which divided into general information, contents of individual issues, detailed bibliography (references) sections for every publication, as well as full texts of publications in the form of attached files (optional). For now, there are more than 58,000 scientific journals registered at ICI.

Geneva Foundation for Medical Education and Research The Geneva Foundation for Medical Education and Research (GFMER) is a non-profit organization established in 2002 and it works in close collaboration with the World Health Organization (WHO). The overall objectives of the Foundation are to promote and develop health education and research programs.

Scopus Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.

Embase Embase (often styled EMBASE for Excerpta Medica dataBASE), produced by Elsevier, is a biomedical and pharmacological database of published literature designed to support information managers and pharmacovigilance in complying with the regulatory requirements of a licensed drug.

Submission Turnaround Time

Conferences

    Top