Clinical paper Mechanical active compression-decompression versus standard mechanical cardiopulmonary resuscitation: A randomised haemodynamic out-of-hospital cardiac arrest study

被引：12

作者：

Berve, Per Olav ^{[1
,2
,3
,4
]}

Hardig, Bjarne Madsen ^{[5
,6
]}

Skalhegg, Tore ^{[3
]}

Kongsgaard, Havard ^{[2
]}

Kramer-Johansen, Jo ^{[1
,2
,3
]}

Wik, Lars ^{[2
,3
,4
]}

机构：

[1] Univ Oslo, Inst Clin Med, Oslo, Norway

[2] Oslo Univ Hosp, Norwegian Natl Advisory Unit Prehosp Emergency Me, Oslo, Norway

[3] Oslo Univ Hosp, Div Prehosp Serv, Air Ambulance Dept, Oslo, Norway

[4] Oslo Univ Hosp, Dept Anaesthesiol, Oslo, Norway

[5] Lund Univ, Fac Med, Sect 2, Clin Sci, Lund, Sweden

[6] Stryker Jolife AB, Lund, Sweden

来源：

RESUSCITATION | 2022年 / 170卷

关键词：

Invasive arterial blood pressure; Cardiac arrest; Cardiopulmonary resuscitation; Mechanical chest compression; Active compression decompression; ACD-CPR; Haemodynamic; ETCO2; Capnography; Cerebral oximetry; NIRS; rSO(2); SctO2; TIDAL CARBON-DIOXIDE; CHEST COMPRESSION; VENTILATION DETECTION; PERFUSION-PRESSURE; CEREBRAL OXIMETRY; BLOOD-FLOW; CPR; QUALITY; CAPNOGRAM; INJURIES;

D O I：

10.1016/j.resuscitation.2021.10.026

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Background: Active compression-decompression cardiopulmonary resuscitation (ACD-CPR) utilises a suction cup to lift the chest-wall actively during the decompression phase (AD). We hypothesised that mechanical ACD-CPR (Intervention), with AD up to 30 mm above the sternal resting position, would generate better haemodynamic results than standard mechanical CPR (Control). Methods: This out-of-hospital adult non-traumatic cardiac arrest trial was prospective, block-randomised and non-blinded. We included intubated patients with capnography recorded during mechanical CPR. Exclusion criteria were pregnancy, prisoners, and prior chest surgery. The primary endpoint was maximum tidal carbon dioxide partial pressure (pMTCO2) and secondary endpoints were oxygen saturation of cerebral tissue (SctO2), invasive arterial blood pressures and CPR-related injuries. Intervention device lifting force performance was categorised as Complete AD (>30 New

引用

页码：1 / 10

页数：10

共 50 条

[21] MECHANICAL CHEST COMPRESSION DEVICE FOR OUT-OF-HOSPITAL CARDIAC ARREST: A NATIONWIDE OBSERVATIONAL STUDY [J].

Jung, Eujene ;

Park, Jeong Ho ;

Lee, Sun Young ;

Ro, Young Sun ;

Hong, Ki Jeong ;

Song, Kyoung Jun ;

Ryu, Hyun Ho ;

Shin, Sang Do .

JOURNAL OF EMERGENCY MEDICINE, 2020, 58 (03) :424-431

[22] Inspiratory impedance during active compression-decompression cardiopulmonary resuscitation - A randomized evaluation in patients in cardiac arrest [J].

Plaisance, P ;

Lurie, KG ;

Payen, D .

CIRCULATION, 2000, 101 (09) :989-994

[23] Mechanical active compression-decompression cardiopulmonary resuscitation (ACD-CPR) versus manual CPR according to pressure of end tidal carbon dioxide (PETCO2) during CPR in out-of-hospital cardiac arrest (OHCA) [J].

Axelsson, C. ;

Karlsson, T. ;

Axelsson, A. B. ;

Herlitz, J. .

RESUSCITATION, 2009, 80 (10) :1099-1103

[24] Filtering mechanical chest compression artefacts from out-of-hospital cardiac arrest data [J].

Aramendi, E. ;

Irusta, U. ;

Ayala, U. ;

Naas, H. ;

Kramer-Johansen, J. ;

Eftestol, T. .

RESUSCITATION, 2016, 98 :41-47

[25] Effectiveness of mechanical chest compression for out-of-hospital cardiac arrest patients in an emergency department [J].

Lin, Ching-Kuo ;

Huang, Mei-Chin ;

Feng, Yu-Tung ;

Jeng, Wei-Hsuan ;

Chung, Te-Cheng ;

Lau, Yu-Wa ;

Cheng, Kuang-I .

JOURNAL OF THE CHINESE MEDICAL ASSOCIATION, 2015, 78 (06) :360-363

[26] Compression-Only Versus Rescue-Breathing Cardiopulmonary Resuscitation After Pediatric Out-of-Hospital Cardiac Arrest [J].

Naim, Maryam Y. ;

Griffis, Heather M. ;

Berg, Robert A. ;

Bradley, Richard N. ;

Burke, Rita V. ;

Markenson, David ;

McNally, Bryan F. ;

Nadkarni, Vinay M. ;

Song, Lihai ;

Vellano, Kimberly ;

Vetter, Victoria ;

Rossano, Joseph W. .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2021, 78 (10) :1042-1052

[27] Metrics of mechanical chest compression device use in out-of-hospital cardiac arrest [J].

Levy, Michael ;

Kern, Karl B. ;

Yost, Dana ;

Chapman, Fred W. ;

Hardig, Bjarne Madsen .

JOURNAL OF THE AMERICAN COLLEGE OF EMERGENCY PHYSICIANS OPEN, 2020, 1 (06) :1214-1221

[28] Compression-only versus standard cardiopulmonary resuscitation in out-of-hospital cardiac arrest: A meta-analysis of randomized controlled trials [J].

Ahmed, Mushood ;

Fatima, Laveeza ;

Ahsan, Areeba ;

Jain, Hritvik ;

Zahra, Rubab ;

Asif, Muhammad Hamza ;

Jain, Jyoti ;

Basit, Jawad ;

Ahmed, Raheel .

PERFUSION-UK, 2025, 40 (05) :1103-1109

[29] Application of mechanical cardiopulmonary resuscitation devices and their value in out-of-hospital cardiac arrest: A retrospective analysis of the German Resuscitation Registry [J].

Seewald, Stephan ;

Obermaier, Manuel ;

Lefering, Rolf ;

Bohn, Andreas ;

Georgieff, Michael ;

Muth, Claus-Martin ;

Graesner, Jan-Thorsten ;

Masterson, Siobhan ;

Scholz, Jens ;

Wnent, Jan .

PLOS ONE, 2019, 14 (01)

[30] Mechanical versus manual chest compression for out-of-hospital cardiac arrest (PARAMEDIC): a pragmatic, cluster randomised controlled trial [J].

Perkins, Gavin D. ;

Lall, Ranjit ;

Quinn, Tom ;

Deakin, Charles D. ;

Cooke, Matthew W. ;

Horton, Jessica ;

Lamb, Sarah E. ;

Slowther, Anne-Marie ;

Woollard, Malcolm ;

Carson, Andy ;

Smyth, Mike ;

Whitfield, Richard ;

Williams, Amanda ;

Pocock, Helen ;

Black, John J. M. ;

Wright, John ;

Han, Kyee ;

Gates, Simon .

LANCET, 2015, 385 (9972) :947-955

← 1 2 3 4 5 →