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

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