Cadaver models for cardiac arrest: A systematic review and perspectives

被引:7
作者
Duhem, H. [1 ,2 ,5 ]
Viglino, D. [1 ,2 ,3 ]
Bellier, A. [4 ]
Tanguy, S. [5 ]
Descombe, V [1 ,2 ]
Boucher, F. [5 ]
Chaffanjon, P. [4 ]
Debaty, G. [1 ,2 ,5 ]
机构
[1] Grenoble Alps Univ Hosp, Emergency Dept, Grenoble, France
[2] Grenoble Alps Univ Hosp, Mobile Intens Care Unit, Grenoble, France
[3] Univ Grenoble Alpes, HP2 Lab, INSERM U1042, Grenoble, France
[4] Univ Grenoble Alpes, LADAF Lab Anat Alpes Francaises, CHU Grenoble Alpes, UFR Med, F-38700 La Tronche, France
[5] Univ Grenoble Alpes, CNRS TIMC IMAG Lab, UMR 5525, Grenoble, France
关键词
Heart arrest; Resuscitation; Cadaver; Cardiac arrest; Cardiopulmonary resuscitation; RESUSCITATION COUNCIL GUIDELINES; TECHNOLOGY-ENHANCED SIMULATION; CAPNOGRAPHIC WAVE-FORMS; CARDIOPULMONARY-RESUSCITATION; CHEST COMPRESSIONS; ANIMAL-MODELS; EMERGENCY-MEDICINE; CPR; EDUCATION; MASSAGE;
D O I
10.1016/j.resuscitation.2019.08.009
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Aim: To provide an overview of cadaver models for cardiac arrest and to identify the most appropriate cadaver model to improve cardiopulmonary resuscitation through a systematic review. Methods: The search strategy included PubMed, Embase, Current contents, Pascal, OpenSIGLE and reference tracking. The search concepts included "heart arrest", "cardiopulmonary resuscitation" and "cadavers". All studies, published until February 2019, in English or French, on research or simulation in the field of cardiac arrest and using cadaver models were eligible for inclusion. Results: Overall, 29 articles out of the 244 articles located were selected. The characteristics of the studies and the cadaver models were heterogenous. Indeed, 31% of the studies lacked a proper description of the model used and its specificities. Fresh cadavers were used in 55% of the studies and chest compressions were performed in 90%. This model was appreciated for its realism in terms of mechanical properties and tissue conservation. Thiel-embalmed cadavers also showed promising results concerning lung and chest compliance. The lack of circulation stood out as the strongest limitation of all types of human cadaver models. Conclusion: Four types of cadaver models are used in cardiac arrest research. The great heterogeneity of these models coupled with unequal quality in reporting makes comparisons between studies difficult. There is a need for uniform reporting and standardisation of human cadaver models in cardiac arrest research.
引用
收藏
页码:68 / 76
页数:9
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