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Abdominal Interposed Between Thoracic Compressions During Cardiopulmonary Resuscitation

  • Conference paper
Update 1991

Part of the book series: Update in Intensive Care and Emergency Medicine ((UICM,volume 14))

  • 110 Accesses

Abstract

Bystander cardiopulmonary resuscitation (CPR) has produced variable results since its introduction in the mid-seventies [1–3]. On the one hand, up to 32% survival has been reported, on the other hand, other studies demonstrated no benefit from the method. Although outcome also depends on time- and patient-related factors, the fact that conventional CPR usually does not even generate sufficient vital organ perfusion to maintain aerobic metabolism [4, 5] contributes to mortality and neurologic damage after circulatory arrest.

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References

  1. Cummins RO, Eisenberg MS, Hallstrom AP, et al. (1985) Survival of out-of-hospital cardiac arrest with early initiation of cardiopulmonary resuscitation. Am J Emerg Med 3:114–118

    Article  PubMed  CAS  Google Scholar 

  2. Stueven H, Troiano P, Thompson B, et al. (1986) Bystander/first responder CPR: ten years experience in a paramedic system. Ann Emerg Med 15:707

    Article  PubMed  CAS  Google Scholar 

  3. Kowalski R, Thompson B, Horwitz L, et al. (1984) Bystander CPR in prehospital coarse ventricular fibrillation. Ann Emerg Med 13:1016–1020

    Article  PubMed  CAS  Google Scholar 

  4. Ditchey RV, Horwitz LD (1985) Metabolic evidence of inadequate coronary blood flow during closed-chest resuscitation in dogs. Cardiovasc Res 19:419–425

    Article  PubMed  CAS  Google Scholar 

  5. Hodgkin BC, Burkett DE, McCrodden JI (1981) Anaerobic myocardial metabolism during CPR. Crit Care Med 9:415–416

    Article  PubMed  CAS  Google Scholar 

  6. Bircher N, Safar P, Stewart R (1980) A comparison of standard, ‘MAST’-augmented, and open-chest CPR in dogs. Crit Care Med 8:147–152

    Article  PubMed  CAS  Google Scholar 

  7. Harris LC, Kirimli B, Safar P (1967) Augmentation of artificial circulation during cardiopulmonary resuscitation. Anesthesiology 28:730–734

    Article  PubMed  Google Scholar 

  8. Ohomoto T, Miura I, Konno S (1976) A new method of external cardiac massage to improve diastolic augmentation and prolong survival time. Ann Thorac Surg 21:284–290

    Article  PubMed  CAS  Google Scholar 

  9. Coletti RH, Kaskel PS, Bregman D (1983) Abdominal counterpulsation: effects on canine coronary and carotid blood flow. Circulation 68II:226–231

    Google Scholar 

  10. Ralston SH, Babbs CF, Niebauer MJ (1982) Cardiopulmonary resuscitation with interposed abdominal compression in dogs. Anesth Analg 61:645–661

    Article  PubMed  CAS  Google Scholar 

  11. Voorhees WD, Niebauer MJ, Babbs CF (1983) Improved oxygen delivery during cardiopulmonary resuscitation with interposed abdominal compressions. Ann Emerg Med 12:128–135

    Article  PubMed  CAS  Google Scholar 

  12. Kimmel E, Beyar R, Dinnar U, et al. (1986) Augmentation of cardiac output and carotid blood flow by chest and abdomen phased compression cardiopulmonary resuscitation. Cardiovasc Res 20:574–580

    Article  PubMed  CAS  Google Scholar 

  13. Newton JR, Glower DD, Wolfe JA, et al. (1988) A physiologic comparison of external cardiac massage techniques. J Thorac Cardiovasc Surg 95:892–901

    PubMed  Google Scholar 

  14. Kern KB, Carter AB, Showen RL, et al. (1986) Twenty-four hour survival in a canine model of cardiac arrest comparing three methods of manual cardiopulmonary resuscitation. J Am Coll Cardiol 7:859–867

    Article  PubMed  CAS  Google Scholar 

  15. Einagle V, Bertrand F, Wise RA, et al. (1988) Interposed abdominal compressions and carotid blood flow during cardiopulmonary resuscitation. Chest 6:1206–1212

    Article  Google Scholar 

  16. Hoekstra OS (1990) Basic life support during cardiopulmonary resuscitation: abdominal, interposed between thoracic compressions in dogs. PhD Thesis, Vrije Universiteit, Amsterdam

    Google Scholar 

  17. Michael JR, Guerci AD, Koehler RC, et al. (1984) Mechanisms by which epinephrine augments cerebral and myocardial perfusion during cardiopulmonary resuscitation in dogs. Circulation 69:822–835

    Article  PubMed  CAS  Google Scholar 

  18. Guerci AD, Shi A, Levin H, et al. (1985) Transmission of intrathoracic pressure to the intracranial space during cardiopulmonary resuscitation in dogs. Circ Res 56:20–25

    PubMed  CAS  Google Scholar 

  19. Voorhees WD, Ralston SH, Babbs CF (1983) Regional blood flow during cardiopulmonary resuscitation with abdominal counterpulsation in dogs. Am J Emerg Med 2:123–128

    Article  Google Scholar 

  20. Walker JW, Bruestle JC, White BC, et al. (1984) Perfusion of the cerebral cortex by use of abdominal counterpulsation during cardiopulmonary resuscitation. Am J Emerg Med 2:391–393

    Article  PubMed  CAS  Google Scholar 

  21. Babbs CF, Tacker WA (1986) Cardiopulmonary resuscitation with interposed abdominal compression. Circulation 74(IV) :37–41

    Google Scholar 

  22. Patel, de Freitas, Greenfield Jr, et al. (1963) Relationship of radius to pressure along the aorta in living dogs. J Appl Physiol 18:1111–1117

    PubMed  CAS  Google Scholar 

  23. Berryman CR, Philips GM (1984) Interposed abdominal compression-CPR in human subjects. Ann Emerg Med 13:226–229

    Article  PubMed  CAS  Google Scholar 

  24. Howard M, Carrubba C, Foss F, et al. (1987) Interposed abdominal compression-CPR: its effect on parameters of coronary perfusion in human subjects. Ann Emerg Med 16:253–259

    Article  PubMed  CAS  Google Scholar 

  25. Waldman PJ, Walters BL, Grunau CFV (1984) Pancreatic injury associated with interposed abdominal compressions in pediatric cardiopulmonary resuscitation. Am J Emerg Med 2:510–512

    Article  PubMed  CAS  Google Scholar 

  26. McDonald JL (1985) Effect of interposed abdominal compression during CPR on central arterial and venous pressures. Am J Emerg Med 3:156–159

    Article  PubMed  CAS  Google Scholar 

  27. Mateer JR, Stueven HA, Thompson BM, et al. (1985) Prehospital IAC-CPR versus Standard CPR. Am J Emerg Med 3:143–146

    Article  PubMed  CAS  Google Scholar 

  28. Maier GW, Tyson GS, Olsen CO, et al. (1984) The physiology of external cardiac massage: high-impulse cardiopulmonary resuscitation. Circulation 70:86–101

    Article  PubMed  CAS  Google Scholar 

  29. Deshmukh HG, Weil MH, Gudipati C, et al. (1989) Mechanism of blood flow generated by precordial compression during CPR 1. Studies on closed-chest precordial compression. Chest 95:1092–1099

    Article  PubMed  CAS  Google Scholar 

  30. Rudikoff MT, Maughan WL, Effron M, et al. (1980) Mechanisms of blood flow during cardiopulmonary resuscitation. Circulation 61:345–352

    PubMed  CAS  Google Scholar 

  31. Raessler KL, Kern KB, Sanders AB, et al. (1988) Aortic and right atrial systolic pressures during cardiopulmonary resuscitation: a potential indicator of the mechanism of blood flow. Am Heart J 115:1021–1029

    Article  PubMed  CAS  Google Scholar 

  32. Babbs CF, Tacker WA, Paris RL, et al. (1982) CPR with simultaneous compression and ventilation at high airway pressure in 4 animal models. Crit Care Med 10:501–504

    Article  PubMed  CAS  Google Scholar 

  33. Sharff JA, Pantley G, Noel E (1985) Effect of time on regional organ perfusion during two methods of cardiopulmonary resuscitation. Ann Emerg Med 13:649–656

    Article  Google Scholar 

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Authors
  1. O. S. Hoekstra
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  2. A. A. van Lambalgen
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  3. L. G. Thijs
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Editor information

Editors and Affiliations

  1. Department of Intensive Care, Erasme Hospital, Free University of Brussels, Route de Lennik 808, B-1070, Brussels, Belgium

    Jean Louis Vincent (Clinical Director) (Clinical Director)

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© 1991 Springer-Verlag Berlin, Heidelberg

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Hoekstra, O.S., van Lambalgen, A.A., Thijs, L.G. (1991). Abdominal Interposed Between Thoracic Compressions During Cardiopulmonary Resuscitation. In: Vincent, J.L. (eds) Update 1991. Update in Intensive Care and Emergency Medicine, vol 14. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-84423-2_1

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  • DOI: https://doi.org/10.1007/978-3-642-84423-2_1

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-53672-7

  • Online ISBN: 978-3-642-84423-2

  • eBook Packages: Springer Book Archive

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