Document Detail

Comparison of exertion required to perform standard and active compression-decompression cardiopulmonary resuscitation.
MedLine Citation:
PMID:  7784719     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: Active compression-decompression (ACD) cardiopulmonary resuscitation (CPR) utilizes a hand-held suction device with a pressure gauge that enables the operator to compress as well as actively decompress the chest. This new CPR method improves hemodynamic and ventilatory parameters when compared with standard CPR. ACD-CPR is easy to perform but may be more labor intensive. The purpose of this study was to quantify and compare the work required to perform ACD and standard CPR. METHODS: Cardiopulmonary testing was performed on six basic cardiac life support- and ACD-trained St. Paul, MN fire-fighter personnel during performance of 10 min each of ACD and standard CPR on a mannequin equipped with a compression gauge. The order of CPR techniques was determined randomly with > 1 h between each study. Each CPR method was performed at 80 compressions/min (timed with a metronome), to a depth of 1.5-2 inches, and with a 50% duty cycle. RESULTS: Baseline cardiopulmonary measurements were similar at rest prior to performance of both CPR methods. During standard and ACD-CPR, respectively, rate-pressure product was 18.2 +/- 3.0 vs. 23.8 +/- 1.7 (x 1000, P < 0.01); mean oxygen consumption 15.98 +/- 2.29 vs. 20.07 +/- 2.10 ml/kg/min or 4.6 +/- 0.7 vs. 5.7 +/- 0.6 METS (P < 0.01); carbon dioxide production 1115.7 +/- 110 vs. 1459.1 +/- 176 ml/min; respiratory exchange ratio 0.88 +/- 0.04 vs. 0.92 +/- 0.04 (P = NS); and minute ventilation 35.5 +/- 5.1 vs. 45.6 +/- 9.2 l/min (P < 0.01). CONCLUSIONS: Approximately 25% more work is required to perform ACD-CPR compared with standard CPR. Both methods require subanaerobic energy expenditure and can therefore be sustained for a sufficient length of time by most individuals to optimize resuscitation efforts. Due to the slightly higher work requirement, ACD-CPR may be more difficult to perform compared with standard CPR for long periods of time, particularly by individuals unaccustomed to the workload requirement of CPR, in general.
J J Shultz; M J Mianulli; T M Gisch; P R Coffeen; G C Haidet; K G Lurie
Related Documents :
9359369 - Ventilation and gas exchange in lizards during treadmill exercise.
2793699 - Submaximal exercise in emphysema and malnutrition at two levels of carbohydrate and fat...
10972309 - Changes in work practice after a respiratory health survey among welders in new zealand.
11094009 - Respiratory efficacy of subglottic low-frequency, subglottic combined-frequency, and su...
17440419 - Acute effects of combined high-frequency oscillation and tracheal gas insufflation in s...
7228759 - Work of breathing in dog during exercise.
23531689 - High-intensity aquatic exercises (hydros) improve physical function and reduce falls am...
1546359 - Bubonic plague.
6604479 - Left ventricular performance after coronary artery bypass surgery. prediction of functi...
Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Resuscitation     Volume:  29     ISSN:  0300-9572     ISO Abbreviation:  Resuscitation     Publication Date:  1995 Feb 
Date Detail:
Created Date:  1995-07-20     Completed Date:  1995-07-20     Revised Date:  2009-08-25    
Medline Journal Info:
Nlm Unique ID:  0332173     Medline TA:  Resuscitation     Country:  IRELAND    
Other Details:
Languages:  eng     Pagination:  23-31     Citation Subset:  IM    
University of Minnesota Medical School, Division of Cardiovascular Diseases, Minneapolis 55455, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Blood Pressure
Carbon Dioxide / metabolism
Cardiopulmonary Resuscitation / instrumentation,  methods*
Equipment Design
Forced Expiratory Volume
Heart Rate
Oxygen Consumption
Physical Exertion*
Reg. No./Substance:
124-38-9/Carbon Dioxide

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Hospital mortality after out-of-hospital cardiac arrest among patients found in ventricular fibrilla...
Next Document:  Standard doses versus repeated high doses of epinephrine in cardiac arrest outside the hospital.