Document Detail


Hemodynamics, survival benefits, and complications of interposed abdominal compression during cardiopulmonary resuscitation.
MedLine Citation:
PMID:  7614308     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To review and describe the hemodynamics and mechanisms of benefit of interposed abdominal compression cardiopulmonary resuscitation (IAC-CPR) as well as the current complications and survival data with the use of IAC-CPR. METHODS: Critical review of selected, published English-language studies analyzing IAC-CPR. Overview of hemodynamic effects, complications, and survival data of IAC-CPR vs standard CPR. RESULTS: Several investigators have demonstrated improvements in coronary perfusion, carotid and cerebral blood flows, and augmented venous return using IAC-CPR compared with standard CPR. Recently, IAC-CPR has been shown to improve survival from in-hospital cardiac arrest. To date, there has been no increase in complications seen with the use of abdominal compression during CPR. RECOMMENDATIONS: IAC-CPR should be considered an adjunct to standard CPR for adult patients experiencing in-hospital cardiac arrest, after an adequate airway has been secured. More research is needed before IAC-CPR can be recommended for out-of-hospital cardiac arrest, for patients who have not been intubated, or for children.
Authors:
J B Sack; M B Kesselbrenner
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Academic emergency medicine : official journal of the Society for Academic Emergency Medicine     Volume:  1     ISSN:  1069-6563     ISO Abbreviation:  Acad Emerg Med     Publication Date:    1994 Sep-Oct
Date Detail:
Created Date:  1995-08-22     Completed Date:  1995-08-22     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9418450     Medline TA:  Acad Emerg Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  490-7     Citation Subset:  IM    
Affiliation:
Division of Cardiology, University of California Los Angeles Medical Center, USA.
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MeSH Terms
Descriptor/Qualifier:
Abdomen
Cardiopulmonary Resuscitation / adverse effects,  methods*
Heart / physiology
Heart Arrest / mortality,  physiopathology,  therapy*
Hemodynamics
Humans
Regional Blood Flow
Survival Rate
Treatment Outcome

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


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