Combination of active compression decompression cardiopulmonary resuscitation and the inspiratory impedance threshold device: state of the art

@article{Frascone2004CombinationOA,
  title={Combination of active compression decompression cardiopulmonary resuscitation and the inspiratory impedance threshold device: state of the art},
  author={Ralph J. Frascone and D M Bitz and Keith G. Lurie},
  journal={Current Opinion in Critical Care},
  year={2004},
  volume={10},
  pages={193-201}
}
PURPOSE OF REVIEW Over the past decade, the combination of active compression decompression (ACD) cardiopulmonary resuscitation (CPR) and an impedance threshold device (ITD) has been shown to significantly increase vital organ perfusion pressures and survival rates in animals and humans. [] Key MethodRECENT FINDINGS Building upon animal studies that demonstrated the benefit of the ITD used with either ACD CPR or standard CPR (S-CPR), four prospective, randomized clinical trials with ACD/ITD CPR have been…
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Mechanical devices for cardiopulmonary resuscitation
TLDR
Recent studies utilizing adjunct mechanical devices have not only revealed significant increases in the effectiveness of chest compressions, including improved hemodynamics in both animal models and human studies, but also improvements in short-term human survival in the clinical setting.
Mechanical active compression-decompression cardiopulmonary resuscitation (ACD-CPR) versus manual CPR according to pressure of end tidal carbon dioxide (P(ET)CO2) during CPR in out-of-hospital cardiac arrest (OHCA).
Use of the impedance threshold device in cardiopulmonary resuscitation.
TLDR
The ease of use of this device, its ability to be incorporated into a mask and other airway devices, the absence of device-related adverse effects and few requirements in additional training, suggest that ITD may be a favorable new device for improving CPR efficiency.
Evolution and new perspective of chest compression mechanical devices.
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TLDR
This device is recommended as a way to improve hemodynamics during CPCR by enhancing venous return and avoiding hyperventilation, thereby increasing the likelihood of a successful resuscitation.
An updated systematic review and meta-analysis on impedance threshold devices in patients undergoing cardiopulmonary resuscitation
TLDR
Exploratory analysis focusing on the combined use of impedance threshold devices with active compression-decompression suggests that this combo treatment may be useful to improve patient prognosis, with a neutral impact on clinically relevant outcomes.
Sodium nitroprusside-enhanced cardiopulmonary resuscitation: are we out of the box yet?
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A novel programmatic approach for providing ambulatory ECMO support to allow ongoing rehabilitation while awaiting lung transplant is described, demonstrating successful outcome in three patients with cystic fibrosis and end-stage respiratory failure requiring extracorporeal support for survival.
Mechatronic Hardware Tools for External Chest Compression in Cardiopulmonary Resuscitation
TLDR
The review considers the unassisted (manual) CPR methods; the existing devices for CPR are discussed, their advantages and disadvantages are described; the necessity to develop new complex smart mechatronic devices for external chest compression, drastically different from the existing systems, is justified.
Clinical consequences of the introduction of mechanical chest compression in the EMS system for treatment of out-of-hospital cardiac arrest-a pilot study.
Inspiratory resistance, cerebral blood flow velocity, and symptoms of acute hypotension
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ACD CPR is a simple manual technique that improved cardiopulmonary circulation in 10 patients during cardiac arrest and may have produced a return of spontaneous circulation in three patients refractory to standard measures.
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ACD CPR is a simple manual technique that improved cardiopulmonary circulation in 10 patients during cardiac arrest and may have produced a return of spontaneous circulation in three patients refractory to standard measures.
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