Mechanical adjuncts for cardiocerebral resuscitation.

Abstract:

:Introduction: Cardiac arrest remains a worldwide health problem with very poor outcome. In the absence of bystander resuscitation, survival rates decrease by 10% per minute of arrest and global ischemia. Even the best manual chest compressions, however, can only produce a fraction of normal cardiac output and blood flow to vital organs. Physiological principles and current evidence for the use of mechanical devices to increase survival and quality of life after cardiac arrest are highlighted in this review article. Areas covered: Mechanical adjuncts such as the Active Compression Decompression device, automated chest compressors and the use of a negative pressure valve (Impedance Threshold Device) can synergistically aid in improving quality of CPR and increasing cardiac output and vital organ perfusion. Expert opinion: The current conclusions that the use of mechanical adjunct devices in a preclinical setting is not recommended or neutral at best, need to be reevaluated, especially with regard to new advanced and promising treatments that require prolonged high-quality CPR during the transport to a hospital to improve the outcome of patients.

journal_name

Expert Rev Med Devices

authors

Riess ML,Balzer C

doi

10.1080/17434440.2019.1649135

subject

Has Abstract

pub_date

2019-09-01 00:00:00

pages

771-776

issue

9

eissn

1743-4440

issn

1745-2422

journal_volume

16

pub_type

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