Alternative cardiopulmonary resuscitation devices

Robert E. O'Connor, Joseph P. Ornato, Jane Wigginton, Richard C. Hunt, Gregory Mears, Joe Penner

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Cardiopulmonary resuscitation (CPR) involving manual external chest compression combined with artificial respiration was first described in 1960 by Kouwenhoven et al. (Kouwenhoven W, Jude JR, Knickerbocker GG. Closedchest cardiac massage. JAMA. 1960; 173:1064-7). In the four decades since then, there have been no widely accepted alternatives for this technique. Even with the subsequent worldwide adoption of CPR and other advanced cardiac life support measures, long-term survival after prehospital cardiac arrest is still typically only 5% to 10%. The performance of CPR must therefore be improved to increase the rate of long-term survival. Currently under development are new, alternative techniques such as interposed abdominal compression (IAC), active compression-decompression (ACD), pneumatic and nonpneumatic circumferential chest compression, and minimally invasive cardiac massage. Many of these newer techniques, compared with standard manual CPR, appear to provide superior vital organ blood flow and increased blood pressure. To date, only IAC (in-hospital only) and ACD have been shown to improve long-term survival in clinical studies. Circumferential chest compression and minimally invasive cardiac massage, on the other hand, have not yet been adequately tested in large clinical trials. Despite the difficulty and expense in studying these CPR techniques, additional research is necessary to evaluate their effectiveness in improving survival after sudden cardiac arrest.

Original languageEnglish (US)
Pages (from-to)31-41
Number of pages11
JournalPrehospital Emergency Care
Volume7
Issue number1
StatePublished - Jan 2003

Fingerprint

Cardiopulmonary Resuscitation
Heart Massage
Equipment and Supplies
Thorax
Decompression
Advanced Cardiac Life Support
Sudden Cardiac Death
Heart Arrest
Artificial Respiration
Research Design
Clinical Trials
Blood Pressure

Keywords

  • Cardiac arrest
  • Cardiopulmonary resuscitation
  • CPR devices
  • CPR techniques
  • Prehospital care

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

O'Connor, R. E., Ornato, J. P., Wigginton, J., Hunt, R. C., Mears, G., & Penner, J. (2003). Alternative cardiopulmonary resuscitation devices. Prehospital Emergency Care, 7(1), 31-41.

Alternative cardiopulmonary resuscitation devices. / O'Connor, Robert E.; Ornato, Joseph P.; Wigginton, Jane; Hunt, Richard C.; Mears, Gregory; Penner, Joe.

In: Prehospital Emergency Care, Vol. 7, No. 1, 01.2003, p. 31-41.

Research output: Contribution to journalArticle

O'Connor, RE, Ornato, JP, Wigginton, J, Hunt, RC, Mears, G & Penner, J 2003, 'Alternative cardiopulmonary resuscitation devices', Prehospital Emergency Care, vol. 7, no. 1, pp. 31-41.
O'Connor RE, Ornato JP, Wigginton J, Hunt RC, Mears G, Penner J. Alternative cardiopulmonary resuscitation devices. Prehospital Emergency Care. 2003 Jan;7(1):31-41.
O'Connor, Robert E. ; Ornato, Joseph P. ; Wigginton, Jane ; Hunt, Richard C. ; Mears, Gregory ; Penner, Joe. / Alternative cardiopulmonary resuscitation devices. In: Prehospital Emergency Care. 2003 ; Vol. 7, No. 1. pp. 31-41.
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