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Hemodynamics, Survival Benefits, and Complications of Interposed Abdominal Compression during Cardiopulmonary Resuscitation
Author(s) -
Sack Jeffrey B.,
Kesselbrenner Michael B.
Publication year - 1994
Publication title -
academic emergency medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.221
H-Index - 124
eISSN - 1553-2712
pISSN - 1069-6563
DOI - 10.1111/j.1553-2712.1994.tb02535.x
Subject(s) - medicine , cardiopulmonary resuscitation , hemodynamics , resuscitation , anesthesia , cardiology , intensive care medicine
Objective: To review and describe the hemodynamics and mechanism of benefit of interposed abdominal compression cardiopulmonary resuscitation (IAC‐CPR) as well as the current complications and survival data withtheuseoflAC‐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 pressure, 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.