A Comparison of Standard Cardiopulmonary Resuscitation and Active Compression–Decompression Resuscitation for Out-of-Hospital Cardiac Arrest

Despite the widespread use of standard cardiopulmonary resuscitation (CPR), sudden death from cardiac causes outside the hospital remains the leading cause of death among adults in developed countries worldwide. To improve the efficacy of CPR, a method of active compression–decompression resuscitati...

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Veröffentlicht in:The New England journal of medicine 1999-08, Vol.341 (8), p.569-575
Hauptverfasser: Plaisance, Patrick, Lurie, Keith G, Vicaut, Eric, Adnet, Frederic, Petit, Jean-Luc, Epain, Daniel, Ecollan, Patrick, Gruat, Renaud, Cavagna, Patrice, Biens, Jean, Payen, Didier
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Sprache:eng
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Zusammenfassung:Despite the widespread use of standard cardiopulmonary resuscitation (CPR), sudden death from cardiac causes outside the hospital remains the leading cause of death among adults in developed countries worldwide. To improve the efficacy of CPR, a method of active compression–decompression resuscitation was developed. 1 – 12 With this method, the use of a hand-held suction device during active chest-wall decompression decreases intrathoracic pressure, thereby enhancing venous blood return. Then, during compression, more blood is propelled out of the thorax. Consequently, active compression–decompression CPR provides greater perfusion of vital organs than does standard CPR. 1 , 2 The promising results of initial clinical studies 3 , . . .
ISSN:0028-4793
1533-4406
DOI:10.1056/NEJM199908193410804