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Journal of The Korean Society of Emergency Medicine 1994;5(2): 158-167. |
| ACTIVE COMPRESSION-DECOMPRESSION CARDIOPULMONARY RESUSCITATION |
| Kyu Nam Park1, Ju Il Hwang1, Ki Jung Lee1, Dong Ryul Oh1, Seung Hyun Park1, Won Jae Lee1, Keun Woo Lim1, Se Kyung Kim1, Soon Ae Kweon1, Kwang Su Lee2, Dong Heon Kang3, Ki Bae Seung3, Jang Sung Chae3, Kyu Bo Choi3 |
1Department of Emergency Medicine, Catholic University Medical College
2Department of Neurology, Catholic University Medical College
3Department of Internal Medicine, Catholic University Medical College |
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Published online: December 31, 1994. |
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| ABSTRACT |
Background
Recent studies have demonstrated improved cardiopulmonary circulation during cardiac arrest with the use of a hand-held suction device(AMBU Cardio Pump) to perform active compression-decompression cardiopulmonary resuscitation in animal.
The purpose of this study was to compare active compression-decompression with standard CPR during cardiac arrests in emergency department patients.
Design
Patients in cardiac arrest in whom standard advanced cardiac life support failed were randomised to receive 2 minutes of either standard or active compression-decompression (ACD) CPR using hand-held suction device, followed by 2 minutes of the alternate technique. The ACD device was applied midsternum and used to perform CPR according to the guidelines of the American Heart Association : 80 compressions per minute, compression depth of 3.8 to 5cm, 50% duty cycle, and constant-volume ventilation. End-tidal carbon dioxide(ETC02) concentration and hemodynamic variables were measured. In one case, Transcranial doppler sonography was used to assess cerebral blood flow velocity.
Results
: Twelve patients were enrolled. The mean 士SD ETC02 was 8.33 土 2.72mmHg with
standard CPR and 12.42 土8.3mmHg with ACD-CPR(P<.001). Systolic arterial pressure with standard CPR was 74.75土 11.31 mmHg and with ACD-CPR, 88.58 土16.91 mmHg (P < .005). Dia-stolic arterial pressure with standard CPR was 2.66 土6.14mmHg and with ACD-CPR, 1.16 士8.11mmHg(P=NS). Base exess with standard CPR wasㅡ11.50土5.37 and with ACD-CPR,
11.42 土 5.37(P = NS ). In one case, mean cerebral blood flow velocity with standard CPR was 25.2cm/ sec, with ACD CPR, 30.5cm/ sec .
Conclusion
ACD-CPR is a simple manual technique that improved cardiopulmonary circulation in 12 patients during cardiac arrests.
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| Key words:
Active Compression-Decompression Cardiopul monary Resuscitation, ETC02, Tra nscranial doppler sonography |
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