The Development of Innovative Handheld Devices to Augment Cardiopulmonary Resuscitation Therapy and External Cardioversion and Defibrillation.

摘要: Active compression-decompression (ACD) cardiopulmonary resuscitation (CPR) devices were conceived and invented by Drs. Todd Cohen Keith Lurie to improve the low survival rates for conventional CPR. decompression creates greater chest recoil as compared with passive used in standard CPR, leading increased preload cardiac output. ACD CPR use a suction cup adhere themselves patient's chest. Putting downward force onto device allows operator actively compress is achieved pulling up on (using its suction), which turn pulls chest, enabling expansion. Animal human studies have demonstrated an improvement overall circulation when using versus The impedance threshold (ITD) was created enhance This connects airway prevents influx of air during decompression. plus ITD improves myocardial cerebral perfusion, increases rates, associated more favorable neurological outcomes. guidelines permit above two properly trained personnel. Additionally, insulated handheld compression can be applied over defibrillation patch decrease transthoracic impedance. methodology has been incorporated into patented PrestoPush™ (Nexus Control Systems LLC, Port Washington, NY, USA), external cardioversion/defibrillation augmenter. paper reviews development these innovative augment cardioversion defibrillation, including summaries authors consider those that are most significant development.