Active Compression-Decompression Resuscitation

摘要: The currently dismal outcome for most victims of cardiac arrest has stimulated renewed interest in cardiopulmonary resuscitation (CPR) research, focusing particular on new techniques. observation that conventional mechanical CPR at best results a relatively low global and coronary perfusion - which is primary determinant the restoration spontaneous circulation given considerable impetus direction to research this field. Even under optimal conditions with adjuvant use epinephrine, cerebral blood flow 30–50% normal value while only 5–20% [1]. Various modifications technique have been used order try improve levels during massage. These include simultaneous ventilation compression rate 30–40/min, an increased depth up ISO/min, continuous abdominal [2]. Although they seem sound theoretical basis, none these techniques can now be recommended as not resulted survival rates either animal experiments or clinical practice. One main reasons poor any increase intrathoracic pressure associated right atrial turn compromises hence myocardial flow.