Resuscitation
Volume 71, Issue 1 , Pages 47-55 , October 2006

Clinical consequences of the introduction of mechanical chest compression in the EMS system for treatment of out-of-hospital cardiac arrest—A pilot study

  • Christer Axelsson

      Affiliations

    • Gothenburg EMS-system, Box 5204, SE-402 24 Göteborg, Sweden
    • Corresponding Author InformationCorresponding author. Tel.: +46 705 400 304.
    • ,
  • Johan Nestin

      Affiliations

    • Samariten EMS-system, Huddinge Fire station, SE-141 41 Huddinge, Sweden
    • ,
  • Leif Svensson

      Affiliations

    • Division of Cardiology, South Hospital, SE-118 83 Stockholm, Sweden
    • ,
  • Åsa B. Axelsson

      Affiliations

    • Sahlgrenska Academy, Institute of Health and Care Sciences, Box 457, SE-405 30 Göteborg, Sweden
    • ,
  • Johan Herlitz

      Affiliations

    • Department of Metabolism and Cardiovascular Research, Sahlgrenska University Hospital, SE-413 45 Göteborg, Sweden

Received 13 January 2006 ,Accepted 16 February 2006.

References 

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  2. Stapleton ER. Comparing CPR during ambulance transport. Manual vs. mechanical methods. Jems. 1991;16(9):63–7266, 68 passim
  3. Sunde K, Wik L, Steen PA. Quality of mechanical, manual standard and active compression-decompression CPR on the arrest site and during transport in a manikin model. Resuscitation. 1997;34(3):235–242
  4. Hightower D, Thomas SH, Stone CK, Dunn K, March JA. Decay in quality of closed-chest compressions over time. Ann Emerg Med. 1995;26(3):300–303
  5. Wik L, Kramer-Johansen J, Myklebust H, et al. Quality of cardiopulmonary resuscitation during out-of-hospital cardiac arrest. JAMA. 2005;293(3):299–304
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  7. Holmberg M, Holmberg S, Herlitz J, Gårdelöv B. Survival after cardiac arrest outside hospital in Sweden. Resuscitation. 1998;36:29–36
  8. Berg RA, Sanders AB, Kern KB, et al. Adverse hemodynamic effects of interrupting chest compressions for rescue breathing during cardiopulmonary resuscitation for ventricular fibrillation cardiac arrest. Circulation. 2001;104(20):2465–2470
  9. Paradis NA, Martin GB, Rivers EP, et al. Coronary perfusion pressure and the return of spontaneous circulation in human cardiopulmonary resuscitation. JAMA. 1990;263(8):1106–1113
  10. Steen S, Liao Q, Pierre L, Paskevicius A, Sjoberg T. The critical importance of minimal delay between chest compressions and subsequent defibrillation: a haemodynamic explanation. Resuscitation. 2003;58(3):249–258
  11. Cobb LA, Fahrenbruch CE, Walsh TR, et al. Influence of cardiopulmonary resuscitation prior to defibrillation in patients with out-of-hospital ventricular fibrillation. JAMA. 1999;281(13):1182–1188
  12. Wik L, Hansen TB, Fylling F, et al. Delaying defibrillation to give basic cardiopulmonary resuscitation to patients with out-of-hospital ventricular fibrillation: a randomized trial. JAMA. 2003;289(11):1389–1395
  13. Steen S, Liao Q, Pierre L, Paskevicius A, Sjoberg T. Evaluation of LUCAS, a new device for automatic mechanical compression and active decompression resuscitation. Resuscitation. 2002;55(3):285–299
  14. Frascone RJ, Bitz D, Lurie K. Combination of active compression decompression cardiopulmonary resuscitation and the inspiratory impedance threshold device: state of the art. Curr Opin Crit Care. 2004;10(3):193–201
  15. Rubertsson S, Karlsten R. Increased cortical cerebral blood flow with LUCAS; a new device for mechanical chest compressions compared to standard external compressions during experimental cardiopulmonary resuscitation. Resuscitation. 2005;65(3):357–363
  16. Holmstrom P, Boyd J, Sorsa M, Kuisma M. A case of hypothermic cardiac arrest treated with an external chest compression device (LUCAS) during transport to re-warming. Resuscitation. 2005;67(1):139–141
  17. Vatsgar TT, Ingebrigtsen O, Fjose LO, Wikstrom B, Nilsen JE, Wik L. Cardiac arrest and resuscitation with an automatic mechanical chest compression device (LUCAS) due to anaphylaxis of a woman receiving caesarean section because of pre-eclampsia. Resuscitation, 2005.
  18. Wik L, Kiil S. Use of an automatic mechanical chest compression device (LUCAS) as a bridge to establishing cardiopulmonary bypass for a patient with hypothermic cardiac arrest. Resuscitation. 2005;66(3):391–394
  19. Jerry N, Peter B, editors. European resuscitation council guidelines for resuscitation 2005 (Resuscitation 2005;67(Suppl. 1)).
  20. Englund E, Kongstad PC. Active compression-decompression CPR necessitates follow-up post mortem. Resuscitation. 2006;68:161–162
  21. Herlitz J, Engdahl J, Svensson L, Young M, Ängquist K-A, Holmberg S. Decrease in the occurrence of ventricular fibrillation as the initially observed arrhythmia after out-of-hospital cardiac arrest during 11 years in Sweden. Resuscitation. 2004;60:283–290
  22. Kuisma M, Repo J, Alaspaa A. The incidence of out-of-hospital ventricular fibrillation in Helsinki, Finland, from 1994 to 1999. Lancet. 2001;358(9280):473–474

☆ A Spanish translated version of the summary of this article appears as Appendix in the online version at doi:10.1016/j.resuscitation.2006.02.011.

PII: S0300-9572(06)00094-3

doi: 10.1016/j.resuscitation.2006.02.011

Resuscitation
Volume 71, Issue 1 , Pages 47-55 , October 2006

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