Resuscitation
Volume 81, Issue 5 , Pages 585-590 , May 2010

Continuous chest compression resuscitation in arrested swine with upper airway inspiratory obstruction

  • Gordon A. Ewy

      Affiliations

    • University of Arizona College of Medicine's Sarver Heart Center, University of Arizona College of Medicine, Tucson, AZ, United States
    • Department of Medicine, University of Arizona College of Medicine, Tucson, AZ, United States
    • ,
  • Ronald W. Hilwig

      Affiliations

    • University of Arizona College of Medicine's Sarver Heart Center, University of Arizona College of Medicine, Tucson, AZ, United States
    • ,
  • Mathias Zuercher

      Affiliations

    • Department of Anesthesiology, University of Basel, Switzerland
    • ,
  • Sudhakar Sattur

      Affiliations

    • Department of Medicine, University of Arizona College of Medicine, Tucson, AZ, United States
    • ,
  • Arthur B. Sanders

      Affiliations

    • Department of Emergency Medicine, University of Arizona College of Medicine, Tucson, AZ, United States
    • ,
  • Charles W. Otto

      Affiliations

    • Department of Anesthesiology, University of Arizona College of Medicine, Tucson, AZ, United States
    • ,
  • Thye Schuyler

      Affiliations

    • Department of Neurology, University of Arizona College of Medicine, Tucson, AZ, United States
    • ,
  • Karl B. Kern

      Affiliations

    • University of Arizona College of Medicine's Sarver Heart Center, University of Arizona College of Medicine, Tucson, AZ, United States
    • Department of Medicine, University of Arizona College of Medicine, Tucson, AZ, United States
    • Corresponding Author InformationCorresponding author at: University of Arizona Sarver Heart Center, 1501 North Campbell Avenue, Tucson, AZ 85724, United States. Tel.: +1 520 626 2477; fax: +1 520 626 4333.

Received 15 July 2009 ,Revised 11 January 2010 ,Accepted 18 January 2010.

References 

  1. Sayre MR, Berg RA, Cave DM, Page RL, Potts J, White RD. Hands-only (compression-only) cardiopulmonary resuscitation: a call to action for bystander response to adults who experience out-of-hospital sudden cardiac arrest: a science advisory for the public from the American Heart Association Emergency Cardiovascular Care Committee. Circulation. 2008;117:2162–2167
  2. 2005. International consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations. Resuscitation 2005;67:181–341.
  3. 2005 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2005;112:IV1–203.
  4. Ewy GA, Zuercher M, Hilwig RW, et al. Improved neurological outcome with continuous chest compressions compared with 30:2 compressions-to-ventilations cardiopulmonary resuscitation in a realistic swine model of out-of-hospital cardiac arrest. Circulation. 2007;116:2525–2530
  5. Steen PA. Does active rescuer ventilation have a place during basic cardiopulmonary resuscitation?. Circulation. 2007;116:2514–2516
  6. Assar D, Chamberlain D, Colquhoun M, et al. Randomized controlled trials of staged teaching for basic life support. 1. Skill acquisition at bronze stage. Resuscitation. 2000;45:7–15
  7. Ewy GA. Cardiocerebral resuscitation: the new cardiopulmonary resuscitation. Circulation. 2005;111:2134–2142
  8. Ewy GA, Kern KB. Recent advances in cardiopulmonary resuscitation: cardiocerebral resuscitation. J Am Coll Cardiol. 2009;53:149–157
  9. Berg RA, Kern KB, Sanders AB, Otto CW, Hilwig RW, Ewy GA. Bystander cardiopulmonary resuscitation. Is ventilation necessary?. Circulation. 1993;88:1907–1915
  10. Safar P. Ventilation and cardiopulmonary resuscitation. Curr Opin Anaesthesiol. 1999;12:165–171
  11. Bobrow BJ, Zuercher M, Ewy GA, et al. Gasping during cardiac arrest in humans is frequent and associated with improved survival. Circulation. 2008;118:2550–2554
  12. Clark JJ, Larsen MP, Culley LL, Graves JR, Eisenberg MS. Incidence of agonal respirations in sudden cardiac arrest. Ann Emerg Med. 1992;21:1464–1467
  13. Nagao K. Chest compression-only cardiocerebral resuscitation. Curr Opin Crit Care. 2009;15:189–197
  14. Kern KB, Ewy GA, Voorhees WD, Babbs CF, Tacker WA. Myocardial perfusion pressure: a predictor of 24-hour survival during prolonged cardiac arrest in dogs. Resuscitation. 1988;16:241–250
  15. Locke CJ, Berg RA, Sanders AB, et al. Bystander cardiopulmonary resuscitation. Concerns about mouth-to-mouth contact. Arch Intern Med. 1995;155:938–943
  16. Kern KB, Hilwig RW, Berg RA, Sanders AB, Ewy GA. Importance of continuous chest compressions during cardiopulmonary resuscitation: improved outcome during a simulated single lay-rescuer scenario. Circulation. 2002;105:645–649
  17. Kern KB, Hilwig RW, Berg RA, Ewy GA. Efficacy of chest compression-only BLS CPR in the presence of an occluded airway. Resuscitation. 1998;39:179–188
  18. Ewy GA, Hellman DA, McClung S, Taren D. Influence of ventilation phase on transthoracic impedance and defibrillation effectiveness. Crit Care Med. 1980;8:164–166

☆ A Spanish translated version of the abstract of this article appears as Appendix in the final online version at doi:10.1016/j.resuscitation.2010.01.009.

PII: S0300-9572(10)00051-1

doi: 10.1016/j.resuscitation.2010.01.009

Resuscitation
Volume 81, Issue 5 , Pages 585-590 , May 2010

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