Peter Safar, together with others, established the basic treatment of cardiac arrest
in the 1950s and 1960s by introducing the Airway, Breathing and Circulation sequence,
which became the Basic Life Support algorithm.
1.
,
2.
This was later transformed into Advanced Life Support by adding drugs and early defibrillation
during cardiopulmonary resuscitation (CPR). Looking back on the fundamental studies
leading to these developments, they were performed in laboratory or operating room
settings with invasive blood pressure monitoring.
2.
If those measurements were not available, a femoral or carotid pulse was used to
measure the effect of the treatment. A pulse was made palpable or improved by either
moving the patient to a harder surface or by using more body weight for compressions.
3.
These adaptations in chest compression delivery were the first steps to a patient-tailored cardiac
arrest treatment. It is interesting to see that after all these years, we still cannot
say that we have the next logical evolution of resuscitation, Adaptive Life Support.
In such an approach, real-time analysis of the patient would actively gauge the physiologic
effects of CPR in progress and give every cardiac arrest patient, regardless of their
age and body constitution, the optimal treatment. Should a female, 36 year-old cardiac
arrest patient receive the same treatment as a 66 year-old men with obesity? We need
not reach beyond clinical intuition for the answer.To read this article in full you will need to make a payment
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Article info
Publication history
Published online: October 13, 2021
Accepted:
October 5,
2021
Received:
October 4,
2021
Identification
Copyright
© 2021 Published by Elsevier B.V.
ScienceDirect
Access this article on ScienceDirectLinked Article
- Effectiveness of near-infrared spectroscopy-guided continuous chest compression resuscitation without rhythm check in patients with out-of-hospital cardiac arrest: The prospective multicenter TripleCPR 16 studyResuscitationVol. 169
- PreviewThe proportion of adult patients with return of spontaneous circulation (ROSC) following out-of-hospital cardiac arrest (OHCA) remains unchanged since 2012. A better resuscitation strategy is needed. This study evaluated the effectiveness of a regional cerebral oxygen saturation (rSO2)-guided resuscitation protocol without rhythm check based on our previous study.
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