About My Health Careers Internship MedBlogs Contact us
Medindia LOGIN REGISTER
Advertisement

Outcomes of Device for Chest Compressions Vs Manual CPR Compared

by Bidita Debnath on November 19, 2013 at 10:54 PM
Font : A-A+

 Outcomes of Device for Chest Compressions Vs Manual CPR Compared

Sten Rubertsson, M.D., Ph.D., of Uppsala University, Sweden and colleagues assessed cardiopulmonary resuscitation (CPR) in patients.

They assessed whether CPR in which chest compressions are delivered with a mechanical device would result in superior 4-hour survival in patients with out-of-hospital cardiac arrest compared to CPR with manual chest compression.

Advertisement

"Many factors affect the chances of survival after cardiac arrest, including early recognition of arrest, effective CPR and defibrillation, and postresuscitation care. One important link is the delivery of high-quality chest compressions to achieve restoration of spontaneous circulation. The effectiveness of manual chest compressions depends on the endurance and skills of rescuers, and manual compressions provide only approximately 30 percent of normal cardiac output. Manual CPR is also limited by prolonged hands-off time, and its quality is particularly poor when it is administered during patient transport. Mechanical chest compression devices have therefore been developed to improve CPR," according to background information in the article. "A strategy using mechanical chest compressions might improve the poor outcome in out-of-hospital cardiac arrest, but such a strategy has not been tested in large clinical trials."

This multicenter clinical trial, which included 2,589 patients with out-of-hospital cardiac arrest, was conducted between January 2008 and February 2013 in 4 Swedish, 1 British, and 1 Dutch ambulance services and their referring hospitals. Duration of follow-up was 6 months. Patients were randomized to receive chest compressions from a mechanical device combined with defibrillation during the compressions (n = 1,300) or manual CPR according to guidelines (n = 1,289). The mechanical chest compressions device had an integrated suction cup designed to deliver compressions according to resuscitation guidelines.
Advertisement

Four-hour survival was achieved in 307 patients (23.6 percent) with mechanical CPR and 305 (23.7 percent) with manual CPR. Among patients surviving at 6 months, 99 percent in the mechanical CPR group and 94 percent in the manual CPR group had good neurological outcomes.

"In patients with out-of-hospital cardiac arrest, mechanical chest compressions in combination with defibrillation during ongoing compressions provided no improved 4-hour survival vs. manual CPR according to guidelines. There was a good neurological outcome in the vast majority of survivors in both groups, and neurological outcomes improved over time," the authors write.

Source: Eurekalert
Advertisement

Advertisement
News A-Z
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
News Category
What's New on Medindia
Printed Temperature Sensors help with Continuous Temperature Monitoring
Health Benefits of Giloy
Breast Cancer Awareness Month 2021 - It's time to RISE
View all

Medindia Newsletters Subscribe to our Free Newsletters!
Terms & Conditions and Privacy Policy.

More News on:
Costochondritis Cardiac Arrest 

Recommended Reading
One Minute of CPR Training can Help Bystanders Save Lives in Emergencies
A new study presented at the American Heart Association's Scientific Sessions 2013 suggests that ......
Following Bystander CPR for Out-of-hospital Cardiac Arrest Chances Of Survival Has Increased: Study
A study finds that in Denmark between 2001 and 2010 there was an increase in bystander CPR that was ...
Mechanical Chest Compressions are Equally as Effective as Manual CPR: Study
"The study was designed to show a better 4-hour survival in the group treated with mechanical chest ...
Quality of CPR Varies Among EMS, Hospitals Hurts Survival
According to the American Heart Association, the quality of CPR (cardiopulmonary resuscitation) you ...
Cardiac Arrest
Cardiac arrest occurs when the heart stops beating abruptly due to an electrical malfunction. Blood ...
Costochondritis
Inflammation of the cartilage that joins the ribs to the breastbone is known as Costochondritis. It ...

Disclaimer - All information and content on this site are for information and educational purposes only. The information should not be used for either diagnosis or treatment or both for any health related problem or disease. Always seek the advice of a qualified physician for medical diagnosis and treatment. Full Disclaimer

© All Rights Reserved 1997 - 2021

This site uses cookies to deliver our services. By using our site, you acknowledge that you have read and understand our Cookie Policy, Privacy Policy, and our Terms of Use