Abstract
Describe the evolution of various CPR techniques, including open and closed chest resuscitation. Describe the epidemiology of sudden cardiac death. List the various etiologies of sudden cardiac arrest. Describe the research-validated mechanisms by which blood flows in a forward direction during CPR. Correlate coronary and cerebral perfusion pressures with survival and clinical outcome. Describe several techniques by which CPR can be performed, along with pros and cons for each technique. List the techniques for assessment and support of the airway, breathing, and circulation. Recite the algorithms for the treatment of asystole, pulseless electrical activity (PEA), ventricular fibrillation, ventricular tachycardia, and bradycardic rhythms. Alter properly the resuscitation techniques for victims of cardiac arrest associated with hypothermia, near-drowning, trauma, electrical shock/lightning, and pregnancy.
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References
Varon J, Fromm RE. Cardiopulmonary resuscitation new and controversial techniques. Postgrad Med. 1993;93:235-242.
Writer D. Sir Edward Sharpey-Schafer and his simple and efficient method of performing artificial respiration. Resuscitation. 2004;61:113-116.
Baskett T. The Holger Nielsen method of artificial respiration. Resuscitation. 2007;74:403-405.
Elam JO. Rediscovery of expired air methods for emergency ventilation. In: Safar P, Elam JO, eds. Advances in Cardiopulmonary Resuscitation. New York: Springer; 1977:263-265 [Chapter 39].
Safar P, Escarraga LA, Elam JO. A comparison of the mouth-to-mouth and mouth-to-airway methods of artificial respiration with the chest-pressure arm-lift methods. N Engl J Med. 1958; 258: 671.
Elam JO et al. Oxygen and carbon dioxide exchange and energy cost of expired air resuscitation. JAMA. 1958;167:328.
Kouwenhoven WB, Jude JR, Knickerbocker GG. Closed-chest cardiac massage. JAMA. 1960;173:1064.
Cummins RO, Chamberlain D, Abramson N, et al. Recommended guidelines for uniform reporting of data from out-of-hospital cardiac arrest: the Utstein style. A statement for health professionals from a task force of the American Heart Association, the European Resuscitation Council, the Heart and Stroke Foundation of Canada, and the Australian Resuscitation Council. Circulation. 1991;84:960-975.
Myerburg RJ, Kessler KM, Castellanos A. Sudden cardiac death: epidemiology, transient risk, and intervention assessment. Ann Intern Med. 1993;119:1187-1197.
Myerburg RJ, Interian A Jr, Mitrani RM, Kessler KM, Castellanos A. Frequency of sudden cardiac death and profiles of risk. Am J Cardiol. 1997;80:10F-19F.
Cupples LA, Gagnon DR, Kannel WB. Long- and short-term risk of sudden coronary death. Circulation. 1992;85:I11-I18.
Nabel EG. Cardiovascular disease. N Engl J Med. 2003;349: 60-72.
Zheng ZJ, Croft JB, Giles WH, Mensah GA. Sudden cardiac death in the United States, 1989 to 1998. Circulation. 2001;104: 2158-2163.
Chugh SS, Jui J, Gunson K, et al. Current burden of sudden cardiac death: multiple source surveillance versus retrospective death certificate – based review in a large US community. J Am Coll Cardiol. 2004;44:1268-1275.
Vaillancourt C, Stiell IG. Cardiac arrest care and emergency medical services in Canada. Can J Cardiol. 2004;20:1081-1090.
Zipes DP, Wellens HJ. Sudden cardiac death. Circulation. 1998;98:2334-2351.
Centers for Disease Control and Prevention (CDC). State-specific mortality from sudden cardiac death – United States, 1999. MMWR. 2002;51:123-126.
Part 2: Adult basic life support. Circulation. 2005;112:(suppl 1):IV-35 – IV-46.
Peberdy MA, Kaye W, Ornato JP, et al. Cardiopulmonary resuscitation of adults in the hospital: a report of 14720 cardiac arrests from the National Registry of Cardiopulmonary Resuscitation. Resuscitation. 2003;58:297-308.
Zipes D, Hein W. Sudden cardiac death. Circulation. 1998;98: 2334-2351.
Cummins RO, Ornato JP, Thies WH, Pepe PE. Improving survival from sudden cardiac arrest: the “chain of survival” concept. A statement for health professionals from the Advanced Cardiac Life Support Subcommittee and the Emergency Cardiac Care Committee, American Heart Association. Circulation. 1991;83: 1832-1847.
Valenzuela TD, Roe DJ, Cretin S, Spaite DW, Larsen MP. Estimating effectiveness of cardiac arrest interventions: a logistic regression survival model. Circulation. 1997;96:3308-3313.
Holmberg M, Holmberg S, Herlitz J. Factors modifying the effect of bystander cardiopulmonary resuscitation on survival in out-of-hospital cardiac arrest patients in Sweden. Eur Heart J. 2001;22: 511-519.
Holmberg M, Holmberg S, Herlitz J, Gardelov B. Survival after cardiac arrest outside hospital in Sweden. Swedish Cardiac Arrest Registry. Resuscitation. 1998;36:29-36.
SOS-KANTO study group. Cardiopulmonary resuscitation by bystanders with chest compression only (SOS-KANTO): an observational study. Lancet. 2007;369:920-926.
Chugh SS, Kelly KL, Titus JL. Sudden cardiac death with apparently normal heart. Circulation. 2000;102:649-654.
Halperin HR. Mechanisms of forward flow during CPR. In: Paradis N, Nowak R, Halperin H, eds. Cardiac Arrest: The Science and Practice of Resuscitation Medicine. Baltimore: Williams & Wilkins; 1996.
Weisfeldt M, Halperin H. Cardiopulmonary resuscitation: beyond cardiac massage. Circulation. 1986;74:443-448.
Weale FE, Rothwell-Jackson RL. The efficiency of cardiac massage. Lancet. 1962;1:990.
Niemann JT et al. Cough-CPR: documentation of systemic perfusion in man and in an experimental model: a “indow” to the mechanism of blood flow in external CPR. Crit Care Med. 1980;8:141.
Maier G et al. The physiology of external cardiac massage: high-impulse cardiopulmonary resuscitation. Circulation. 1984;1:86-101.
Del Guercio LRM, et al. Comparison of blood flow during external and internal cardiac massage in man. Circulation. 1965; 31/32(suppl I):171.
Crile G, Dolley DH. An experimental research into the resuscitation of dogs killed by anesthetics and asphyxia. J Exp Med. 1906; 8:713.
Rudikoff M et al. Mechanisms of blood flow during cardiopulmonary resuscitation. Circulation. 1980;61:345-352.
Kern K. Cardiopulmonary resuscitation physiology. ACC Curr J Rev. 1997;6:11-13.
Paradis NA, Martin GB, Rivers EP. Coronary perfusion pressure and the return of spontaneous circulation in human cardiopulmonary resuscitation. JAMA. 1990;263:1106-1113.
Stiell IG, Hebert PC, Weitzman BN, et al. High dose epinephrine in adult cardiac arrest. N Engl J Med. 1992;327:1045-1050.
Guerci AD et al. Transmission of intrathoracic pressure to the intracranial space during cardiopulmonary resuscitation in dogs. Circ Res. 1985;56:20-30.
Michael JR et al. Mechanisms by which epinephrine augments cerebral and myocardial perfusion during cardiopulmonary resuscitation in dogs. Ciruclation. 1984;69:822-835.
Eleff SM, Hotek Kim, Shaffner DH, et al. Effect of cerebral blood flow generated during cardiopulmonary resuscitation in dogs on maintenance versus recovery of ATP and pH. Stroke. 1993;24: 2066-2073.
Swenson RO, Weaver WD, Niskanen RA, et al. Hemodynamics in humans during conventional and experimental methods of cardiopulmonary resuscitation. Circulation. 1988;78:630.
Part 4. Adult basic life support. Circulation. 2005;112(suppl 1):IV-35 – IV-46.
Halperin HR, Tsitlik JE, Guerci AD, et al. Determinants of blood flow to vital organs during cardiopulmonary resuscitation in dogs. Circulation. 1986;73:539-550.
Beyar R, Kishon Y, Kimmel E, Neufeld H, Dinnar U. Intrathoracic and abdominal pressure variations as an efficient method for cardiopulmonary resuscitation: studies in dogs compared with computer model results. Cardiovasc Res. 1985;19:335-342.
Voorhees WD, Niebauer MJ, Babbs CF. Improved oxygen delivery during cardiopulmonary resuscitation with interposed abdominal compressions. Ann Emerg Med. 1983;12:128-135.
Plaisance P, Lurie KG, Vicaut E, et al. A comparison of standard cardiopulmonary resuscitation and active compression-decompression resuscitation for out-of-hospital cardiac arrest. French Active Compression-Decompression Cardiopulmonary Resuscitation Study Group. N Engl J Med. 1999;341:569-575.
Halperin H et al. Cardiopulmonary resuscitation with a hydraulic-pneumatic band. Crit Care Med. 2000;28:N203-N206.
Berg RA et al. Bystander cardiopulmonary resuscitation: is ventilation necessary? Circulation. 1993;88:1907.
Part 7.1: Adjuncts for airway control and ventilation. Circulation. 2005;112:(suppl 1):IV-47 – IV-50.
Sellick BA. Cricoid pressure to control regurgitation of stomach contents during induction of anaesthesia. Lancet. 1961;2:404-406.
Petito SP, Russell WJ. The prevention of gastric inflation – a neglected benefit of cricoid pressure. Anaesth Intensive Care. 1988;16:139-143.
Part 7.2: Management of cardiac arrest. Circulation. 2005;112:(suppl 1):IV-58 – IV-66.
Kuhn GJ, White BC, Swetnam RE, et al. Peripheral vs. central circulation times during CPR: a pilot study. Ann Emerg Med. 1981;10:417-419.
Yu T, Weil MH, Tang W, et al. Adverse outcomes of interrupted precordial compression during automated defibrillation. Circulation. 2002;106:368-372.
Part 7.3: Management of symptomatic bradycardia and tachycarda. Circulation. 2005;112:(suppl 1):IV-67 – IV-77.
Rosen P, Stoto M, Harley J. The use of the Heimlich maneuver in near-drowning: institute of medicine report. J Emerg Med. 1995;13:397-405.
Kellermann AL, Staves DR, Hackman BB. In-hospital resuscitation following unsuccessful prehospital advanced cardiac life support: “Heroic efforts” or an exercise in futility? Ann Emerg Med. 1988;17:589-594.
Gray WA, Capone RJ, Most AS. Unsuccessful emergency medical resuscitation: are continued efforts in the emergency department justified? N Engl J Med. 1991;325:1393-1398.
Takino M, Okada Y. The optimum timing of resuscitative thoracotomy for non-traumatic out-of-hospital cardiac arrest. Resuscitation. 1993;26:69-74.
Boczar ME, Howard MA, Rivers EP, et al. A technique revisited: hemodynamic comparison of closed- and open-chest cardiac massage during human cardiopulmonary resuscitation. Crit Care Med. 1995;23:498-503.
Paradis NA, Martin GB, Rivers EP. Use of open chest cardiopulmonary resuscitation after failure of standard closed chest CPR: illustrative cases. Resuscitation. 1992;24:61-71.
Sanders AB, Kern KB, Atlas M, et al. Importance of the duration of inadequate coronary perfusion pressure on resuscitation from cardiac arrest. J Am Coll Cardiol. 1985;6:113-118.
Additional Reading
Paradis NA, Halperin HR, Nowak RM, eds. Cardiac Arrest: The Science and Practice of Resuscitation Medicine. Baltimore: Williams & Wilkins; 1996.
2005 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. ECC Committee, subcommittees and Task Forces of the American Heart Association. Circulation. 2005;112(suppl 1):IV-1 – IV-211.
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Kauffman, F.H., Le, L.D. (2010). Advanced Cardiopulmonary Resuscitation. In: Criner, G., Barnette, R., D'Alonzo, G. (eds) Critical Care Study Guide. Springer, New York, NY. https://doi.org/10.1007/978-0-387-77452-7_50
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