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Open Chest Human Cardiopulmonary Resuscitation

  • Michael E. Boczar
  • Emanuel P. Rivers
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Abstract

Approximately 1.5 million people in the United States have an acute coronary syndrome (ACS), which account for 500,000 deaths yearly. Over 350,000 of these patients with ACS present with out-of-hospital cardiac arrest. Although diagnostic and therapeutic modalities for ACS have continued to evolve leading to improved survival rates, the same cannot be said for those who experience sudden death. At present, only 10% CPR attempts whether in-hospital or out-of-hospital result in survival. This has lead to continued examination of old and new methodologies of artificial circulation in cardiac arrest.

Keywords

Acute Coronary Syndrome Cardiac Arrest Cerebral Perfusion Pressure Cardiopulmonary Resuscitation Coronary Perfusion Pressure 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Selected References

  1. Anthi A, Tzelepis GE, Alivizatos P, Michalis A, Palatianos GM, Geroulanos S. Unexpected cardiac arrest after cardiac surgery: incidence, predisposing causes, and outcome of open chest cardiopulmonary resuscitation. Chest 1998;113(1): 15–9.PubMedCrossRefGoogle Scholar
  2. Boczar ME, Howard MA, Rivers EP, Martin GB, Horst HM, Lewandowski C, et al. A technique revisited: hemodynamic comparison of closed- and open-chest cardiac massage during human cardiopulmonary resuscitation. Crit Care Med 1995;23(3):498–503.PubMedCrossRefGoogle Scholar
  3. Kern KB, Sanders AB, Janas W, Nelson JR, Badylak SF, Babbs CF, et al. Limitations of open-chest cardiac massage after prolonged, untreated cardiac arrest in dogs. Ann Emerg Med 1991;20(7):761–7.PubMedCrossRefGoogle Scholar
  4. Paradis NA, Martin GB, Rivers EP, Goetting MG, Appleton TJ, Feingold M, et al. Coronary perfusion pressure and the return of spontaneous circulation in human cardiopulmonary resuscitation [see comments]. JAMA 1990;263(8):1106–13.PubMedCrossRefGoogle Scholar
  5. Paradis NA, Martin GB, Rivers EP. Use of open chest cardiopulmonary resuscitation after failure of standard closed chest CPR: illustrative cases. Resuscitation 1992;24(1):61–71.PubMedCrossRefGoogle Scholar
  6. Paradis NA, Martin GB, Rosenberg J, Rivers EP, Goetting MG, Appleton TJ, et al. The effect of standard- and high-dose epinephrine on coronary perfusion pressure during prolonged cardiopulmonary resuscitation. JAMA 1991;265(9):1139–44.PubMedCrossRefGoogle Scholar
  7. Sanders AB, Kern KB, Ewy GA. Time limitations for open-chest cardiopulmonary resuscitation from cardiac arrest. Crit Care Med 1985;13(ll):897–8.PubMedCrossRefGoogle Scholar
  8. Thel MC, O’Connor CM. Cardiopulmonary resuscitation: historical perspective to recent investigations. Am Heart J 1999;137(l):39–48.PubMedCrossRefGoogle Scholar
  9. Safar P. Cerebral resuscitation after cardiac arrest: research initiatives and future directions [published erratum appears in Ann Emerg Med 1993 Apr;22(4):759] [see comments]. Ann Emerg Med 1993;22(2 Pt 2):324–49.PubMedCrossRefGoogle Scholar
  10. Wik L. Automatic and manual mechanical external chest compression devices for cardiopulmonary resuscitation. Resuscitation 2000;47(l):7–25.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2002

Authors and Affiliations

  • Michael E. Boczar
  • Emanuel P. Rivers

There are no affiliations available

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