New Aspects of Cardiopulmonary Resuscitation

  • M. H. Weil
Conference paper
Part of the Anaesthesiologie und Intensivmedizin / Anaesthesiology and Intensive Care Medicine book series (A+I, volume 178)


In their original description of closed-chest cardiac massage in 1960, Kouwenhoven et al. first proposed the concept that blood moves during CPR as a result of direct compression of the heart between the sternum and the vertebral column. This idea was intuitively reasonable and a logical extension of the mechanism of blood flow observed during open-chest direct cardiac compression.


Cardiopulmonary Resuscitation Coronary Blood Flow Chest Compression Intrathoracic Pressure Coronary perfUSion Pressure 
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  1. 1.
    Kouwenhoven WB et al (1960) Closed chest cardiac massage. JAMA 173: 1064PubMedGoogle Scholar
  2. 2.
    Safar P (ed) (1977) Advances in cardiopulmonary resuscitation. Springer New YorkCrossRefGoogle Scholar
  3. 3.
    Babbs CR, Winslow EBJ, Ritter G et al (1980) Knowledge gaps in CPR: synopsis of a panel discussion. Crit Care Med 8: 181Google Scholar
  4. 4.
    Rudikoff MT, Maughan WL, Effron M et al (1980) Mechanics of blood flow during cardiopulmonary resuscitation. Circulation 61: 345PubMedGoogle Scholar
  5. 5.
    Taylor G, Tucker WM, Green HL, et al (1977) Importance of prolonged compression during cardio-pulmonary resuscitation in man. N Engl J Med 296: 1515PubMedCrossRefGoogle Scholar
  6. 6.
    Chandra N, Rudikoff M, Weisfeldt ML (1980) Simultaneous chest compression and ventilation at high airway pressure during cardiopulmonary resuscitation. Lancet 1: 175PubMedCrossRefGoogle Scholar
  7. 7.
    Babbs CF (1980) New versus old theories of blood flow during CPR. Crit Care Med 8: 191PubMedCrossRefGoogle Scholar
  8. 8.
    Bircher N, Safar P, Stewart R (1980) A comparison of standard, “MAST”-Augmented, and open-chest CPR in dogs: a preliminary investigation. Crit Care Med 8: 147PubMedCrossRefGoogle Scholar
  9. 9.
    Weale FE, Rothwell-Jackson RL (1962) The efficiency of cardiac massage. Lancet 1: 990PubMedCrossRefGoogle Scholar
  10. 10.
    Criley JM (1980) New concepts in the mechanism of blood flow in cardiopulmonary resuscitation (CPR). Presented at the American College of Cardiology Conference on Emergency Management of Cardiovascular CrisisGoogle Scholar
  11. 11.
    Rich S, Wix HL, Shapiro E (1981) Two dimensional echocardiography of the heart during cardio-pulmonary resuscitation in man (abstracted). Am J Cardiol 47: 398CrossRefGoogle Scholar
  12. 12.
    Chandra N, Rudikoff M, Weisfeldt ML (1978) Simultaneous chest compression and ventilation with high airway pressure during cardiopulmonary resuscitation (CPR) in man. Circulation 58: 203Google Scholar
  13. 13.
    Redding JS, Haynes RR, Thomas JD (1981) “Old” and “new” resuscitation manually performed in dogs. Crit Care Med 9:165CrossRefGoogle Scholar
  14. 14.
    Bircher N, Safar P, Stezoski W et al (1981) Worse cerebral variables in dogs during “new” cardiopulmonary resuscitation (NCPR) than during standard CPR (SCPR). Crit Care Med 9: 165CrossRefGoogle Scholar
  15. 15.
    Babbs CF, Voorheesa WD, Fitzgerald KN, et al (1980) Influence of interposed ventilation pressure upon artificial cardiac output during cardiopulmonary resuscitation in dogs. Crit Care Med 8: 127PubMedCrossRefGoogle Scholar
  16. 16.
    Mueller H, Ayres SM, Giannelli S Jr, Conklin EF, Mazzara JT, Grace WJ (1972) Effect of isoproterenol, L-norepinephrine and intra-aortic counterpulsation on hemodynamics and myocardial metabolism in shock following acute myocardial infarction. Circulation 45: 335PubMedGoogle Scholar
  17. 17.
    Mueller H, Ayres SM, Gregory JJ, Giannelli S Jr, Grace WJ (1970) Hemodynamics, coronary blood flow and myocardial metabolism in coronary shock: response to L-norepinephrine and isoproterenol. J Clin Invest 49: 1885PubMedCrossRefGoogle Scholar
  18. 18.
    Yakaitis RW, Otto CW, Blith CD (1979) Relative importance of alpha and beta adrenergic receptors during resuscitation. Crit Care Med 7: 293–296PubMedCrossRefGoogle Scholar
  19. 19.
    Otto CW, Yakaitis RW (1980) Comparison of dopamine, dobutamine and epinephrine in cardiopulmonary resuscitation. Crit Care Med 8: 248CrossRefGoogle Scholar
  20. 20.
    Bellamy RF, DeGuzman LR, Pederson DC (1984) Coronary blood flow during cardiopulmonary resuscitation in swine. Circulation 69: 174–180PubMedCrossRefGoogle Scholar
  21. 21.
    Redding JS, Pearson JW (1963) Evaluation of drugs for cardiac resuscitation. Anesthesiology 203–207Google Scholar
  22. 22.
    Ledingham IM, Norman JN (1962) Acid-base studies in experimental circulatory arrest. Lancet 2: 967–969PubMedCrossRefGoogle Scholar
  23. 23.
    Redding JS, Pearson JW (1968) Resuscitation from ventricular fibrillation. JAMA 203: 255–260PubMedCrossRefGoogle Scholar
  24. 24.
    Spadaro J, Bing OHL, Gaasch WH, Laraia P, Franklin A, Weintraub RM (1982) Effects of perfusion pressure on myocardial performance, metabolism, wall thickness and compliance. J Thorac Cardiovasc Surg 84: 398–405PubMedGoogle Scholar
  25. 25.
    Otto CW, Yakaitis RW, Ewy GA (1983) Spontaneous ischemic ventricular fibrillation in dogs: a new model for the study of cardiopulmonary resuscitation. Crit Care Med 11 (11): 872–875CrossRefGoogle Scholar

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© Springer-Verlag Berlin Heidelberg 1985

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  • M. H. Weil

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