Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2019 Sep;16(9):771-776.
doi: 10.1080/17434440.2019.1649135. Epub 2019 Aug 1.

Mechanical adjuncts for cardiocerebral resuscitation

Matthias L Riess  1   2 , Claudius Balzer  3   4
Affiliations
Review

Mechanical adjuncts for cardiocerebral resuscitation

Matthias L Riess et al. Expert Rev Med Devices. 2019 Sep.

Abstract

Introduction: Cardiac arrest remains a worldwide health problem with very poor outcome. In the absence of bystander resuscitation, survival rates decrease by 10% per minute of arrest and global ischemia. Even the best manual chest compressions, however, can only produce a fraction of normal cardiac output and blood flow to vital organs. Physiological principles and current evidence for the use of mechanical devices to increase survival and quality of life after cardiac arrest are highlighted in this review article. Areas covered: Mechanical adjuncts such as the Active Compression Decompression device, automated chest compressors and the use of a negative pressure valve (Impedance Threshold Device) can synergistically aid in improving quality of CPR and increasing cardiac output and vital organ perfusion. Expert opinion: The current conclusions that the use of mechanical adjunct devices in a preclinical setting is not recommended or neutral at best, need to be reevaluated, especially with regard to new advanced and promising treatments that require prolonged high-quality CPR during the transport to a hospital to improve the outcome of patients.

Keywords: ACLS; Active compression decompression; automated chest compressor; cardiac arrest; cardiopulmonary resuscitation; impedance threshold device.

PubMed Disclaimer

Conflict of interest statement

Declaration of interest

The authors have no relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript. This includes employment, consultancies, honoraria, stock ownership or options, expert testimony, grants or patents received or pending, or royalties.

Figures

Figure 1:
Figure 1:
Manual Active Compression Decompression (ACD) device (ResQPUMP®)
Figure 2:
Figure 2:
The newest model of the Lund University Cardiopulmonary Assist System (LUCAS®3)
Figure 3:
Figure 3:
Automated chest compressor (AutoPulse®)
Figure 4:
Figure 4:
Impedance Threshold Device (ITD) placed between mask (left) or endotracheal tube (right) and the ventilation bag.
See this image and copyright information in PMC

References

    1. Mehra R Global public health problem of sudden cardiac death. J Electrocardiol 2007; 40: S118–22. - PubMed
    1. Roth GA, Johnson C, Abajobir A, et al. Global, Regional, and National Burden of Cardiovascular Diseases for 10 Causes, 1990 to 2015. J Am Coll Cardiol 2017; 70: 1–25. - PMC - PubMed
    1. Nichol G, Soar J. Regional cardiac resuscitation systems of care. Curr Opin Crit Care 2010; 16: 223–30. - PubMed
    1. Nichol G, Thomas E, Callaway CW, et al. Regional variation in out-of-hospital cardiac arrest incidence and outcome. JAMA 2008; 300: 1423–31. - PMC - PubMed
    1. Böttiger BW, Van Aken HK. Saving 100,000 lives each year in Europe. Best Pract Res Clin Anaesthesiol 2013; 27: 291–2. - PubMed