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
. 2023 Nov 27;76(5):e20220400.
doi: 10.1590/0034-7167-2022-0400. eCollection 2023.

Abdominal compressions during cardiopulmonary resuscitation: a scoping review

[Article in English, Portuguese]
Magda Mileyde de Sousa Lima  1 , Maria Aline Moreira Ximenes  1 , Dariane Veríssimo de Araújo  1 , Lívia Moreira Barros  2 , Nelson Miguel Galindo Neto  3 , Joselany Áfio Caetano  1
Affiliations

Abdominal compressions during cardiopulmonary resuscitation: a scoping review

[Article in English, Portuguese]
Magda Mileyde de Sousa Lima et al. Rev Bras Enferm. .

Abstract
in English, Portuguese, Spanish

Objectives: to map the scientific evidence on the use of abdominal compressions during cardiopulmonary resuscitation in patients with cardiac arrest.

Methods: this is a scoping review based on the question: "What is the evidence regarding the use of abdominal compressions during cardiopulmonary resuscitation in patients with cardiac arrest?". Publications up to August 2022 were collected from eight databases. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews was used.

Results: seventeen publications were included. The identified general population consisted of adults and elderly individuals. The primary outcome revealed significant rates of return of spontaneous circulation. Secondary outcomes indicated a significant improvement in heart rate, blood pressure, oxygen saturation, and other outcomes.

Conclusions: abdominal compressions have been shown to be beneficial. However, further clinical studies are needed to identify the best execution method and its impacts.

Objetivos:: mapear as evidências científicas sobre o uso de compressões abdominais durante a reanimação cardiopulmonar em pacientes com parada cardiorrespiratória.

Métodos:: trata-se de uma revisão de escopo, baseada na questão: “quais são as evidências sobre o uso de compressões abdominais durante a reanimação cardiopulmonar em pacientes com parada cardiorrespiratória?”. Foram coletadas as publicações até agosto de 2022 em oito bases de dados. Foi utilizado o Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews.

Resultados:: incluiu-se 17 publicações. O público geral identificado foi composto por adultos e idosos. O desfecho primário evidenciou taxas significativas de retorno da circulação espontânea. Os desfechos secundários indicaram melhora significativa na frequência cardíaca, pressão arterial, saturação de oxigênio e outros resultados.

Conclusões:: as compressões abdominais mostraram-se benéficas. No entanto, mais estudos clínicos são necessários para identificar o melhor método de execução e seus impactos.

Objetivos:: mapear la evidencia científica sobre el uso de compresiones abdominales durante la reanimación cardiopulmonar en pacientes con paro cardíaco.

Métodos:: esta es una revisión de alcance basada en la pregunta: “¿Cuál es la evidencia con respecto al uso de compresiones abdominales durante la reanimación cardiopulmonar en pacientes con paro cardíaco?”. Se recopilaron publicaciones hasta agosto de 2022 de ocho bases de datos. Se utilizó la extensión de Informes Preferidos para Revisiones Sistemáticas y Metaanálisis para Revisiones de Alcance.

Resultados:: se incluyeron diecisiete publicaciones. La población general identificada estaba compuesta por adultos y personas mayores. El resultado primario reveló tasas significativas de retorno de la circulación espontánea. Los resultados secundarios indicaron una mejora significativa en la frecuencia cardíaca, la presión arterial, la saturación de oxígeno y otros resultados.

Conclusiones:: las compresiones abdominales han demostrado ser beneficiosas. Sin embargo, se necesitan más estudios clínicos para identificar el mejor método de ejecución y sus impactos.

PubMed Disclaimer

Figures

Figure 1
Figure 1. Flowchart of the search and article selection according to PRISMA 2020(10), Fortaleza, Ceará, Brazil, 2022
See this image and copyright information in PMC

References

    1. Bernoche C, Timerman S, Polastri TF, Giannetti NS, Siqueira AWDS, Piscopo A, et al. Atualização da diretriz de ressuscitação cardiopulmonar e cuidados cardiovasculares de emergência da Sociedade Brasileira de Cardiologia-2019. Arq Bras Cardiol. 2019;113(3):449–663. doi: 10.5935/abc.20190203. - DOI - PubMed
    1. Movahedi A, Mirhafez SR, Behnam-Voshani H, Reihani H, Kavosi A, Ferns GA, et al. A Comparison of the effect of interposed abdominal compression cardiopulmonary resuscitation and standard cardiopulmonary resuscitation methods on end-tidal CO2 and the return of spontaneous circulation following cardiac arrest: a clinical trial. Acad Emerg Med. 2016;23(4):448–454. doi: 10.1111/acem.12903. - DOI - PubMed
    1. Zhan F, Song W, Zhang J, Li M, Chen W. [Clinical effect of cardiopulmonary resuscitation with active abdominal compression-decompression] Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2019;31(2):228–231. doi: 10.3760/cma.j.issn.2095-4352.2019.02.021. Chinese. - DOI - PubMed
    1. Gu C, Liu S, Liu K, Xie Y, Wang L. [Effects of interposed abdominal pulling-pressing cardiopulmonary resuscitation on hemodynamics and oxygen metabolism in patients with cardiac arrest] Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2019;31(11):1406–1410. doi: 10.3760/cma.j.issn.2095-4352.2019.11.018. Chinese. - DOI - PubMed
    1. Cave DM, Gazmuri RJ, Otto CW, Nadkarni VM, Cheng A, Brooks SC, et al. Part 7: CPR techniques and devices: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2010;122(Suppl-3):S720–8. doi: 10.1161/CIRCULATIONAHA.110.970970. - DOI - PMC - PubMed

Publication types