Hemodynamics, survival benefits, and complications of interposed abdominal compression during cardiopulmonary resuscitation.
OBJECTIVE
To review and describe the hemodynamics and mechanisms of benefit of interposed abdominal compression cardiopulmonary resuscitation (IAC-CPR) as well as the current complications and survival data with the use of IAC-CPR.


METHODS
Critical review of selected, published English-language studies analyzing IAC-CPR. Overview of hemodynamic effects, complications, and survival data of IAC-CPR vs standard CPR.


RESULTS
Several investigators have demonstrated improvements in coronary perfusion, carotid and cerebral blood flows, and augmented venous return using IAC-CPR compared with standard CPR. Recently, IAC-CPR has been shown to improve survival from in-hospital cardiac arrest. To date, there has been no increase in complications seen with the use of abdominal compression during CPR.


CONCLUSIONS
IAC-CPR should be considered an adjunct to standard CPR for adult patients experiencing in-hospital cardiac arrest, after an adequate airway has been secured. More research is needed before IAC-CPR can be recommended for out-of-hospital cardiac arrest, for patients who have not been intubated, or for children.
Sack
J B
JB
Division of Cardiology, University of California Los Angeles Medical Center, USA.
Kesselbrenner
M B
MB
D000005:Abdomen; D016887:Cardiopulmonary Resuscitation / Q000009:adverse effects / Q000379:methods*; D006321:Heart / Q000502:physiology; D006323:Heart Arrest / Q000401:mortality / Q000503:physiopathology / Q000628:therapy*; D006439:Hemodynamics; D006801:Humans; D012039:Regional Blood Flow; D015996:Survival Rate; D016896:Treatment Outcome