[Evaluation of efficiency of ACD-CPR and STD-CPR; a multi-institutional study].
We compared the efficacy of ACD-CPR and STD-CPR based on 64 multi-institutional reports. No significant differences were observed in the rate of restoration of spontaneous circulation (ROSC) and in cardiopulmonary parameters during CPR using the two methods. There were 5 cases in which cardiopulmonary parameters improved after switching from STD-CPR to ACD-CPR and, eventually, in two of them spontaneous circulation was restored. In the ROSC cases of both groups, ETCO2 and values of SpO2, PaO2, and systolic BP at 30 minutes were higher than those of non-ROSC cases. ETCO2 never exceeded 20 mmHg in the non-ROSC cases, but it was higher in the ROSC cases. ACD-CPR is a good choice when trained persons are present or when extra hands are available to continue the CPR.
Arai
T
T
Department of Anesthesiology and Resuscitology, Ehime University School of Medicine, Ehime 791-0295. Department of Emergency Medicine, Ehime University Hospital, Ehime 791-0295.
Adachi
N
N
Tabo
E
E
Yorozuya
T
T
Nagaro
T
T
Ochi
G
G
Sakurai
A
A
Omote
T
T
Okada
Y
Y
Nakagawa
T
T
Katoh
M
M
Shindoh
M
M
Kaneko
T
T
Nobuhara
H
H
Nakane
M
M
Morooka
H
H
Furuta
K
K
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016887:Cardiopulmonary Resuscitation / Q000379:methods*; D005260:Female; D006323:Heart Arrest / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome