Combination of active compression decompression cardiopulmonary resuscitation and the inspiratory impedance threshold device: State of the art

Current Opinion in Critical Care

Volumn 10, Issue 3, 2004, Pages 193-201

  Frascone, Ralph J ^a   Bitz, Dawn ^a   Lurie, Keith ^b,c,d  

^a REGIONS HOSPITAL   (United States)

^b UNIVERSITY OF MINNESOTA   (United States)

^c MINNEAPOLIS MEDICAL RESEARCH FOUNDATION   (United States)

^d Advanced Circulatory Systems Inc   (United States)

Author keywords

Active compression decompression; Cardiopulmonary resuscitation; Inspiratory impedance threshold device

Indexed keywords

ACTIVE COMPRESSION DECOMPRESSION RESUSCITATION; BLOOD PRESSURE; CORONARY ARTERY BLOOD FLOW; HEART ARREST; HEART VENTRICLE FIBRILLATION; HUMAN; IMPEDANCE; IMPEDANCE THRESHOLD DEVICE; MEDICAL INSTRUMENTATION; NERVOUS SYSTEM FUNCTION; NONHUMAN; ORGAN BLOOD FLOW; ORGAN PERFUSION; RESUSCITATION; REVIEW; SURVIVAL RATE; TRACHEA PRESSURE; TREATMENT OUTCOME; ANIMAL; CARDIOVERSION; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; INHALATION; INSTRUMENTATION; INTENSIVE CARE; METHODOLOGY; MORTALITY; RANDOMIZED CONTROLLED TRIAL; SURVIVAL;

ANIMALS; CARDIOPULMONARY RESUSCITATION; CRITICAL CARE; ELECTRIC COUNTERSHOCK; HEART ARREST; HUMANS; INHALATION; RANDOMIZED CONTROLLED TRIALS; SURVIVAL ANALYSIS; TREATMENT OUTCOME;

EID: 4644235585     PISSN: 10705295     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.ccx.0000126089.40242.a9     Document Type: Review

References (53)

1. Lurie KG, Lindo C, et al.: CPR: the P stands for plumber's helper. JAMA 1990, 264:1661.
2. Lindner KH, Pfenninger EG, et al.: Effects of active compression- decompression resuscitation on myocardial and cerebral blood flow in pigs. Circulation 1993, 88:1254-1263.
3. Lurie KG, Voelckel WG, Zielinski T, et al.: Improving standard cardiopulmonary resuscitation with an inspiratory impedance threshold valve in a porcine model of cardiac arrest. Anesth Analg 2001, 93:649-655.
4. Lurie KG, Mulligan KA, McKnite S, et al.: Optimizing standard cardiopulmonary resuscitation with an inspiratory impedance threshold valve. Chest 1998, 113:1084-1090.
5. Lurie KG, Zelinski T, et al.: Augmentation of ventricular preload during treatment of cardiovascular collapse and cardiac arrest. Crit Care Med 2002, 30:162-165.
6. Lurie KG, Voelckel W, Plaisance P, et al.: Use of an inspiratory impedance threshold valve during cardiopulmonary resuscitation: a progress report. Resuscitation 2000, 44:219-230.
7. Duggal C, Weil MH, Gazmuri RJ, et al.: Regional blood flow during closed-chest cardiac resuscitation in rats. J Appl Physiol 1993, 74:147-152.
8. Paradis NA, Martin GB, et al.: Simultaneous aortic, jugular bulb, and right atrial pressures during CPR in humans: insights into mechanisms. Circulation 1989, 80:361-368.
9. American Heart Association in collaboration with International Liaison Committee on Resuscitation: Guidelines 2000 for cardiopulmonary resuscitation and emergency cardiovascular care: international consensus on science, Section 4: devices to assist circulation. Circulation 2000, 102(Suppl I): I106-I107.
10. Auderheide TA, Pirrallo RG, Yannopoulos D, et al.: Incomplete chest wall decompression: a clinical evaluation of CPR performance by EMS personnel and assessment of alternative manual chest compression-decompression techniques. Resuscitation 2004, in press.
11. Yannopolous D, Sigurdsson G, Benditt D, et al.: Effects of incomplete chest wall decompression during cardiopulmonary resuscitation on coronary and cerebral perfusion pressures in a porcine model of cardiac arrest. Crit Care Med 2003, 31A:10.
12. Mauer DK, Nolan J, Plaisance P, et al.: Effect of active compression-decompression resuscitation (ACD CPR) on survival: a combined analysis using individual patient data. Resuscitation 1999, 41:249-256.
13. Lurie KG: ACD CPR: a progress report. Resuscitation 1994, 28:115-122.
14. Wik L, Schneider T, et al.: ACD CPR instructor and student manual for teaching and training: Part II. a student and instructor manual. Resuscitation 1996, 32:206-212.
15. Carli PA, De La Coussaye JE, et al.: Ventilatory effects of active compression-decompression in dogs. Ann Emerg Med 1994, 24:890-894.
16. Chang MW, Coffeen P, et al.: Active compression-decompression CPR improves vital organ perfusion in a dog model of ventricular fibrillation. Chest 1994, 106:1250-1259.
17. 2, and ventilation during cardiopulmonary resuscitation of pigs. Resuscitation 1996, 31:45-57.
18. Shultz JJ, Coffeen P, et al.: Evaluation of standard and active compression-decompression CPR in an acute human model of ventricular fibrillation. Circulation 1994, 89:684-693.
19. Cohen TJ, Tucker KJ, et al.: Active compression-decompression: a new method of CPR. JAMA 1992, 267:2916-2933.
20. Cohen TJ, Goldner BG, et al.: A comparison of active compression- decompression CPR with S-CPR for cardiac arrests occurring in the hospital. N Engl J Med 1993, 329:1918-1921.
21. Plaisance P, Lurie KG, Vicaut E: et al: A comparison of standard cardiopulmonary resuscitation and active compression-decompression resuscitation for out-of-hospital cardiac Arrest. N Engl J Med 1999, 3:569-575.
22. Plaisance P, Adnet F, et al.: Benefit of ACD CPR as a prehospital advanced cardiac life support. Circulation 1997, 95:955-961.
23. Lurie KG, Shultz JJ, et al.: Evaluation of active compression- decompression CPR in victims of out-of-hospital cardiac arrest. JAMA 1994, 271:1405-1411.
24. Stiell IG, Hebert PC, et al.: The Ontario trial of active compression-decompression CPR for in-hospital and prehospital cardiac arrest. JAMA 1966, 275:1417-1423.
25. Nolan J, Smith G, et al.: The United Kingdom pre-hospital study of active compression-decompression resuscitation. Resuscitation 1998, 37:119-125.
26. Mauer D, Schneider T, et al.: Active compression-decompression resuscitation: a prospective, randomized study in a two-tiered EMS system with physicians in the field. Resuscitation 1996, 33:125-134.
27. Lurie KG, Coffeen P, et al.: Improving ACD CPR with an inspiratory impedance valve. Circulation 1995, 91:1629-1632.
28. Lurie KG, Barnes T, Zielinski T, et al.: Evaluation of a prototypic inspiratory impedance threshold valve designed to enhance the efficiency of cardiopulmonary resuscitation. Respir Care 2003, 48:52-57.
29. Lurie KG, Lindner KH: Recent advances in CPR. J Cardiovasc Electrophysiol 1997, 8:584-600.
30. Plaisance P, Soleil C, et al.: Measurement of intrathoracic pressures during basic and advanced cardiac life support while performing ACD CPR with an inspiratory ITV. Crit Care Soc 2002, 29:A73.
31. Aufderheide T, Sigurdsson G, Pirrallo RG: Hyperventilation-induced hypotension. Circulation 2004, in press.
32. Convertino VA, Ratliff DA, Ryan KL, et al.: Hemodynamics associated with breathing through an inspiratory impedance threshold device in human volunteers. Crit Care Med 2004, in press.
33. Langhelle A, Stromme T, et al.: Inspiratory impedance threshold valve during CPR. Resuscitation 2002, 52:39-48.
34. Lurie KG, Zielinski T, McKnite S, et al.: Use of an inspiratory impedance valve improves neurologically intact survival in a porcine model of ventricular fibrillation. Circulation 2002, 105:124-129. Use of the impedance threshold device during standard CPR in a pig model of cardiac arrest increased the 24-hour survival rate from 55% to 85%. Only 1 of 11 pigs treated with a sham impedance threshold device had normal neurologic function after 24 hours, versus 12 of 17 pigs treated with the active device.
35. Lurie KG, Voelckel W, et al.: Improving S-CPR with an inspiratory impedance valve in a porcine model of cardiac arrest. Anesth Analg 2001, 93:649-655.
36. Voelckel VG, Lurie KG, Zielinski T, et al.: The effects of positive end-expiratory pressure during active compression decompression cardiopulmonary resuscitation with the inspiratory threshold valve. Anesth Analg 2001, 92:967-974.
37. Voelckel W, Lurie KG, Sweeney M, et al.: Effects of active compression-decompression cardiopulmonary resuscitation with the inspiratory threshold valve in a young porcine model of cardiac arrest. Pediatr Res 2002, 51:523-527. Use of active compression decompression CPR with an impedance threshold device significantly increased coronary perfusion pressures and vital organ blood flow after 10 minutes of untreated cardiac arrest and 8 minutes of standard CPR.
38. Lurie KG, Zielinski T, et al.: Use of an inspiratory impedance valve improves neurologically intact survival in a porcine model of ventricular fibrillation. Circulation 2002, 105:124-129. Use of the impedance threshold device with standard CPR significantly increased survival rates and neurologic function in pigs in cardiac arrest compared with those treated with a sham device.
39. Wolcke BB, Maurer DK, Schoefmann MF, et al.: Comparison of standard cardiopulmonary resuscitation versus the combination of active compression-decompression cardiopulmonary resuscitation and an inspiratory impedance threshold device for out-of-hospital cardiac arrest. Circulation 2003, 108:2201-2205. Use of active compression decompression CPR with an impedance threshold device versus standard CPR in a randomized prospective clinical trial resulted in 24-hour survival rates greater than 60% in the device group. The benefit was particularly striking in patients with a witnessed arrest and ventricular fibrillation when 24-hour survival rates were 58% with the device combination and only 23% with standard manual CPR.
40. 2, diastole blood pressure, and coronary perfusion pressure
41. Plaisance P, Lurie KG, et al.: Inspiratory impedance during ACD CPR: a randomized evaluation in patients in cardiac arrest. Circulation 2000, 101:989-994.
42. Plaisance P, Lurie KG, et al.: Comparison of an active versus sham impedance threshold valve on survival in patients receiving active compression-decompression CPR for treatment of out-of-hospital cardiac arrest [abstract]. Circulation 2001, 104(Suppl II):765. Full paper: Resuscitation 2004, in press. Comparison of a sham versus active impedance threshold device during active compression decompression CPR in a randomized blinded prospective clinical trial demonstrated a 45% improvement in 24-hour survival rates for all patients. Only 1 of 8 survivors in the sham device group had normal neurologic function at hospital discharge rersus 6 of 10 in the active device group.
43. Plaisance P, Lurie KG, et al.: Comparison of an active versus sham impedance threshold valve on survival in patients receiving active compression-decompression CPR for treatment of out-of-hospital cardiac arrest [abstract]. Circulation 2001, 104(Suppl II):765. Full paper: Resuscitation 2004, in press. Comparison of a sham versus active impedance threshold device during active compression decompression CPR in a randomized blinded prospective clinical trial demonstrated a 45% improvement in 24-hour survival rates for all patients. Only 1 of 8 survivors in the sham device group had normal neurologic function at hospital discharge rersus 6 of 10 in the active device group.
44. Bahlmann L, Klaus S, Baumeier W, et al.: Brain metabolism during cardiopulmonary resuscitation assessed with microdialysis. Resuscitation 2003, 59:244-260.
45. Raedler C, Voelckel WG, Wenzel V, et al.: Vasopressor response in a porcine model of hypothermic cardiac arrest is improved with active compression-decompression cardiopulmonary resuscitation using the inspiratory impedance threshold valve. Anesth Analg 2002, 95:1496-1502.
46. Yannopoulos D, Sigurdsson G, McKnite S, et al.: Reducing ventilation frequency combined with an inspiratory impedance device improves CPR efficiency in swine model of cardiac arrest. Resuscitation 2004, in press.
47. Cobb LA, Fahrenbruch CE, Walsh TR, et al.: Influence of cardiopulmonary resuscitation prior to defibrillation in patients with out-of-hospital ventricular fibrillation. JAMA 1999, 281:1182-1188.
48. Wik L, Hansen TB, Fylling F, et al.: Three minutes of basic cardiopulmonary resuscitation (CPR) of pre-hospital ventricular fibrillation (VF) patients before defibrillation increases the number of patients who survive to hospital discharge and one year survival. Circulation 2002, 106:II 366.
49. Weisfeldt ML, Becker LB: Resuscitation after cardiac arrest: a 3-phase time-sensitive model. JAMA 2002, 288:3035-3038.
50. Holzer M, Sterz F, and the Hypothermia after Cardiac Arrest Study Group. Mild therapeutic hypothermia to improve the neurologic outcome after cardiac arrest. N Engl J Med 2002, 346:549-556.
51. Bernard SA, Gray TW, Buist MD, et al.: Treatment of comatose survivors of out-of-hospital cardiac arrest with induced hypothermia. N Engl J Med 2002, 346:557-563.
52. Nadkarni V, Srinivasan V, Yannopoulos D: Rapid cerebral cooling during performance of active compression decompression cardiopulmonary resuscitation with an impedance threshold device in pig model of cardiac arrest. Circulation 2003.
53. Steen S, Liao Q, Pierre L, et al.: Evaluation of LUCAS, a new device for automatic mechanical compression and active decompresson resuscitation. Resuscitation 2002, 55:285-299.