Effect of the AutoPulse automated band chest compression device on hemodynamics in out-of-hospital cardiac arrest resuscitation. - Inserm - Institut national de la santé et de la recherche médicale Access content directly
Journal Articles Intensive Care Med Year : 2010

Effect of the AutoPulse automated band chest compression device on hemodynamics in out-of-hospital cardiac arrest resuscitation.

Abstract

PURPOSE: Guidelines for advanced life support of cardiac arrest (CA) emphasize continuous and effective chest compressions as one of the main factors of cardiopulmonary resuscitation (CPR) success. The use of an automated load distributing chest compression device for CPR is promising but initial studies on survival show contradictory results. The aim of this study was to evaluate the effects of AutoPulse on blood pressure (BP) in out-of-hospital CA patients. METHODS: This prospective study included adult patients presenting with in refractory out-of-hospital CA. Invasive arterial BP produced by AutoPulse was compared to BP generated by manual CPR (Active Compression Decompression). Systolic, diastolic and mean BP and end-tidal carbon dioxide were recorded before and after initiating the automated band device for each patient. The comparison of diastolic BP produced by manual CPR versus automated chest compressions was the primary end point. RESULTS: Hemodynamics in 29 patients are reported and analyzed. Median diastolic BP increased after starting AutoPulse from 17[11-25] mmHg to 23[18-28] mmHg (P < 0.001). Median systolic BP increased from 72[55-105] mmHg to 106[78-135] mmHg (P = 0.02). Mean BP increased from 29[25-38] mmHg to 36[30-15] mmHg (P = 0.002). On the other hand, End-Tidal CO(2) did not increase significantly with AutoPulse (21[13-36] vs. 22[12-35] mmHg, P = 0.80). CONCLUSIONS: In patients with out-of-hospital CA, the use of AutoPulse is associated with an increased diastolic BP compared to manual chest compressions. While its benefit to survival has yet to be demonstrated, the increase in diastolic and mean BP is a promising outcome for AutoPulse use.
Fichier principal
Vignette du fichier
inserm-00476757_edited.pdf (250.41 Ko) Télécharger le fichier
ART_BAND_070210_BriefReport_submit_ICM_R3.pdf (332.37 Ko) Télécharger le fichier
Origin : Files produced by the author(s)
Origin : Files produced by the author(s)
Loading...

Dates and versions

inserm-00476757 , version 1 (27-04-2010)

Identifiers

Cite

François-Xavier Duchateau, Papa Gueye, Sonja Curac, Florence Tubach, Claire Broche, et al.. Effect of the AutoPulse automated band chest compression device on hemodynamics in out-of-hospital cardiac arrest resuscitation.. Intensive Care Med, 2010, 36 (7), pp.1256-60. ⟨10.1007/s00134-010-1784-x⟩. ⟨inserm-00476757⟩

Collections

INSERM UNIV-PARIS7
173 View
926 Download

Altmetric

Share

Gmail Facebook Twitter LinkedIn More