Related Experiment Video
Updated: May 7, 2026
06:04
Ultrasonographic Assessment During Cardiopulmonary Resuscitation
Published on: October 24, 2020
Active chest compression-decompression for cardiopulmonary resuscitation.
Carmelo Lafuente-Lafuente1, María Melero-Bascones
1Service de Gériatrie à Orientation Cardiologique et Neurologique, Groupe Hospitalier Pitié-Salpêtrière-Charles Foix, AP-HP, Université Pierre et Marie Curie (Paris 6), 7 Avenue de la République, Ivry-sur-Seine, Ile-de-France, France, 94205.
The Cochrane Database of Systematic Reviews
|September 21, 2013
Summary
Active compression-decompression cardiopulmonary resuscitation (ACDR CPR) did not show clear benefits for cardiac arrest patients. This method, using a suction device, did not improve survival or neurological function compared to standard CPR.
Area of Science:
- Cardiology
- Emergency Medicine
- Resuscitation Science
Background:
- Active compression-decompression cardiopulmonary resuscitation (ACDR CPR) utilizes a specialized device for chest compression and active decompression.
- Previous randomized controlled trials on ACDR CPR have yielded conflicting results, necessitating further investigation.
Purpose of the Study:
- To evaluate the impact of ACDR CPR versus standard chest compression CPR on mortality and neurological outcomes in adult cardiac arrest patients.
- To compare outcomes in both in-hospital and out-of-hospital cardiac arrest settings.
Main Methods:
- A systematic review and meta-analysis of randomized and quasi-randomized controlled trials were conducted.
- Searches included CENTRAL, MEDLINE, and EMBASE databases, supplemented by reference list checks and expert consultations.
- Data extraction and analysis were performed independently, with subgroup analyses based on setting and team composition.
Main Results:
- Ten trials were included, with the majority conducted in out-of-hospital settings.
- No significant differences in mortality were observed between ACDR CPR and standard CPR (STR) in out-of-hospital settings.
- While complications like fractures were similar, ACDR CPR was associated with more frequent skin trauma and ecchymosis.
Conclusions:
- ACDR CPR does not demonstrate a clear survival or neurological benefit for patients experiencing cardiac arrest.
- The available evidence suggests no significant advantage of ACDR CPR over standard CPR techniques.
More Related Videos
Related Concept Videos
01:21Cardiopulmonary Resuscitation I: Adult
Cardiopulmonary resuscitation, or CPR, is a life-saving emergency procedure performed when a person's heart has stopped beating or they are no longer breathing. The foundation of CPR is Basic Life Support (BLS), which focuses on the early recognition of cardiac arrest, the immediate start of high-quality chest compressions, and the timely use of an automated external defibrillator (AED).Assessing Responsiveness and Checking the Carotid PulseWhen approaching an unresponsive person, first ensure...
01:22Cardiopulmonary Resuscitation II: ACLS Airway Management
Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned under...
01:27Pneumothorax-II
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
01:26Pneumothorax-I
A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
01:24Chest Physiotherapy
Chest Physiotherapy (CPT) is a therapeutic technique used in respiratory care to improve ventilation, clear bronchial secretions, and enhance the efficiency of respiratory muscles. This therapy includes three primary procedures: postural drainage, percussion, and vibration. It can be performed on spontaneously breathing patients and those who are intubated and mechanically ventilated.
Purpose
CPT is primarily used for patients with excessive bronchial secretions who have difficulty clearing...
Purpose
CPT is primarily used for patients with excessive bronchial secretions who have difficulty clearing...
01:25Cardiopulmonary Resuscitation IV: Pharmacological Management
Pharmacologic intervention is crucial in treating cardiac arrest patients during ACLS or Advanced Cardiovascular Life Support. The ACLS algorithms guide the administration of specific drugs based on the patient's cardiac arrest rhythm, which includes pulseless ventricular tachycardia (VT), ventricular fibrillation (VF), asystole, and pulseless electrical activity (PEA).EpinephrineIndication: Epinephrine is the first-line drug for all cardiac arrest rhythms.Mechanism of Action: Epinephrine...