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Open chest cardiac massage: a review.
J Eldor1, D Z Frankel, J T Davidson
1Dept. of Anesthesia, Hadassah Medical Centre, Ein Karem, Jerusalem, Israel.
Resuscitation
|July 1, 1988
Summary
Open-chest cardiopulmonary resuscitation (CPR) offers superior physiological benefits compared to external methods. This review advocates for its renewed teaching and application in prolonged cardiac arrest cases.
Area of Science:
- Emergency Medicine
- Cardiology
- Critical Care Medicine
Background:
- External cardiopulmonary resuscitation (CPR) methods have limitations in physiological efficacy.
- Open-chest CPR has demonstrated superior physiological outcomes in previous studies.
Purpose of the Study:
- To review the evidence supporting open-chest CPR.
- To advocate for the reintroduction of open-chest CPR training and application.
Main Methods:
- Extensive literature review on open cardiac massage techniques and outcomes.
- Comparative analysis of physiological superiority of open-chest versus external CPR.
Main Results:
- Open-chest CPR is physiologically superior to all studied external CPR methods.
- Historical data suggests effectiveness in prolonged cardiac arrest scenarios.
Conclusions:
- Open-chest cardiopulmonary resuscitation (CPR) should be reconsidered for medical training.
- Increased utilization of open-chest CPR is recommended following prolonged cardiac arrest.