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Updated: Aug 2, 2025
06:04
Ultrasonographic Assessment During Cardiopulmonary Resuscitation
Published on: October 24, 2020
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Head-up cardiopulmonary resuscitation.
1Department of Emergency Medicine, Hennepin Healthcare.
Current Opinion in Critical Care
|April 20, 2023
Summary
Head-up cardiopulmonary resuscitation (HUP CPR) shows promise, with preclinical studies indicating improved hemodynamics and survival. Recent clinical findings suggest safety, feasibility, and positive associations with patient outcomes.
Area of Science:
- Cardiopulmonary resuscitation
- Emergency medicine
- Physiology
Background:
- Head-up cardiopulmonary resuscitation (HUP CPR) is an emerging technique in resuscitation.
- Conventional CPR involves supine positioning, which may have limitations.
Approach:
- This review synthesizes preclinical findings on HUP CPR physiology and hemodynamics.
- It examines recent clinical literature on HUP CPR safety, feasibility, and patient outcomes.
Key Points:
- Preclinical studies demonstrate improved hemodynamics and neurologically intact survival with HUP CPR.
- Clinical studies indicate HUP CPR is safe and feasible, with potential benefits for survival and neurological function.
- HUP CPR with circulatory adjuncts shows a time-dependent association with survival to discharge and good neurological function.
Conclusions:
- HUP CPR is a novel therapy with growing prehospital use.
- Further clinical research is necessary to fully elucidate the potential of HUP CPR.
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