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Abdominal pumping
1Unity Laboratory of Applied Neurobiology, University of Surrey Guildford, United Kingdom.
Summary
Interposed abdominal compression cardiopulmonary resuscitation (IAC-CPR) involves abdominal pumping to aid resuscitation. Animal studies and a simple clinical technique show promise, suggesting further investigation is warranted for this CPR method.
Area of Science:
- Emergency Medicine
- Cardiopulmonary Resuscitation
- Critical Care
Background:
- Traditional cardiopulmonary resuscitation (CPR) techniques may be enhanced by adjuncts.
- Hypothermia-induced cardiac arrest presents unique resuscitation challenges.
Purpose of the Study:
- To review the development and clinical application of interposed abdominal compression cardiopulmonary resuscitation (IAC-CPR).
- To describe a simple technique for IAC-CPR suitable for clinical use.
Main Methods:
- Review of author's experience with IAC-CPR.
- Examination of animal resuscitation studies, including phasic compression for hypothermic cardiac arrest in rats.
- Description of a clinical IAC-CPR technique using abdominal compression with a book or board.
Main Results:
- Successful resuscitation of rats from prolonged hypothermic cardiac arrest using phasic abdominal compression.
- Anecdotal clinical results from IAC-CPR application.
Conclusions:
- IAC-CPR, incorporating abdominal pumping, has a basis in animal resuscitation research.
- A simple IAC-CPR technique is described for clinical consideration.
- Further controlled clinical trials are recommended to validate IAC-CPR efficacy.