Devices Used in Cardiac Arrest - 21/11/11

Doi : 10.1016/j.emc.2011.09.002

Steven C. Brooks, MD, MHSc, FRCPC ^a,^b,^c,^⁎ , Alina Toma, MD, FRCPC ^d,^e, Jonathan Hsu, BHSc ^f
^a Division of Emergency Medicine, Department of Medicine, University of Toronto, 2075 Bayview Avenue, C7-53, Toronto, Ontario, Canada, M4N 3M5
^b Rescu, Li Ka Shing Knowledge Institute, St Michael’s Hospital, 30 Bond Street, Toronto, Ontario, Canada, M5B 1M8
^c Program for Trauma, Emergency and Critical Care, Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, Toronto, Ontario, M4N 3M5
^d Department of Internal Medicine, Sunnybrook Health Sciences Centre, University of Toronto, 2075 Bayview Avenue, Toronto, Ontario, Canada, M4N 3M5
^e Emergency Department, St Michael’s Hospital, 30 Bond Street, Toronto, Ontario, Canada, M5B 1M8
^f Undergraduate Medical Education Program, Faculty of Medicine, University of Toronto, Toronto, Canada

Corresponding author. Rescu, St. Michael’s Hospital, 30 Bond Street, Toronto, Ontario, M5B 1W8.

Résumé

Even the best conventional manual cardiopulmonary resuscitation (CPR) is highly inefficient, producing only a fraction of normal cardiac output. Over the past several decades, many therapeutic devices have been designed to improve on conventional CPR during cardiac arrest and increase the probability of survival. This article reviews several adjuncts and mechanical alternatives to conventional CPR for use during cardiac arrest. Recent clinical studies comparing conventional resuscitation techniques with the use of devices during cardiac arrest are reviewed, with a focus on clinical implications and directions for future research.

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Keywords : Cardiac arrest, Cardiopulmonary resuscitation, Medical devices, Extracorporeal life support

Plan

Devices used as adjuncts to manual chest compressions

Devices Used to Prompt CPR Providers

Devices Used to Augment Manual Chest Compressions

Devices Used as an Alternative to Manual Chest Compressions

Summary

This chapter discusses the several devices that may be used in the treatment of cardiac arrest. The ResQPod, Autopulse, Zoll Pocket CPR, Q-CPR, LUCAS, Lifestat, and ECMO devices are approved for use as described in this chapter. At the time of writing, the CPRGlove, Lifestick, ResQPump, and CPRmeter devices have not received FDA approval for use on patients in cardiac arrest as described in the chapter.

The authors have nothing to disclose.