Author/Editor		Starc, Breda; Hollan, Jiri; Krčevski-Škvarč, Nevenka; Pečan, Marija
Title		Oživljanje z aktivno kompresijo in dekompresijo v anesteziološki urgentni službi
Translated title		Active compresion decompresion cardiopulmonary resuscitation in anaesthesiology emergency service
Type		članek
Source		In: Bručan A, Gričar M, editors. Urgentna medicina: izbrana poglavja 3. Zbornik 4. mednarodni simpozij o urgentni medicini; 1997 jun 18-21; Portorož. Ljubljana: Slovensko združenje za urgentno medicino,
Publication year		1997
Volume		str. 263-6
Language		slo
Abstract		During active compresion-decompresion cardiopulmonary resuscitation (ACD-CPR), the rescuer applies traction to the chest between compressions. Published studies performed on experimental animal models and humans suggested that ACD-CPR increased myocardial and cerebral blood flow and the rate of return of spontaneous circulation, compared to values achieved with standard sternal compression alone. Nevertheless the authors could not find any significant difference in hospital discharge and neurological outcome between ACD-CPR and standard CPR. The aim of this study was to characterize ACD-CPR compared with standard CPR performed by anesthesiologists during 24-hours resuscitation service for hospital wards in Medical Center Ljubljana. The data were collected by means of the questionnaire and interviews. About half (19) from 35 anesthesiologists has performed ACD-CPR in average 1-3 times till now. Those who applied this method agree that ACD-CPR is more exhausting for the rescuer, requires specific training and may be more complex to perform than standard CPR. None could maintain that ACD-CPR contributes to higher rates of return of the spontaneous circulation than standard CPR. The external factors such as limited height of rescuer's position, patient's moist and harry skin etc. could be reasons influencing the decision for the standard CPR technique. The anesthesiologists would probably peform ACD-CPR more often, but they are usually more occupied with airway management and the supervision of the CPR. According to the unpublished data of one anesthesiologist who performed both the ACD-CPR and the standard CPR in 10 patients, the ACD-CPR increases arterial blood pressure and cerebral blood flow. We conclude in correspondence with other studies, that the ACD-CPR compared with standard CPR method could improve blood flow during CPR but only when all preliminary conditions for proper performance of the ACD are present.
Descriptors		CARDIOPULMONARY RESUSCITATION ANESTHESIA