Cardiopulmonary Resuscitation Without Aortic Valve Compression Increases the Chances of Return of Spontaneous Circulation in Out-of-Hospital Cardiac Arrest: A Prospective Observational Cohort Study.,Critical Care Medicine

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Cardiopulmonary Resuscitation Without Aortic Valve Compression Increases the Chances of Return of Spontaneous Circulation in Out-of-Hospital Cardiac Arrest: A Prospective Observational Cohort Study.
Critical Care Medicine ( IF 7.7 ) Pub Date : 2024-05-23 , DOI: 10.1097/ccm.0000000000006336
Sheng-En Chu, Chun-Yen Huang, Chiao-Yin Cheng, Chun-Hsiang Chan, Hsuan-An Chen, Chin-Ho Chang, Kuang-Chau Tsai, Kuan-Ming Chiu, Matthew Huei-Ming Ma, Wen-Chu Chiang, Jen-Tang Sun

Following current cardiopulmonary resuscitation (CPR) guidelines, which recommend chest compressions at "the center of the chest," ~50% of patients experiencing out-of-hospital cardiac arrest (OHCA) undergo aortic valve (AV) compression, obstructing blood flow. We used resuscitative transesophageal echocardiography (TEE) to elucidate the impact of uncompressed vs. compressed AV on outcomes of adult patients experiencing OHCA.

中文翻译：

无主动脉瓣压迫的心肺复苏增加了院外心脏骤停时自主循环恢复的机会：一项前瞻性观察队列研究。

根据当前的心肺复苏（CPR）指南，建议在“胸部中心”进行胸外按压，~50% 的院外心脏骤停（OHCA）患者接受主动脉瓣（AV）压迫，阻碍血流。我们使用复苏经食管超声心动图（TEE）来阐明无压缩与压缩 AV 对成年 OHCA 患者结局的影响。

更新日期：2024-05-23

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