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Am J Emerg Med. 2011 Jul;29(6):665-9. doi: 10.1016/j.ajem.2010.01.040. Epub 2010 May 1.

Abdominal compressions do not achieve similar survival rates compared with chest compressions: an experimental study.

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  • 1Department of Experimental Surgery and Surgical Research, University of Athens Medical School, Greece.

Abstract

AIM:

The aim of this study is to investigate whether abdominal compression cardiopulmonary resuscitation (CPR) would result in similar survival rates and neurologic outcome than chest compression CPR in a swine model of cardiac arrest.

MATERIALS AND METHODS:

Forty Landrace/Large White piglets were randomized into 2 groups: group A (n = 20) was resuscitated using chest compression CPR, and group B (n = 20) was resuscitated with abdominal compression CPR. Ventricular fibrillation was induced with a pacemaker catheter, and animals were left untreated for 8 minutes. Abdominal and chest compressions were applied with a mechanical compressor. Defibrillation was then attempted.

RESULTS:

Neuron-specific enolase and S-100 levels were significantly higher in group B. Ten animals survived for 24 hours in group A in contrast to only 3 animals in group B (P < .05). Neurologic alertness score was worse in group B compared with group A.

CONCLUSION:

Abdominal compression CPR does not improve survival and neurologic outcome in this swine model of cardiac arrest and CPR.

Copyright © 2011 Elsevier Inc. All rights reserved.

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PMID:
20825870
[PubMed - indexed for MEDLINE]
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