Cardiopulmonary resuscitation algorithms, defibrillation and optimized ventilation during resuscitation
- 1 April 2006
- journal article
- review article
- Published by Ovid Technologies (Wolters Kluwer Health) in Current Opinion In Anesthesiology
- Vol. 19 (2), 146-156
- https://doi.org/10.1097/01.aco.0000192799.87548.d3
Abstract
In 2005, the American Heart Association released its Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. This article reviews the treatment algorithms for Advanced Cardiac Life Support, citing the evidence on which the Guidelines are based. Additional focus is placed on defibrillation and optimized ventilation. Major changes include a reorganization of the algorithms for cardiac arrest. Emphasis on effective cardiopulmonary resuscitation is placed as the key to improved survival. Single defibrillation shocks are recommended (compared with three ‘stacked’ shocks) with immediate provision of cardiopulmonary resuscitation and minimal interruptions in chest compressions. The recommended chest compression : ventilation rate for single rescuers has been changed to 30 : 2. Despite advances in resuscitation science, basic life support remains the key to improving survival outcomes. Ultimately, as new knowledge is gained, we believe resuscitation therapies will be more individualized, on the basis of pathophysiology and etiology of the initial cardiac arrest.Keywords
This publication has 105 references indexed in Scilit:
- Automated external defibrillation versus manual defibrillation for prolonged ventricular fibrillation: Lethal delays of chest compressions before and after countershocksAnnals of Emergency Medicine, 2003
- Interruption of cardiopulmonary resuscitation with the use of the automated external defibrillator in out-of-hospital cardiac arrestAnnals of Emergency Medicine, 2003
- Amiodarone for Resuscitation after Out-of-Hospital Cardiac Arrest Due to Ventricular FibrillationThe New England Journal of Medicine, 1999
- Early defibrillation by police: Initial experience with measurement of critical time intervals and patient outcomeAnnals of Emergency Medicine, 1994
- Predicting survival from out-of-hospital cardiac arrest: A graphic modelAnnals of Emergency Medicine, 1993
- Effect of standard-dose versus high-dose epinephrine on myocardial high-energy phosphates during ventricular fibrillation and closed-chest CPRAnnals of Emergency Medicine, 1993
- Incidence of agonal respirations in sudden cardiac arrestAnnals of Emergency Medicine, 1992
- Improved neurologic recovery and survival after early defibrillation.Circulation, 1984
- Use of atropine for brady-asystolic prehospital cardiac arrestAnnals of Emergency Medicine, 1981
- Asystole and its treatment: The possible role of the parasympathetic nervous system in cardiac arrestJournal of the American College of Emergency Physicians, 1979