Why do chest compressions aid delayed defibrillation?

Douglas Chambertain, Michael Frenneaux, Stig Steen, Andrew Smith

Research output: Contribution to journalEditorial

24 Citations (Scopus)

Abstract

The new resuscitation guidelines permit compressions before delayed, defibrillation, a change that has generally been welcomed. The benefits are generally assumed to relate to the immediate provision of limited coronary perfusion with protection or replenishment of myocardial metabolic reserves. In this paper we argue that the concept is inadequate to explain many experimental and clinical. observations made during resuscitation attempts. We argue that changes in the size and shape of the ventricles are the most important reason for the narrow window of opportunity for defibrillation alone and for the value of compressions in extending this period. We also draw attention to the implication for clinical resuscitation and to one aspect of the current guidelines of the European Resuscitation Council that we believe to be inconsistent with the evidence that we review. (C) 2007 Elsevier Ireland Ltd. All rights reserved.

Original languageEnglish
Pages (from-to)10-15
Number of pages6
JournalResuscitation
Volume77
Issue number1
DOIs
Publication statusPublished - Apr 2008

Keywords

  • cardiac arrest compressions
  • defibrillation
  • pathophysiology
  • ventricular interaction
  • coronary perfusion pressure
  • guidelines
  • hospital cardiac-arrest
  • untreated ventricular-fibrillation
  • cardiopulmonary-resuscitation
  • filling pressure
  • success
  • Epinephrine
  • heart
  • model

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