{"id":6033,"date":"2011-01-18T19:09:07","date_gmt":"2011-01-19T00:09:07","guid":{"rendered":"http:\/\/blogs.nejm.org\/cardioexchange\/?p=6033"},"modified":"2011-07-19T17:44:38","modified_gmt":"2011-07-19T21:44:38","slug":"study-supports-a-new-enhanced-form-of-cpr","status":"publish","type":"post","link":"https:\/\/blogs.nejm.org\/cardioexchange\/2011\/01\/18\/study-supports-a-new-enhanced-form-of-cpr\/","title":{"rendered":"Study Supports a New Enhanced Form of CPR"},"content":{"rendered":"<p><a href=\"http:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(10)62103-4\/abstract  \">A study published in the <em>Lancet<\/em><\/a> lends support to a new form of CPR that uses a combination of two devices to provide three times more blood flow to the heart and brain than standard CPR. The first device is a small suction cup on the patient&#8217;s chest used to actively lift the chest and perform what is called active compression-decompression CPR. The second is an impedance-threshold device that uses a mask or tube to prevent passive air entry into the lungs.<\/p>\n<p>The authors compared more than 1600 patients with cardiac arrest randomized to standard or enhanced CPR. Survival to hospital discharge with favorable neurological function occurred in 6% of patients receiving standard CPR and 9% of patients receiving enhanced CPR. Survival at one year was the same as the primary endpoint: 6% and 9%. \u00a0The authors write that &#8220;for the first time&#8221; they &#8220;have shown that a new method of CPR increases hospital-discharge rates and 1-year survival, which are both associated with good neurological outcomes, by nearly 50%, compared with the current standard of care, closed-chest manual CPR.&#8221;<\/p>\n<p>In an <a href=\"http:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736%2810%2962309-4\/fulltext\">accompanying comment<\/a>, Peter Nagele writes that it is too early to recommend widespread use of the device for out-of-hospital cardiac arrest, based on a lack of \u00a0independent replication of the results and possible bias in the trial because of the the open use of the devices.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A study published in the Lancet lends support to a new form of CPR that uses a combination of two devices to provide three times more blood flow to the heart and brain than standard CPR. The first device is a small suction cup on the patient&#8217;s chest used to actively lift the chest and [&hellip;]<\/p>\n","protected":false},"author":196,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[13,1],"tags":[241,242],"class_list":["post-6033","post","type-post","status-publish","format-standard","hentry","category-electrophysiology","category-general","tag-cpr","tag-resuscitation"],"_links":{"self":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/6033","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/users\/196"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/comments?post=6033"}],"version-history":[{"count":0,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/6033\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/media?parent=6033"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/categories?post=6033"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/tags?post=6033"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}