Why do chest compressions aid delayed defibrillation?
(2008) In Resuscitation 77(1). p.10-15- 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... (More)
- 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. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1207371
- author
- Chambertain, Douglas ; Frenneaux, Michael ; Steen, Stig LU and Smith, Andrew
- organization
- publishing date
- 2008
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- ventricular interaction, pathophysiology, cardiac arrest compressions, defibrittation, coronary perfusion pressure, guidelines
- in
- Resuscitation
- volume
- 77
- issue
- 1
- pages
- 10 - 15
- publisher
- Elsevier
- external identifiers
-
- wos:000254678000004
- scopus:39949083568
- ISSN
- 1873-1570
- DOI
- 10.1016/j.resuscitation.2007.11.010
- language
- English
- LU publication?
- yes
- id
- 148b4ea7-8754-458d-9086-2810c30c4748 (old id 1207371)
- date added to LUP
- 2016-04-01 11:45:54
- date last changed
- 2022-01-26 17:51:14
@misc{148b4ea7-8754-458d-9086-2810c30c4748,
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.}},
author = {{Chambertain, Douglas and Frenneaux, Michael and Steen, Stig and Smith, Andrew}},
issn = {{1873-1570}},
keywords = {{ventricular interaction; pathophysiology; cardiac arrest compressions; defibrittation; coronary perfusion pressure; guidelines}},
language = {{eng}},
number = {{1}},
pages = {{10--15}},
publisher = {{Elsevier}},
series = {{Resuscitation}},
title = {{Why do chest compressions aid delayed defibrillation?}},
url = {{http://dx.doi.org/10.1016/j.resuscitation.2007.11.010}},
doi = {{10.1016/j.resuscitation.2007.11.010}},
volume = {{77}},
year = {{2008}},
}