Качество компрессий грудной клетки: ключ к успеху сердечно-легочной реанимации
ОБЗОРЫ
Дата публикации: августа 5, 2015
Ключевые слова
компрессии грудной клетки
алгоритм базовой реанимации
сердечно-легочная реанимация
метод изолированных компрессий
Европейский совет по реанимации
ERC
AHA
chest compression
algorithm for basic resuscitation
cardiopulmonary resuscitation
алгоритм базовой реанимации
сердечно-легочная реанимация
метод изолированных компрессий
Европейский совет по реанимации
ERC
AHA
chest compression
algorithm for basic resuscitation
cardiopulmonary resuscitation
Как цитировать
[1]
О. Попов, М. Бородина, В. Будянский, и А. Васильев, Качество компрессий грудной клетки: ключ к успеху сердечно-легочной реанимации, КМКВ, вып. 2, авг. 2015.
Аннотация
В статье представлен обзор исследований, посвященных оценке качества компрессий грудной клетки как ключе-вого элемента эффективности сердечно-легочной реанимации. В рамках пересмотра рекомендаций Европейского со-вета по реанимации от 2010 г. авторами проанализированы взаимосвязи между такими характеристиками компрес-сий, как глубина, частота, прерывание компрессий, выполнение декомпрессии, и частотой развития осложнений привыполнении реанимации и ее общей эффективностью.The article reviews researches which are devoted to the problem of chest compression quality as a key element of cardiopulmonaryresuscitation. The following compression parameters in the revised recommendations of the European сouncil forresuscitation issued in 2010 were analyzed by the authors: depth, frequency, compression interruption, decompression, rateof complications after resuscitation measures, total effectiveness.Литература
resuscitation during in-hospital cardiac
arrest. J.A.M.A. 2005; 293: 305–310.
2. Berg R.A., Hemphill R., Abella B.S. et al. Part 5:
Adult Basic Life Support: 2010 American Heart Association
Guidelines for Cardiopulmonary Resuscitation and Emergency
Cardiovascular Care. Circulation. 2010; 122: S685–S705.
3. Deakin C.D., Nolan J.P., Soar J. et al. European
resuscitation Council guidelines for resuscitation 20105. Section
4.Adult basic life support and use of external defibrillators.
Resuscitation. 2010; 81: 1277–1292.
4. Edelson D.P., Adella B.S., Kramer-Johansen J. et al.
Effects of compression depth and pre-shock pauses predict
defibrillation failure during cardiac arrest. Resuscitation. 2006;
71: 137–145.
5. Edelson D.P., Litzinger B., Arora V. et al. Improving inhospital
cardiac arrest process and outcomes with performance
debriefing. Arch. Intern. Med. 2008; 26 (168): 1063–1069.
6. Hashimoto Y., Moriya F., Furumiya J. Forencis aspects
of complications resulting from cardiopulmonary resuscitation.
Leg. Med. 2007; 9: 94–99.
7. Hellevuo H., Sainio M., Nevalainen R., Huhtala H.
Olkkola K. Deeper chest compression – More complications for
cardiac arrest patients? Resuscitation. 2013; 84: 760–765.
8. Kouwenhoven W.B., Jude J.R., Knickerbocker G.G.
Closed-chest cardiac massage. J.A.M.A. 1960; 173: 1064–
1067.
9. Lee S.H., Kim K., Lee G.H. et al. Does the quality of
chest compressions deteriorate when the chest compression rate
is above 120/min? Emerg. Med. J. 2014; 31 (8): 645–648.
10. Lim S.H., Shuster M., Deakin C.D. et al. Part 7:
CPR techniques and devices: 2010 International consensus on
cardiopulmonary resuscitation and emergency cardiovascular
care science with treatment recommendations. Resuscitation.
2010; 81: e86–92.
11. Nolan J. European resuscitation Council guidelines for
resuscitation 2005. Section 1. Introduction Resuscitation. 2005;
67 (Suppl.1): S3–S6.
12. Orkin A.M. Push hard, push fast, if you’re downtown:
a citation review of urban-centrism inAmerican and European
basic life support guidelines. Scand. J. Trauma, Resuscitation
and EmergMed. 2013: 21; 32.
13. Pell J.P., Sirel J.M., Marsden A.K. et al. Presentation,
management, and outcome of out of hospital cardiopulmonary
arrest: comparison by underlying etiology. Heart. 2003; 89:
839–842.
14. Reyes J.A., Somers G.R., Taylor G.B., Chiasson D.A.
Increased incidence of CPR-related rib fractures in infants – is
it related to changes in CPR technique? Resuscitation. 2011; 82:
545–548.
15. Sasson C., Rogers M.A., Dahl J., Kellermann A.L.
Predictors of survival from out-of-hospital cardiac arrest: a
systematic review and meta-analysis. Circ. Cardiavasc. Qual.
Outcomes. 2010; 120: 63–81.
16. Smekal D., Johansson J., Huzevka T., Rubertsson S.
No difference in autopsy detected injuries in cardiac patients
treated with manual chest compressions compared with
mechanical compressions with the LUCASTM device – a pilot
study. Resuscitation. 2009; 80: 1104–1107.
17. Steering Committee DCAR. Annual report 2005.
Management of out-of-hospital cardiac arrest in Dennmark.
Copenhagen (DK): Kliniske Databaser.dk, 2005.
18. Steinmetz J., Barnung S., Nielsen S.L. et al. Improved
survival after an out-of-hospital cardiac arrest using new
guidelines. Acta Anaestisiol. Scand. 2008; 908: 13.
19. Stiel I.G., Brown S.P., Christenson J. et al. What is a
role of chest compression depth during out of hospital cardiac
arrest resuscitation? Crit. Care Med. 2012; 40: 1192–1198.
20. Wik L., Kramer-Johansen J., Myklebust H. et al.
Quality of cardiopulmonary resuscitation during out-of-hospital
cardiac arrest. J.A.M.A. 2005; 293: 299–304.
21. Yannopoulus D., McKnife S., Aufderheide T.P.
et al. Effects of incomplete chest wall decompression
during cardiopulmonary resuscitation on coronary and cerebral
perfusion pressures in a porcine model of cardiac arrest.
Resuscitation. 2005; 64 (3): 363–372.
arrest. J.A.M.A. 2005; 293: 305–310.
2. Berg R.A., Hemphill R., Abella B.S. et al. Part 5:
Adult Basic Life Support: 2010 American Heart Association
Guidelines for Cardiopulmonary Resuscitation and Emergency
Cardiovascular Care. Circulation. 2010; 122: S685–S705.
3. Deakin C.D., Nolan J.P., Soar J. et al. European
resuscitation Council guidelines for resuscitation 20105. Section
4.Adult basic life support and use of external defibrillators.
Resuscitation. 2010; 81: 1277–1292.
4. Edelson D.P., Adella B.S., Kramer-Johansen J. et al.
Effects of compression depth and pre-shock pauses predict
defibrillation failure during cardiac arrest. Resuscitation. 2006;
71: 137–145.
5. Edelson D.P., Litzinger B., Arora V. et al. Improving inhospital
cardiac arrest process and outcomes with performance
debriefing. Arch. Intern. Med. 2008; 26 (168): 1063–1069.
6. Hashimoto Y., Moriya F., Furumiya J. Forencis aspects
of complications resulting from cardiopulmonary resuscitation.
Leg. Med. 2007; 9: 94–99.
7. Hellevuo H., Sainio M., Nevalainen R., Huhtala H.
Olkkola K. Deeper chest compression – More complications for
cardiac arrest patients? Resuscitation. 2013; 84: 760–765.
8. Kouwenhoven W.B., Jude J.R., Knickerbocker G.G.
Closed-chest cardiac massage. J.A.M.A. 1960; 173: 1064–
1067.
9. Lee S.H., Kim K., Lee G.H. et al. Does the quality of
chest compressions deteriorate when the chest compression rate
is above 120/min? Emerg. Med. J. 2014; 31 (8): 645–648.
10. Lim S.H., Shuster M., Deakin C.D. et al. Part 7:
CPR techniques and devices: 2010 International consensus on
cardiopulmonary resuscitation and emergency cardiovascular
care science with treatment recommendations. Resuscitation.
2010; 81: e86–92.
11. Nolan J. European resuscitation Council guidelines for
resuscitation 2005. Section 1. Introduction Resuscitation. 2005;
67 (Suppl.1): S3–S6.
12. Orkin A.M. Push hard, push fast, if you’re downtown:
a citation review of urban-centrism inAmerican and European
basic life support guidelines. Scand. J. Trauma, Resuscitation
and EmergMed. 2013: 21; 32.
13. Pell J.P., Sirel J.M., Marsden A.K. et al. Presentation,
management, and outcome of out of hospital cardiopulmonary
arrest: comparison by underlying etiology. Heart. 2003; 89:
839–842.
14. Reyes J.A., Somers G.R., Taylor G.B., Chiasson D.A.
Increased incidence of CPR-related rib fractures in infants – is
it related to changes in CPR technique? Resuscitation. 2011; 82:
545–548.
15. Sasson C., Rogers M.A., Dahl J., Kellermann A.L.
Predictors of survival from out-of-hospital cardiac arrest: a
systematic review and meta-analysis. Circ. Cardiavasc. Qual.
Outcomes. 2010; 120: 63–81.
16. Smekal D., Johansson J., Huzevka T., Rubertsson S.
No difference in autopsy detected injuries in cardiac patients
treated with manual chest compressions compared with
mechanical compressions with the LUCASTM device – a pilot
study. Resuscitation. 2009; 80: 1104–1107.
17. Steering Committee DCAR. Annual report 2005.
Management of out-of-hospital cardiac arrest in Dennmark.
Copenhagen (DK): Kliniske Databaser.dk, 2005.
18. Steinmetz J., Barnung S., Nielsen S.L. et al. Improved
survival after an out-of-hospital cardiac arrest using new
guidelines. Acta Anaestisiol. Scand. 2008; 908: 13.
19. Stiel I.G., Brown S.P., Christenson J. et al. What is a
role of chest compression depth during out of hospital cardiac
arrest resuscitation? Crit. Care Med. 2012; 40: 1192–1198.
20. Wik L., Kramer-Johansen J., Myklebust H. et al.
Quality of cardiopulmonary resuscitation during out-of-hospital
cardiac arrest. J.A.M.A. 2005; 293: 299–304.
21. Yannopoulus D., McKnife S., Aufderheide T.P.
et al. Effects of incomplete chest wall decompression
during cardiopulmonary resuscitation on coronary and cerebral
perfusion pressures in a porcine model of cardiac arrest.
Resuscitation. 2005; 64 (3): 363–372.