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
Попов О., Бородина М., Будянский В., Васильев А. Качество компрессий грудной клетки: ключ к успеху сердечно-легочной реанимации // Кремлевская медицина. Клинический вестник. 2015. Т. № 2.
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.