Analysis of current hot issues about cardiopulmonary resuscitation_West China Medical Journal

Authors：

FU Yangyang ,  ZHU Huadong

Department of Emergency Medicine, Chinese Academy of Medical Sciences & Peking Union Medical College Hospital, Beijing 100730, P. R. China;

Corresponding author：

ZHU Huadong, Email: zhuhuadong1970@126.com

Keywords：

Cardiac arrest; Cardiopulmonary resuscitation; Chest compression; Artificial ventilation; Antiarrhythmic drugs

DOI：

10.7507/1002-0179.201911047

Video：

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Cardiopulmonary resuscitation (CPR) is a very important treatment after cardiac arrest. The optimal treatment strategy of CPR is uncertain. With the accumulation of clinical medical evidence, the CPR treatment recommendations have been changed. This article will review the current hot issues and progress, including the pathophysiological mechanisms of CPR, how to achieve high-quality chest compression, how to achieve CPR quality monitoring, how to achieve optimal CPR for different individuals and how to use antiarrhythmic drugs.

Citation： FU Yangyang, ZHU Huadong. Analysis of current hot issues about cardiopulmonary resuscitation. West China Medical Journal, 2019, 34(11): 1207-1210. doi: 10.7507/1002-0179.201911047 Copy

1.	Neumar RW, Shuster M, Callaway CW, et al. Part 1: executive summary: 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation, 2015, 132(18 Suppl 2): S315-S367.
2.	Hameed SM, Aird WC, Cohn SM. Oxygen delivery. Crit Care Med, 2003, 31(12 Suppl): S658-S667.
3.	付阳阳, 徐军, 朱华栋, 等. 心肺复苏中通气策略的研究进展. 临床急诊杂志, 2019, 20(1): 13-18.
4.	Kleinman ME, Brennan EE, Goldberger ZD, et al. Part 5: adult basic life support and cardiopulmonary resuscitation quality: 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation, 2015, 132(18 Suppl 2): S414-S435.
5.	Gates S, Quinn T, Deakin CD, et al. Mechanical chest compression for out of hospital cardiac arrest: systematic review and meta-analysis. Resuscitation, 2015, 94: 91-97.
6.	Wen LS, Xu J, Steptoe AP, et al. Emergency department characteristics and capabilities in Beijing, China. J Emerg Med, 2013, 44(6): 1174-1179.
7.	Xiao Y, Wang J, Chen S, et al. Psychological distress, burnout level and job satisfaction in emergency medicine: a cross-sectional study of physicians in China. Emerg Med Australas, 2014, 26(6): 538-542.
8.	王冠, 刘赛, 蒋波, 等. 机械按压与徒手按压在心肺复苏过程中抢救心脏骤停患者的效果比较. 国际外科学杂志, 2017, 44(10): 668-672.
9.	卫常安, 杨金兰, 王红卫, 等. 萨勃心肺复苏器与徒手心肺复苏加强复苏 461 例效果比较. 中国危重病急救医学, 2011, 23(6): 374-375.
10.	Dickinson ET, Verdile VP, Schneider RM, et al. Effectiveness of mechanical versus manual chest compressions in out-of-hospital cardiac arrest resuscitation: a pilot study. Am J Emerg Med, 1998, 16(3): 289-292.
11.	Perkins GD, Lall R, Quinn T, et al. Mechanical versus manual chest compression for out-of-hospital cardiac arrest (PARAMEDIC): a pragmatic, cluster randomised controlled trial. Lancet, 2015, 385(9972): 947-955.
12.	Meaney PA, Bobrow BJ, Mancini ME, et al. Cardiopulmonary resuscitation quality: improving cardiac resuscitation outcomes both inside and outside the hospital. Circulation, 2013, 128: 417-435.
13.	Li C, Xu J, Han F, et al. Identification of return of spontaneous circulation during cardiopulmonary resuscitation via pulse oximetry in a porcine animal cardiac arrest model. J Clin Monit Comput, 2019, 33(5): 843-851.
14.	Xu J, Li C, Zheng L, et al. Pulse oximetry: a non-invasive, novel marker for the quality of chest compressions in porcine models of cardiac arrest. PLoS One, 2015, 10(10): e0139707.
15.	王亚, 孙峰, 付阳阳. 成人院内心肺复苏质量控制临床实践专家共识. 中国急救医学, 2018, 38(8): 649-653.
16.	李晨, 徐军, 吴杨鹏, 等. 心肺复苏质量指数对复苏患者预后的评估价值. 中华急诊医学杂志, 2019, 28(2): 190-194.
17.	Olasveengen TM, Wik L, Steen PA. Standard basic life support vs. continuous chest compressions only in out-of-hospital cardiac arrest. Acta Anaesthesiol Scand, 2008, 52(7): 914-919.
18.	Bobrow BJ, Spaite DW, Berg RA, et al. Chest compression-only CPR by lay rescuers and survival from out-of-hospital cardiac arrest. JAMA, 2010, 304(13): 1447-1454.
19.	Panchal AR, Bobrow BJ, Spaite DW, et al. Chest compression-only cardiopulmonary resuscitation performed by lay rescuers for adult out-of-hospital cardiac arrest due to non-cardiac aetiologies. Resuscitation, 2013, 84(4): 435-439.
20.	Olasveengen TM, de Caen AR, Mancini ME, et al. 2017 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations summary. Circulation, 2017, 136(23): e424-e440.
21.	Hallstrom A, Cobb L, Johnson E, et al. Cardiopulmonary resuscitation by chest compression alone or with mouth-to-mouth ventilation. N Engl J Med, 2000, 342(21): 1546-1553.
22.	Rea TD, Fahrenbruch C, Culley L, et al. CPR with chest compression alone or with rescue breathing. N Engl J Med, 2010, 363(5): 423-433.
23.	Svensson L, Bohm K, Castrèn M, et al. Compression-only CPR or standard CPR in out-of-hospital cardiac arrest. N Engl J Med, 2010, 363(5): 434-442.
24.	Soar J, Donnino MW, Maconochie I, et al. 2018 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations summary. Resuscitation, 2018, 133: 194-206.

1. Neumar RW, Shuster M, Callaway CW, et al. Part 1: executive summary: 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation, 2015, 132(18 Suppl 2): S315-S367.
2. Hameed SM, Aird WC, Cohn SM. Oxygen delivery. Crit Care Med, 2003, 31(12 Suppl): S658-S667.
3. 付阳阳, 徐军, 朱华栋, 等. 心肺复苏中通气策略的研究进展. 临床急诊杂志, 2019, 20(1): 13-18.
4. Kleinman ME, Brennan EE, Goldberger ZD, et al. Part 5: adult basic life support and cardiopulmonary resuscitation quality: 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation, 2015, 132(18 Suppl 2): S414-S435.
5. Gates S, Quinn T, Deakin CD, et al. Mechanical chest compression for out of hospital cardiac arrest: systematic review and meta-analysis. Resuscitation, 2015, 94: 91-97.
6. Wen LS, Xu J, Steptoe AP, et al. Emergency department characteristics and capabilities in Beijing, China. J Emerg Med, 2013, 44(6): 1174-1179.
7. Xiao Y, Wang J, Chen S, et al. Psychological distress, burnout level and job satisfaction in emergency medicine: a cross-sectional study of physicians in China. Emerg Med Australas, 2014, 26(6): 538-542.
8. 王冠, 刘赛, 蒋波, 等. 机械按压与徒手按压在心肺复苏过程中抢救心脏骤停患者的效果比较. 国际外科学杂志, 2017, 44(10): 668-672.
9. 卫常安, 杨金兰, 王红卫, 等. 萨勃心肺复苏器与徒手心肺复苏加强复苏 461 例效果比较. 中国危重病急救医学, 2011, 23(6): 374-375.
10. Dickinson ET, Verdile VP, Schneider RM, et al. Effectiveness of mechanical versus manual chest compressions in out-of-hospital cardiac arrest resuscitation: a pilot study. Am J Emerg Med, 1998, 16(3): 289-292.
11. Perkins GD, Lall R, Quinn T, et al. Mechanical versus manual chest compression for out-of-hospital cardiac arrest (PARAMEDIC): a pragmatic, cluster randomised controlled trial. Lancet, 2015, 385(9972): 947-955.
12. Meaney PA, Bobrow BJ, Mancini ME, et al. Cardiopulmonary resuscitation quality: improving cardiac resuscitation outcomes both inside and outside the hospital. Circulation, 2013, 128: 417-435.
13. Li C, Xu J, Han F, et al. Identification of return of spontaneous circulation during cardiopulmonary resuscitation via pulse oximetry in a porcine animal cardiac arrest model. J Clin Monit Comput, 2019, 33(5): 843-851.
14. Xu J, Li C, Zheng L, et al. Pulse oximetry: a non-invasive, novel marker for the quality of chest compressions in porcine models of cardiac arrest. PLoS One, 2015, 10(10): e0139707.
15. 王亚, 孙峰, 付阳阳. 成人院内心肺复苏质量控制临床实践专家共识. 中国急救医学, 2018, 38(8): 649-653.
16. 李晨, 徐军, 吴杨鹏, 等. 心肺复苏质量指数对复苏患者预后的评估价值. 中华急诊医学杂志, 2019, 28(2): 190-194.
17. Olasveengen TM, Wik L, Steen PA. Standard basic life support vs. continuous chest compressions only in out-of-hospital cardiac arrest. Acta Anaesthesiol Scand, 2008, 52(7): 914-919.
18. Bobrow BJ, Spaite DW, Berg RA, et al. Chest compression-only CPR by lay rescuers and survival from out-of-hospital cardiac arrest. JAMA, 2010, 304(13): 1447-1454.
19. Panchal AR, Bobrow BJ, Spaite DW, et al. Chest compression-only cardiopulmonary resuscitation performed by lay rescuers for adult out-of-hospital cardiac arrest due to non-cardiac aetiologies. Resuscitation, 2013, 84(4): 435-439.
20. Olasveengen TM, de Caen AR, Mancini ME, et al. 2017 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations summary. Circulation, 2017, 136(23): e424-e440.
21. Hallstrom A, Cobb L, Johnson E, et al. Cardiopulmonary resuscitation by chest compression alone or with mouth-to-mouth ventilation. N Engl J Med, 2000, 342(21): 1546-1553.
22. Rea TD, Fahrenbruch C, Culley L, et al. CPR with chest compression alone or with rescue breathing. N Engl J Med, 2010, 363(5): 423-433.
23. Svensson L, Bohm K, Castrèn M, et al. Compression-only CPR or standard CPR in out-of-hospital cardiac arrest. N Engl J Med, 2010, 363(5): 434-442.
24. Soar J, Donnino MW, Maconochie I, et al. 2018 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations summary. Resuscitation, 2018, 133: 194-206.

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