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Abstract
Recent studies evaluating interposed abdominal compression cardiopulmonary resuscitation
(IAC-CPR) have demonstrated a significant increase in cardiac output, mean arterial
pressure, and cerebral perfusion, as compared with standard CPR. A clinical evaluation
of IAC-CPR effectiveness on resuscitation out-come has not been reported. A prospective
randomized study comparing IAC-CRP with standard CPR for resuscitation of pre-hospital
cardiopulmonary arrest was undertaken using the Milwaukee County Paramedic System.
The patients were randomized following endotracheal intubation into IAC-CPR and standard
CPR groups. Since October 1983, 291 patients have qualified for the study group. Of
these, 146 patients had standard CPR, and 45 (31%) were successfully resuscitated.
Of the 145 patients treated with IAC-CPR, 40 (28%) were successfully resuscitated.
Chi-square analysis reveals no significant difference between these groups. To determine
whether abdominal compression increases regurgitation, the frequency of emesis before
and after intubation was analyzed. No significant difference was found between the
IAC-CPR and standard CPR groups. Thus, IAC-CPR applied by paramedics in the field
to patients following intubation does not improve cardiac resuscitation rates.
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Article Info
Publication History
Accepted:
November 6,
1984
Received:
October 1,
1984
Footnotes
☆Presented at the Fifth Purdue Conference on CPR and Defibrillation, West Lafayette, Indiana, September 25–26, 1984.
Identification
Copyright
© 1985 Published by Elsevier Inc.
