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Active compression-decompression cardiopulmonary resuscitation in standing position over the patient (ACD-S), kneeling beside the patient (ACD-B), and standard CPR: Comparison of physiological and efficacy parameters

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dc.contributor.author Elvira, Juan C.
dc.contributor.author Lucía Mulas, Alejandro
dc.contributor.author Las Heras Vázquez, Francisco Javier
dc.contributor.author Pérez Ruiz, Margarita
dc.contributor.author Álvarez, Antonio J.
dc.contributor.author Carvajal, Alfredo
dc.contributor.author López-Ochoa, Antonio
dc.contributor.author Chicharro, José L.
dc.date.accessioned 2017-02-17T19:54:45Z
dc.date.available 2017-02-17T19:54:45Z
dc.date.issued 1998
dc.identifier.citation Elvira, J. C., Lucı́a, A., De Las Heras, J. F., Pérez, M., Alvarez, A. J., Carvajal, A. y Chicharro, J. L. (1998). Active compression–decompression cardiopulmonary resuscitation in standing position over the patient (ACD-S), kneeling beside the patient (ACD-B), and standard CPR: comparison of physiological and efficacy parameters. Resuscitation, 37(3), 153-160. spa
dc.identifier.issn 03009572
dc.identifier.uri http://hdl.handle.net/11268/6212
dc.description.abstract The purpose of this investigation was to compare the efficacy of three different cardiopulmonary resuscitation techniques: (a) standard cardiopulmonary resuscitation (CPR), (b) active compression-decompression cardiopulmonary resuscitation (ACD-CPR) with the rescuer standing beside the patient (ACD-B), and (c) ACD-CPR with the rescuer in a standing position over the patient (ACD-S). The physiological responses of the rescuers when performing these techniques were also evaluated. A total of 14 experienced professional rescuers of a mobile intensive care unit (32 ± 6 years), participated in this investigation. On 3 different days (randomised order), each of them performed on a manikin (a) CPR, (b) ACD-B, and (c) ACD-S. Parameters indicative of both CPR performance (time to exhaustion, compression depth and efficacy), and rescuers' physiological responses (blood lactate; minute ventilation (VE); heart rate (HR); oxygen uptake V(O2); respiratory exchange rate (RER); and percentage of V(O2max) were monitored during the trials. The main findings of this investigation were: (a) the evidence of a greater physiological load for the rescuers during the ACD-CPR techniques compared to CPR, which caused a longer performance time with CPR as compared to ACD-CPR; (b) the overall absence of physiological differences between ACD-B and ACD-S; and (c) a modest decrease in mechanical efficacy for ACD-S when compared to ACD-B. spa
dc.description.sponsorship SIN FINANCIACIÓN spa
dc.language.iso eng spa
dc.title Active compression-decompression cardiopulmonary resuscitation in standing position over the patient (ACD-S), kneeling beside the patient (ACD-B), and standard CPR: Comparison of physiological and efficacy parameters spa
dc.type article spa
dc.description.impact 1.555 JCR (1998) Q2, 6/21 Emergency medicine and critical Care spa
dc.identifier.doi 10.1016/S0300-9572(98)00053-7
dc.rights.accessRights closedAccess spa
dc.subject.uem Reanimación cardiopulmonar spa
dc.subject.uem Aparato respiratorio spa
dc.subject.unesco Sistema cardiovascular spa
dc.subject.unesco Aparato respiratorio spa
dc.description.filiation UEM spa
dc.peerreviewed Si spa


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