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Advantages of Open Chest Cardiopulmonary Resuscitation (OCCPR)

Published online by Cambridge University Press:  28 June 2012

Nicholas G. Bircher  and
Peter Safar
Peter Safar
Affiliation:
From the Resuscitation Research Center, and the Department of Anesthesiology/Critical Care Medicine, University of Pittsburgh, Pittsburgh PA 15260, USA.
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Extract

Introduction: Although the hemodynamic superiority of open chest cardiopulmonary resuscitation has long been recognized, its advantages with respect to the brain have only recently been investigated. Yashon demonstrated the ability of open chest CPR to maintain EEG activity during prolonged resuscitation. Alifimoff showed improved cerebral reco-very in dogs after open chest CPR. Byrne has demonstrated that internal cardiac massage can provide nearly normal cerebral blood flow in dogs as opposed to the 30% of normal seen during standard CPR, which consists of 60 chest compressions per min with a ventilation interposed after every fifth compression and 50% compression duration.

Type
Part II: Clinical Care Topics
Information
Prehospital and Disaster Medicine , Volume 1 , supplement S1: Disaster Resuscitology , 1985 , pp. 230 - 232
Copyright
Copyright © World Association for Disaster and Emergency Medicine 1985

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References

1. Yashon, D, Wagner, FC, White, RJ. Pressure and electrical correlates indicating cerebral viability during cardiac arrest and resuscitation. Trans Am Neurol Assoc 1969;94:350.Google Scholar
2. Yashon, D, Wagner, FC, Massopust, LC et al. Electrocortigraphic limits of cerebral viability during cardiac arrest and resuscitation. Am J Surg 1971;121:728.Google Scholar
3. Alifimoff, JK,Safar, P, Bircher, N et al. Cerebral recovery after prolonged closed-chest, MAST-augmented and open-chest cardiopulmonary resuscitation. Anesthesiology 1980;53(Supp 1):S147.CrossRefGoogle Scholar
4. Byrne, D, Pass, HI, Turner, MD et al. External versus internal cardiac massage in normal and chronically ischemic dogs. Am Surgeon 1980;46:657.Google ScholarPubMed
5. Chandra, N. Weisfeldt, ML, Tsitlik, J et al. Augmentationof carotid flow during cardiopulmonary resuscitation by ventilation at high airway pressure simultaneous withchest compression. Am J Cardiol 1981;48:1053.Google Scholar
6. Permutt, S. Effect of lung volume and pleural pressure on blood flow. Proc NIH Workshopon Cardiopulmonary Resuscitation, in press, 1981.Google Scholar
7. Rudikoff, MT, Maughan, WL, Effron, M et al. Mechanismsof blood flow during cardiopulmonary resuscitation. Circulation 1980;61:345.Google Scholar
8. Fisher, J, Vaghaiwalla, F, Tsitlik, J et al. Determinants and clinical significance of jugular venous valve competence. Circulation 1982;65:188.Google Scholar
9. Altemeier, WA, Todd, J. Studies on the incidence of infection following openchest cardiac massage for cardiac arrest. Ann Surg 1963;158:596.CrossRefGoogle Scholar