среда, 17 ноября 2010 г.

Combination of two devices proliferation long-term survival in cardiac stoppage patients


A society of two devices could preserve the lives of certain thousand cardiac arrest patients each year if implemented nationwide, suggests results of a clinical trial presented at today's American Heart Tie Resuscitation Body of knowledge Symposium. A significantly higher interest of patients who well-versed out-of-hospital cardiac detain survived after receiving on the move compression decompression cardiopulmonary resuscitation (ACD CPR) performed with the ResQPump™ and the ResQPOD® impedance beginning scheme as compared to those receiving everyday, manual CPR performed with a double of hands. Both devices are manufactured nigh Advanced Circulatory Systems, Inc. (ACSI) in Roseville, Minn.

Ralph J. Frascone, MD, associate professor of emergency medicine at the University of Minnesota and EMS medical leader at Regions Hospital in St. Paul (Minn), presented the results of the study.

Each year, approximately 300,000 Americans experience out-of-hospital car diac obstruct, and the national typically for survival to hospital send out is sombre â€" not about 5 percent, Frascone said. However, in this boning up, patients who received CPR before rescuers using the ruse claque had a 53 percent higher survival to polyclinic discharge rate with favorable neurologic behave than those who did not, and, a outstanding survival help was until now propinquitous one year after the beginning cardiac halt event.

The goal of resuscitation during cardiac check is long-term survival with security of wit ritual, commented Dr. Tom P. Aufderheide, principal investigator at one of the meditate on sites. This fresh, operational intervention achieves that aim and is potentially the most significant advancement in the treatment of cardiac pinch since defibrillation.

Funded on the Nationwide Institutes of Health and sponsored by Advanced Circulatory Systems, Inc., the grief compared survival rates all of a add up to a lead group of 813 cardi ac in the hands of the law patients receiving rule CPR to an intervention faction of 840 receiving ACD CPR, performed using the ResQPump, with an impedance outset apparatus (ITD), the ResQPOD. All other aspects of patient mind a look after, such as airway stewardship, IV fluids, medications, defibrillation, resuscitation span, etc., were nearly the same between the two groups. The randomized, Aciclovir herpes simplex prospective, multi-center nuisance was performed in seven explicit U.S. geographic locations, including 46 crisis medical services (EMS) agencies in urban, suburban, and rural areas serving a complete inhabitants of 2.3 million.

We are thrilled, said Keith G. Lurie, MD, chief medical public servant of Advanced Circulatory Systems. This was a great work, involving thousands of EMS providers and polyclinic personnel in excess of a term of about five years. It is also the from the start forthcoming, randomized clinical lawsuit to rally a long-term survival gain with favorable neurologic fringe benefits using CPR devices.

The ResQPOD® is an impedance doorway apparatus (ITD) that selectively prevents unrequired respiratory gases from entering the case during the chest rampart balk wind up of CPR. It is fond of within the ventilation circuit between the airway weapon and the ventilation source. Close to selectively restricting airflow during CPR, the widget creates a parsimonious but important negative force (vacuum) in the trunk that has been shown in numerous generous and gross clinical trials to swell blood glide assist to the unaggressive's guts during CPR.

The ResQPump™ is a hand-held occupied compression decompression (ACD) CPR machinery placed in the same angle on the sternum as the hands and enabling rescuers to conduct similar strongbox compressions as in conventional CPR. In preference to of allowing the chest fortification to kick back passivel y, however, rescuers pull up on the ResQPump's manage with its suction cup. This provides active decompression of the strongbox, promotes optimal strongbox wall jerk and creates a unenthusiastic intrathoracic pressure (vacuum) that helps return blood to the heart. The treat contains a force measure and metronome that guide compression bottomless pit, baulk and rate. The ResQPump is equivalent to the CardioPump®, an ACD CPR appliance convenient in requital for transaction most the U.S.

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