Cardiopulmonary resuscitation

Title: Cardiopulmonary resuscitation
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Abstract
The quality of Cardiopulmonary resuscitation (CPR) is essential in predicting the outcome of a cardiac arrest. The manual CPR is an alternative to mechanical chest-compression. Animal and physiological statistics indicate that the mechanical chest-compression devices are effective than the manual CPR. For that reason, there have been many attempts and much interest in developing the new techniques and equipment to improve the efficiency of CPR. This write up will consider comparison between manual and mechanical CPR, compare their effectiveness, cost, and the survival rate. Besides, studies with specific on perfusion pressure data and physiology comparing original types of mechanical devices and current devices and finally discussion of its use in various age groups and the efficacy of interposed ventilations with the devices (Steen 2002).
Introduction
In Cardiac resuscitation, the rhythmic application of some force to the body of an invalid is essential in generating blood flow. However, there is no concurrence on this technique of applying force. There is still a need for better external chest compression styles, because statics has it that only 5-15% of those treated with the standard CPR survive cardiac arrest, a) and that it is widely approved that increasing the blood flow that is generated by chest compression improves survival. b) Many chest compressions are done incorrectly. c) These incorrect chest compressions may pose a threat to survival. d) Thus, one way of bettering the quality of chest compression is the application of automatic mechanical devices, which apply compression with more consistency than by use of manual means. The automated mechanical devices provide high quality compressions in a moving ambulance that is almost impossible to accomplish using a manual CPR, and thus allow the reduction in the number of the personnel for emergency medical systems that are needed to do the resuscitation (McDonald 1982).
In rare but dramatic cases of cardiac arrest which are therapy resistant, for instance during PCI (primary percutaneous intervention in acute myocardial infarction, use of defibrillation only is usually unable to sufficient and spontaneous circulation. Such cases call for effective chest compressions so as to ensure proper cardiac and cerebral perfusion. Regular and proper, minimally interrupted CPR is compulsory in improving the result in cardiac arrest treatment.
However, applying manual CPR to patients is exceedingly difficult this is because: i) patience accessibility is made difficult by the cardiac angiography system and even by the operating cardiologists. ii) The catheterization lab table is very flexible hence not offering a strong basis. iii) The prolonging of the CPR during therapy in the catheterization laboratory leads to immature resuscitators’ exhaustion. iv) the risk that is posed by the radiation exposure (Steen 2002).
Mechanical CPR has as such been seen as the solution to these problems. There exists a growing number of the data on efficacy and safety of these devices. In Switzerland, the LUCAS and the Auto pulse exists as the two chest compression devices. Where the LUCAS is sterna compressio...