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Abstract: Sudden Cardiac Arrest (SCA) is a leading cause of death in India. It is estimated by the WHO census
statistics that approximately 4280 out of every one lakh people die every year from SCA in India. Cardiac arrest is
reversible if the victim is administered immediately with proper emergency treatment in timely manner. The
technique of Cardio Pulmonary Resuscitation (CPR) was developed to allow for medical personnel and bystanders
to treat persons suffering from sudden cardiac arrest. Standard CPR techniques require the delivery of both
emergency breaths and chest compressions to the unconscious patient. Original techniques for rescue breathing
involved the use of mouth-to- mouth resuscitation but they had lot of limitations. This paper gives the review of the
various CPR techniques/devices that are available today and how they have evolved with time. Some innovative
designs of CPR devices are also discussed.
Keywords: Cardiac Arrest, Cardio Pulmonary Resuscitation, Automatic CPR devices.
©IJRSSET 74
Cardio Pulmonary Resuscitation – “Retrieving pulses down the years”
2.2.1 Piston Chest Compression (1960s) trauma inherent in applying force to a single
point. It hasn’t been tested in large, clinical
Piston chest compression devices have been
trials.[8]
shown to be actually less damaging than manual
CPR.Early research investigated variables of 2.2.3 Active Decompression (1990s)
compression rate, duty cycle, and depth of
This piston technique was further modified by the
compression, thus contributing to the on-going
addition of an integral suction cup. Allowing for
development of manual CPR techniques. Most
active return of the chest to the neutral,
piston compression devices use pneumatic power
uncompressed position, it was an evolution that
derived from compressed oxygen if there is an
used both active chest compression and active
associated integrated ventilator or from
chest decompression (ACD-CPR).
compressed medical air or oxygen if the device
does not have a ventilator. The early Heart Lung The piston and active decompression devices are
Resuscitator (HLR) piston compression device self-contained and do not require any disposable
had to be centered in the middle of the sternum by accessories or replacement expenses.[11]
four straps. This technique has several limitations.
The most widely used piston device is the
Thumper, which has a built-in ventilator and is Pneumatic systems are bulky and generate
programmed to perform ventilations in the correct some noise.
ratio of compressions to ventilations. Needs high maintenance.
2.2.2 Vest CPR (late 1970s and early 1990s) Cannot be used by Lay man.[5]
Most of the people are still unaware of CPR and Volume 66, Issue 3, September 2005, Pages
the right methods and devices to provide the 391–394
needy. Therefore, this paper explains evolution of [10] Babbs,C.F, “CPR Techniques That Combine
CPR techniques from manual to fully automated Chest and Abdominal Compression and
devices and their need in India. It also gives a gist Decompression, Circulation.
of student projects which gives a contribution to 1999; 100: 2146- 2152
the resuscitation technology. [11] Aufderheide,T.P, Pirrallo, R.G et al,
“Incomplete chest wall decompression: A
Due to the paucity of the CPR equipment’s clinical evaluation of CPR performance by
many lives are endangered hence this paper trained laypersons and an assessment of
can be a medium to aware people about alternative manual chest compression–
automated CPR and its advantages in saving decompression techniques”, Resuscitation,
many lives. Volume 71, Issue 3, December 2006, Pages
341–351
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