Time to Resuscitate Cardiopulmonary Resuscitation: The 3R/CPR Refill-Recoil-Rebound

Nour, Sayed (2022) Time to Resuscitate Cardiopulmonary Resuscitation: The 3R/CPR Refill-Recoil-Rebound. Cardiology and Angiology: An International Journal, 11 (4). pp. 363-375. ISSN 2347-520X

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Abstract

Introduction: Sudden cardiac arrest (SCA) remains a major healthcare issue worldwide with gloomy outcomes due to poor perfusion of cardiopulmonary resuscitation (CPR), deemed unsuitable for hemostatic conditions, cardiotorsal anatomy, electrophysiology, and thoracic biomechanics. Alternatively, we propose a new management, implementing rational exploitation of the stagnant blood masses: manually with a novel technique of cardiac massage and mechanically with a circulatory flow restoration (CFR) device.

Methods: Simulated chest compressions were performed through the 5th intercostal space in professional Lifeguards volunteers, placed in the left lateral decubitus position with raised legs and abdominal compression.

Results: Bypassing the sternal barrier, refilling the heart, and then compressing the chest with a recoil-rebound maneuver (3R / CPR) can significantly promote return of spontaneous circulation (ROSC). The effectiveness of the CFR device versus CPR has previously been demonstrated in the literature.

Conclusion: Unlike current CPR, the 3R/CPR adapts human morphology and provides adequate myocardial perfusion promoting ROSC safely, under all circumstances. Preclinical computational models can confirm the effectiveness of the technique.

Item Type: Article
Uncontrolled Keywords: Sudden cardiac arrest; cardiopulmonary resuscitation (CPR); circulatory flow resuscitation (CFR); 3R/CPR; thoracic biomechanics
Subjects: SCI Archives > Medical Science
Depositing User: Managing Editor
Date Deposited: 02 Nov 2022 03:59
Last Modified: 13 Jul 2024 13:27
URI: http://science.classicopenlibrary.com/id/eprint/41

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