Initiation of the "abdominal pump" research of cardiopulmonary resuscitation by increasing intraabdominal pressure / 解放军医学杂志

ABSTRACT

As there are contra-indications for chest compression for cardiopulmonary resuscitation (CPR), and strong chest compression may produce fracture of ribs, and also the occurrence of imbalance between ventilation and perfusion, we explored the effect of abdominal compression for CPR after cardiac arrest. Our previous research conducted in animals, and also in several clinical cases indicated that better circulatory and respiratory support effects and a higher survival rate could be achieved with CPR based on increasing intra-abdominal pressure. To study the mechanism of "abdominal pump" to achieve cardiopulmonary and cerebral resuscitation, the author has studied the anatomical physiological features of abdominal compression, and proposed the mechanism of "abdominal pump" for CPR. It provides highly theoretical guidance and practical value to the "abdominal pump" for CPR. It’s our impression that abdominal compression is as important as chest compression in CPR, and it might prevent complications of chest compression with high success rate.