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Biphasic Cuirass Ventilation

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<strong>Biphasic</strong> Extrathoracic Pressure CPR<br />

A Human Pilot Study<br />

Howard A. Smithline et al.<br />

Department of Emergency Medicine, Henry Ford Health Systems, Henry<br />

Ford Hospital, Detroit<br />

"<strong>Biphasic</strong> Extrathoracic Pressure CPR [using the Hayek Oscillator] significantly<br />

increases the coronary perfusion pressure when compared with standard CPR<br />

[a pneumatic compression device (the Thumper)]. Additionally, there is a trend<br />

for improved systemic perfusion as indicated by the improved venous to arterial<br />

Pco 2<br />

gradient, although this is not reflected by significant decreases in the<br />

OER. Oxygenation and ventilation appear to be adequately maintained, thus<br />

obviating the need for positive pressure ventilation with its associated risks."<br />

CHEST Vol. 105, p. 842-846, March 1994.

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