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Cochrane Nursing Care Corner: Summaries of Nursing Care-Related Systematic Reviews From the Cochrane Library: Mechanical Versus Manual Chest Compression for Cardiac Arrest
Vicky isvanathan CN, CCRN, Grad. Dip. Critical Care Nurs

Journal of Cardiovascular Nursing
December 2011 
Volume 26  Number 6
Pages 530 - 531
  PDF Version Available!

What is the best available evidence to assess the effectiveness of mechanical chest compressions versus standard manual chest compressions during cardiopulmonary resuscitation (CPR) in cardiac arrest patients?Cardiopulmonary resuscitation is the immediate intervention for cardiac arrest patients. This involves rhythmic chest compressions to restore spontaneous circulation to vital organs and to return patient's neurological function while minimizing damage to the end-organs, thus increasing patient survival. Various chest compression devices have been developed to provide more effective, consistent, and timely chest compressions.A systematic review was warranted to determine the efficacy of mechanical versus manual chest compression in regard to which is the best technique to be used during CPR for cardiac arrest patients.The review included 4 trials (2 simple randomized controlled trials [RCTs], 1 cluster RCT, and 1 quasi-randomized study) with a total of 868 patients.1 All cardiac arrest

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