Massage cardiaque externe automatisé

Abstract

Chest compression is the important technique used during cardiopulmonary resuscitation. The international guidelines stress on the predominance of hemodynamics with respect to ventilation. Furthermore, new indications are growing regarding the last link of the chain of survival including non-heart-beating donation programs and early percutaneous coronary intervention. Within this framework, manual chest compressions are difficult to be maintained efficiently for a long time and need a turnover of the personnel in order to limit the fatigue. Automated chest compressions allow optimization of the available means to address these additional therapeutic options, on the condition of being installed and supervised by well-trained teams. However, unknown factors persist and should be checked in order to specify the indications of this kind of devices and assess their impact on survival rate.