TABLE 4.
Pooled analysis of CPR-associated pulmonary injuries based on CPR type.
| Injury* | Reference | Mixed Series or Unspecified %(n) |
Standard CPR %(n) |
ACD- CPR (Suction) %(n) |
ACD-CPR (Piston) %(n) |
Standard Followed by ACD-CPR (Suction) %(n) |
Total %(n) |
|---|---|---|---|---|---|---|---|
| Aspiration | 6,18 | 10.9 (155/1426) | 10.9 (155/1426) | ||||
| Pneumothorax | 6,8,11 | 2.7 (19/705) | 2.1 (9/424) | 2.6 (1/38) | 2.5 (29/1167) | ||
| Pneumomediastinum | 5 | 1.4 (1/70) | 1.4 (1/70) | ||||
| Pleural effusion / hemothorax | 6,8,10,19,20,55 | 0.7 (5/705) | 3.9 (19/490) | 6.3 (1/16) | 2.1 (25/1211) | ||
| Lung contusion / hemorrhage | 11,99 | 0 (0/47) | 2.8 (2/71) | 1.7 (2/118) | |||
| Pulmonary bone marrow / fat emboli | 5,7,16,19,21,28,46 | 15.4 (18/117) | 21 (52/248) | 19.2 (70/365) |
Active compression-decompression cardiopulmonary resuscitation (ACD-CPR)
*
Lung laceration was reported only in case reports, but not in clinical studies.
**
There were no studies identified that reported data for ACD-CPR utilizing suction cup or load distributing band technology, or standard CPR followed by ACD-CPR using either piston or load distributing band technology