Time to Resuscitate Cardiopulmonary Resuscitation: The 3R/CPR Refill-Recoil-Rebound
Cardiology and Angiology: An International Journal · pp. 363–375 · Published 18 Oct 2022
10.9734/ca/2022/v11i4291Abstract
Introduction: Sudden cardiac arrest (SCA) remains a major healthcare issue worldwide with gloomy outcomes due to poor perfusion of cardiopulmonary resuscitation (CPR), deemed unsuitable for hemostatic conditions, cardiotorsal anatomy, electrophysiology, and thoracic biomechanics. Alternatively, we propose a new management, implementing rational exploitation of the stagnant blood masses: manually with a novel technique of cardiac massage and mechanically with a circulatory flow restoration (CFR) device. Methods: Simulated chest compressions were performed through the 5th intercostal space in professional Lifeguards volunteers, placed in the left lateral decubitus position with raised legs and abdominal compression. Results: Bypassing the sternal barrier, refilling the heart, and then compressing the chest with a recoil-rebound maneuver (3R / CPR) can significantly promote return of spontaneous circulation (ROSC). The effectiveness of the CFR device versus CPR has previously been demonstrated in the literature. Conclusion: Unlike current CPR, the 3R/CPR adapts human morphology and provides adequate myocardial perfusion promoting ROSC safely, under all circumstances. Preclinical computational models can confirm the effectiveness of the technique.
References (60)
- 1 CLOSED-CHEST CARDIAC MASSAGE [DOI]
- 2 Diagnosis of arrhythmogenic right ventricular cardiomyopathy/dysplasia: Proposed Modification of the Task Force Criteria [DOI]
- 3 Cytometry in cell necrobiology: Analysis of apoptosis and accidental cell death (necrosis) [DOI]
- 4 A Randomized Trial of Epinephrine in Out-of-Hospital Cardiac Arrest [DOI]
- 5 Designing Clinical Research [DOI]
- 6 Epidemiology and Genetics of Sudden Cardiac Death [DOI]
- 7 Sudden cardiac death in young people with apparently normal heart [DOI]
- 8 Compression-Only CPR or Standard CPR in Out-of-Hospital Cardiac Arrest [DOI]
- 9 Extracorporeal Cardiopulmonary Resuscitation (E-CPR) During Pediatric In-Hospital Cardiopulmonary Arrest Is Associated With Improved Survival to Discharge [DOI]
- 10 Early Induction of Hypothermia During Cardiac Arrest Improves Neurological Outcomes in Patients With Out-of-Hospital Cardiac Arrest Who Undergo Emergency Cardiopulmonary Bypass and Percutaneous Coronary Intervention [DOI]
- 11 Ventricular arrhythmias and sudden death in adults after a Mustard operation for transposition of the great arteries [DOI]
- 12 2015 Revised Utstein-Style Recommended Guidelines for Uniform Reporting of Data From Drowning-Related Resuscitation: An ILCOR Advisory Statement [DOI]
- 13 Mechanical versus manual chest compressions for cardiac arrest [DOI]
- 14 The role of bystanders during rescue and resuscitation of drowning victims [DOI]
- 15 Kidney retrieval after sudden out of hospital refractory cardiac arrest: a cohort of uncontrolled non heart beating donors [DOI]
- 16 Medical devices on chips [DOI]
- 17 Treatment of prolonged ventricular fibrillation. Immediate countershock versus high-dose epinephrine and CPR preceding countershock. [DOI]
- 18 Coronary Perfusion Pressure and Return of Spontaneous Circulation after Prolonged Cardiac Arrest [DOI]
- 19 Characteristics and outcome among patients suffering from out of hospital cardiac arrest of non-cardiac aetiology [DOI]
- 20 Initiation of Embryonic Cardiac Pacemaker Activity by Inositol 1,4,5-Trisphosphate–dependent Calcium Signaling [DOI]
- 21 Is there progress in the autopsy diagnosis of sudden unexpected death in adults? [DOI]
- 22 Café coronary syndrome-fatal choking on food: An autopsy approach [DOI]
- 23 Microdamage and mechanical behaviour: predicting failure and remodelling in compact bone [DOI]
- 24 Out-of-hospital cardiac arrest due to drowning: An Utstein Style report of 10 years of experience from St. Mary's Hospital [DOI]
- 25 Thoracic lavage in accidental hypothermia with cardiac arrest — report of a case and review of the literature [DOI]
- 26 Cardiopulmonary Resuscitation in Prone Position: A Simplified Method for Outpatients [DOI]
- 27 Frequency and influencing factors of cardiopulmonary resuscitation-related injuries during implementation of the American Heart Association 2010 Guidelines: a retrospective study based on autopsy and postmortem computed tomography [DOI]
- 28 Post-cardiotomy Rescue Extracorporeal Cardiopulmonary Resuscitation in Neonates with Single Ventricle After Intractable Cardiac Arrest: Attrition After Hospital Discharge and Predictors of Outcome [DOI]
- 29 Biomechanics of the thorax – research evidence and clinical expertise [DOI]
- 30 Vascular Endothelial Dysfunction during Cardiac Surgery: On-Pump versus Off-Pump Coronary Surgery [DOI]
- 31 Mechanically induced sudden death in chest wall impact (commotio cordis) [DOI]
- 32 Biogenesis and abiogenesis. [DOI]
- 33 Studies of isolated global brain ischaemia: I. Overview of irreversible brain injury and evolution of a new concept - redefining the time of brain death [DOI]
- 34 Preferential increase in subendocardial perfusion produced by endothelium-dependent vasodilators. [DOI]
- 35 Treatment of prolonged ventricular fibrillation [DOI]
- 36 Direct current cardioversion: Indications, techniques, and recent advances [DOI]
- 37 Forgotten driving forces in right heart failure (Part II): experimental study [DOI]
- 38 Computational models of normal and abnormal action potential propagation in cardiac tissue: linking experimental and clinical cardiology [DOI]
- 39 MADIT II, the Multi-center Autonomic Defibrillator Implantation Trial II stopped early for mortality reduction, has ICD therapy earned its evidence-based credentials? [DOI]
- 40 A dynamic action potential model analysis of shock-induced aftereffects in ventricular muscle by reversible breakdown of cell membrane [DOI]
- 41 Feasibility of intracardiac injection of drugs during cardiac arrest [DOI]
- 42 Defibrillation in clinical practice [DOI]
- 43 Computer-Based CPR Simulation Towards Validation of AHA/ERC Guidelines [DOI]
- 44 Shear Stress, Energy Losses, and Costs: A Resolved Dilemma of Pulsatile Cardiac Assist Devices [DOI]
- 45 Acute ischaemia as a trigger of sudden cardiac death [DOI]
- 46 56 Cardiopulmonary Resuscitation by Chest Compressions Versus Ventilation Plus Chest Compressions in a Pediatric Asphyxial Cardiac Arrest Animal Model [DOI]
- 47 Myocardial perfusion and function during acute right ventricular systolic hypertension [DOI]
- 48 Use of adjunctive devices in cardiopulmonary resuscitation [DOI]
- 49 Mechanisms of exercise response in the denervated heart after transplantation [DOI]
- 50 The Clinical Importance of Pulsatile Flow in Extracorporeal Life Support: The Penn State Health Approach [DOI]
- 51 R-peak detection based chaos analysis of ECG signal [DOI]
- 52 Outcomes of patients suffering unwitnessed hypothermic cardiac arrest rewarmed with extracorporeal life support: A systematic review [DOI]
- 53 Computed tomographic findings of chest injuries following cardiopulmonary resuscitation [DOI]
- 54 Cardiopulmonary resuscitation [DOI]
- 55 Cadaver models for cardiac arrest: A systematic review and perspectives [DOI]
- 56 Endothelial shear stress enhancements: a potential solution for critically ill Covid-19 patients [DOI]
- 57 ICDs Are Still an Effective Therapy to Prevent Sudden Cardiac Death in Heart Failure [DOI]
- 58 Part 6: Advanced Cardiovascular Life Support : Section 4: Devices to Assist Circulation [DOI]
- 59 Simulation and evaluation of the protective barrier enclosure for cardiopulmonary resuscitation [DOI]
- 60 Mechanical versus manual chest compressions for cardiac arrest [DOI]
Cited by 1
Sayed Nour · Preprints.org · 2025
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