ResQCPR System Caregiver Guide

Caregiver Guide

4 Pages

What is the ResQCPR System? The performance of ResQCPR relies on the use of two devices: the ResQPOD® ITD 16, an impedance threshold device (ITD), in combination with active compression-decompression cardiopulmonary resuscitation (ACD-CPR), performed with the CardioPump® ACD-CPR Device. No other device on the market delivers true ACD-CPR with 10 kilograms (kg) of lift, which increases the chances of survival after cardiac arrest. ResQCPR™ System  Even though high-quality manual or automated CPR has been shown to increase survival, it provides only about 25%–40% of normal blood flow to the heart and brain.1  The ResQCPR devices work synergistically to deliver improved blood flow during cardiac arrest. By increasing the amount of blood returned to the heart (preload), and lowering intracranial pressure (ICP) during CPR, the ResQCPR System has been shown in human trials to deliver near-normal blood pressure.2,3 More importantly, a large clinical trial comparing conventional manual CPR to ResQCPR showed a 53% increase in neurologically intact survival to hospital discharge, and a survival benefit that persisted out to one year.4  Airway Pressures Airway Pressures During Conventional CPR an  30 20  Ventilation  30  Chest Compression produces CARDIAC OUTPUT  20  10  cmH2O  cmH2O  Conventional CPR Limited Blood Flow Chest compression forces air out of the lungs and blood out of the heart. During chest wall recoil, air is drawn in and eliminates the vacuum (negative pressure) that is needed to fill the heart. Intracranial pressure (ICP) is also slightly lowered during this phase.  0  1. Air rushing back into the lungs during chest wall recoil, minimizing  ChestWall WallRecoil Recoil Chest generates NEGATIVE pressure, PRELOAD generates NEGATIVE pressure, creating creating PRELOAD  the critical vacuum and resulting in suboptimal preload and  Hemodynamics  cardiac output. 2. Incomplete chest wall recoil, which compromises preload. 3. CPR quality issues (e.g., ventilating and compressing too fast or  ICP  too slow).  Blood Pressure5  Airway Pressure Impact ResQCPR Improved Perfusion and Near-Normal Circulation Airway Pressures During Conventional CPR and CPR with the ResQCPR System ICP  The ResQCPR devices work together to optimize perfusion: Ventilation 30 Chest Compression creates POSITIVE PRESSURE that produces CARDIAC OUTPUT  cmH2O  ResQPOD ITD 16 10 1. Regulates airflow into the lungs during chest wall recoil 0 (except when intended during ventilation), enhancing the vacuum -10 that generates Chest Wall Recoil preload and further lowering ICP. generates NEGATIVE PRESSURE that refills the heart, creating PRELOAD 2. Timing lights promote proper ventilation rate. CardioPump ACD-CPR Device 1. Allows the user to perform ACTIVE decompression, which further enhances the vacuum. 2. Gauge displays compression and lift forces. 3. Metronome promotes proper compression rate.  ResQCPR System Caregiver Guide | 1  30 20 cmH2O  20  0  -10  -10  Blood flow may be limited due to:  10  10 0  -10 Optimized Vacuum Optimized Vacuum further increases PRELOAD further increases PRELOAD  ICP  Hemodynamic Impact  ICP  Blood Pressure3  ICP  ICP
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