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Full-Text Articles in Biomedical Engineering and Bioengineering
Simplified Meta-Analysis Of Clinical Trials In Resuscitation, Charles F. Babbs
Simplified Meta-Analysis Of Clinical Trials In Resuscitation, Charles F. Babbs
Weldon School of Biomedical Engineering Faculty Publications
Objective: To present and demonstrate a new simplified method for synthesizing results of multiple clinical trials in resuscitation research. Methods: The mean difference across studies in the proportion of favorable outcomes between experimental and control groups is calculated. This difference is shown to have a t-distribution. Its significance can be ascertained with a simple t-test. The analysis can be implemented in a one-page computer spreadsheet. Results: Simplified meta-analysis provides high sensitivity and can be extended to include weighting of studies according to size or quality, comparison of subgroups of studies, tests for outliers, and calculation of the power of the …
Interposed Abdominal Compression Cpr: A Comprehensive Evidence Based Review, Charles F. Babbs
Interposed Abdominal Compression Cpr: A Comprehensive Evidence Based Review, Charles F. Babbs
Weldon School of Biomedical Engineering Faculty Publications
Interposed abdominal compression (IAC)-CPR includes all steps of standard external CPR with the addition of manual mid-abdominal compressions in counterpoint to the rhythm of chest compressions. IAC-CPR can increase blood flow during CPR about two fold compared to standard CPR without IAC, as shown by 6 of 6 studies in computer models and 19 of 20 studies in various animal models. The addition of IAC has clinical benefit in humans, as indicated in 10 of 12 small to medium sized clinical studies. The technique increases the frequency of immediate return of spontaneous circulation for in-hospital resuscitations from roughly 25% to …
Interposed Abdominal Compression As An Adjunct To Cardiopulmonary Resuscitation, Charles F. Babbs, Jeffrey B. Sack, Karl B. Kern
Interposed Abdominal Compression As An Adjunct To Cardiopulmonary Resuscitation, Charles F. Babbs, Jeffrey B. Sack, Karl B. Kern
Weldon School of Biomedical Engineering Faculty Publications
The addition of interposed abdominal compression (IAC) to otherwise standard CPR provides external pressure over the abdomen in counterpoint to the rhythm of chest compression. Interposed abdominal compression is a simple manual technique that can supplement the use of adrenergic drugs to increase both coronary perfusion pressure and total blood flow during CPR. Mechanistically, manual abdominal compressions induce both central aortic and central venous pressure pulses. However, owing to differences in venous versus arterial capacitance, the former are usually greater than the latter, so that systemic perfusion pressure is enhanced. Moreover, practical experience and theoretical analysis have suggested subtle refinements …
The Evolution Of Abdominal Compression In Cardiopulmonary Resuscitation, Charles F. Babbs
The Evolution Of Abdominal Compression In Cardiopulmonary Resuscitation, Charles F. Babbs
Weldon School of Biomedical Engineering Faculty Publications
Objective: To review the history of external abdominal compression as an adjunct to cardiopulmonary resuscitation (CPR), tracking the development of five major themes over the course of the 20th century: 1) augmentation of peripheral resistance by physical means, 2) risk of hepatic injury with abdominal compression, 3) counterpulsation vs. sustained compression, 4) the abdominal pump mechanism, and 5) contact compression techniques. Methods: Literature retrieved from successive MEDLINE English-language searches was reviewed with a special emphasis on work and concepts highlighted by participants at the First Purdue Conference on Interposed Abdominal Compression-CPR, September 1992. Results: External abdominal compression of one form …
Regional Blood Flow During Cardiopulmonary Resuscitation With Abdominal Counterpulsation In Dogs, William D. Voorhees Iii, Sandra H. Ralston, Charles F. Babbs
Regional Blood Flow During Cardiopulmonary Resuscitation With Abdominal Counterpulsation In Dogs, William D. Voorhees Iii, Sandra H. Ralston, Charles F. Babbs
Weldon School of Biomedical Engineering Faculty Publications
The addition of abdominal counterpulsation to standard cardiopulmonary resuscitation (IAC-CPR) during ventricular fibrillation has been shown to improve cardiac output, oxygen uptake, and central arterial blood pressure in dogs. The present study was performed to determine the effect of IAC-CPR on regional blood flow. Regional blood flow was measured with radioactively labeled microspheres during sinus rhythm and during alternate periods of IAC-CPR and standard CPR (STD-CPR) in nine dogs anesthetized with pentobarbital. Blood pressures and oxygen uptake were measured continuously. As in previous studies, diastolic arterial pressure was higher (30.8%) during IAC-CPR than during STD-CPR, as were cardiac output (24.5%) …