Examinando por Autor "Chacon Rosado, Edward Cleymer"

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    Efficacy of mechanical chest compression versus manual chest compression in the resuscitation of patients in out-of-hospital cardiac arrest.
    (Universidad Privada Norbert Wiener, 2018-03-25) Chacon Rosado, Edward Cleymer; Mora Sangama, Carolina Noemi; Calsin Pacompia, Wilmer
    Objective: To systematize the evidence on the effectiveness of manual chest compression versus mechanical chest compression in the resuscitation of patients in out-of-hospital cardiac arrest. Materials and Methods: The population consisted of 35 studies and the sample was 10 studies. A review of scientific articles on the effectiveness of mechanical chest compression versus manual chest compression in the resuscitation of patients in out-of-hospital cardiac arrest was conducted. It included 05 Systematic Reviews and Meta-analyses, 01 Systematic Review, 03 Randomized Controlled Trials, and 01 Experimental Study. 20% of the evidence found came from China, 20% from the Netherlands, another 20% from England, and 10% from Canada, Singapore, Germany, and the United States, respectively. The search was carried out in the Lilacs, Pubmed, Medline, and Cochrane Plus databases. Results: Of the 10 articles reviewed, 90% (n=09/10) agreed that there is insufficient scientific evidence to conclusively demonstrate that either of the interventions, manual chest compression or mechanical chest compression in the resuscitation of patients with sudden cardiac arrest, is superior to the other. One study, 10% (n=1/10), concluded that mechanical chest compression is superior to manual chest compression in terms of achieving return of spontaneous circulation in cardiopulmonary resuscitation, as the odds of return of spontaneous circulation were more than 1.6 times higher. Conclusions: It is confirmed that neither intervention is superior; both mechanical chest compression and manual chest compression in the resuscitation of patients in out-of-hospital cardiac arrest are equally effective. However, it is relevant to strengthen manual chest compression due to its cost-effectiveness for the patient, healthcare service providers, and emergency mobile units managing this type of emergency.