ReviewCritical care (London, England)2018
Mechanical CPR: Who? When? How?
Review in Critical care (London, England), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
41 citing papers in PubMed, 101 citations in OpenAlex.
- Effect of a feedback system on the quality of 2-minute chest compression-only cardiopulmonary resuscitation: a randomised crossover simulation study.The Journal of international medical research · 2020Trial
- PRECEPT-OHCA: prehospital evaluation of confidence and practice in the treatment of out-of-hospital cardiac arrest across Australia, the United Kingdom, and New Zealand: a cross-sectional study protocol.Resuscitation plus · 2026Article
- Mechanical and manual cardiopulmonary resuscitation in traumatic cardiac arrest: a retrospective observational study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Observational
- Risk factors for chest trauma associated with prehospital mechanical chest compression after non-traumatic out-of-hospital cardiac arrest in a South Korean regional registry.Acute and critical care · 2026Article
- Mechanical versus manual chest compression in cardiac arrest: a systematic review.Resuscitation plus · 2026Article
- Helicopter vs. ground transport: outcomes of out-of-hospital cardiac arrest patients with intra-arrest transport.Wiener klinische Wochenschrift · 2026Article
- Serial Expression of Pro-Inflammatory Biomarkers in Acute Lung Injury During the Post-Resuscitation Periods in Rats with Cardiac Arrest.International journal of molecular sciences · 2026Article
- Cardiac tamponade caused by a paused mechanical chest compression device after cardiac arrest.Resuscitation plus · 2025Article
- Knowledge and Competency of Healthcare Professionals and Medical Students in Cardiac Arrest and CPR in Pakistan: A Nationwide Cross-Sectional Study.Health science reports · 2025Article
- Barriers to the success of cardiopulmonary resuscitation teams in emergency departments: A perspective from nurses.BMC emergency medicine · 2025Article
- Factors analysis of lower probability of receiving bystander CPR in females: a web-based survey.BMC cardiovascular disorders · 2025Article
- Efficacy of mechanical against manual method in cardiopulmonary resuscitation for out‑of‑hospital cardiac arrest: A meta‑analysis.Experimental and therapeutic medicine · 2024Article
- Assessing the Impact of the Pandemic on Treatment Outcomes for Cardiac Arrest Patients Utilizing Mechanical CPR: A Nationwide Population-Based Observational Study in South Korea.Journal of personalized medicine · 2024Article
- Early prehospital mechanical cardiopulmonary resuscitation use for out-of-hospital cardiac arrest: an observational study.BMC emergency medicine · 2024Observational
- Optimal Positioning of Load-Distributing Band CPR Device by Body Mass Index.Journal of clinical medicine · 2024Article
- The association between mechanical CPR and outcomes from in-hospital cardiac arrest: An observational cohort study.Resuscitation · 2024Observational
- The use of mechanical CPR for IHCA during the COVID-19 pandemic as compared to the pre-pandemic period.Critical care (London, England) · 2024Article
- Cardiopulmonary Resuscitation-Related Head Trauma: A Case Report.Reports (MDPI) · 2023Article
- Knowledge and Attitude of the General Population About Do Not Resuscitate (DNR) in the Western Region, Saudi Arabia.Cureus · 2023Article
- Manual Chest Compression versus Automated Chest Compression Device during Day-Time and Night-Time Resuscitation Following Out-of-Hospital Cardiac Arrest: A Retrospective Historical Control Study.Journal of personalized medicine · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
In cardiac arrest, high quality cardiopulmonary resuscitation (CPR) is a key determinant of patient survival. However, delivery of effective chest compressions is often inconsistent, subject to fatigue and practically challenging.Mechanical CPR devices provide an automated way to deliver high-quality CPR. However, large randomised controlled trials of the routine use of mechanical devices in the out-of-hospital setting have found no evidence of improved patient outcome in patients treated with mechanical CPR, compared with manual CPR. The limited data on use during in-hospital cardiac arrest provides preliminary data supporting use of mechanical devices, but this needs to be robustly tested in randomised controlled trials.In situations where high-quality manual chest compressions cannot be safely delivered, the use of a mechanical device may be a reasonable clinical approach. Examples of such situations include ambulance transportation, primary percutaneous coronary intervention, as a bridge to extracorporeal CPR and to facilitate uncontrolled organ donation after circulatory death.The precise time point during a cardiac arrest at which to deploy a mechanical device is uncertain, particularly in patients presenting in a shockable rhythm. The deployment process requires interruptions in chest compression, which may be harmful if the pause is prolonged. It is recommended that use of mechanical devices should occur only in systems where quality assurance mechanisms are in place to monitor and manage pauses associated with deployment.In summary, mechanical CPR devices may provide a useful adjunct to standard treatment in specific situations, but current evidence does not support their routine use.
Indexed as
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.