Rubertsson S.; Curr Opin Crit Care. 2016 Jun;22(3):225-9.

Purpose of review: The aim of this review is to update and discuss the use of mechanical chest compression devices in treatment of cardiac arrest.

Recent findings: Three recently published large multicenter randomized trials have not been able to show any improved outcome in adult out-of-hospital cardiac arrest patients when compared with manual chest compressions.

Summary: Mechanical chest compression devices have been developed to better deliver uninterrupted chest compressions of good quality. Prospective large randomized studies have not been able to prove a better outcome compared to manual chest compressions; however, latest guidelines support their use when high-quality manual chest compressions cannot be delivered. Mechanical chest compressions can also be preferred during transportation, in the cath-lab and as a bridge to more invasive support like extracorporeal membrane oxygenation.

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