Neuroanesthesia & neurocritical care

Effects of rapid chest compression technique on intracranial and cerebral perfusion pressures in acute neurocritical patients: a randomized controlled trial

Crit CarePublished Randomised controlled trial

Authors' conclusion

The rapid chest compression technique did not increase the ICP during its application or even 30 min after it. The ICP showed a slight significant decrease during the application of the rapid chest compression technique but reached the previous values in the posterior 30 min. CPP had a similar behavior but did not completely recover in both groups.

Study context

Population
Acute neurocritical patients under mechanical ventilation
Participants
50 participants
Comparison
Intervention vs Control
  • Interventionn = 25
  • Controln = 25reference
Primary endpoint
ICP and cerebral perfusion pressure (CPP)
Methodological detailsprospective, single-blinded, May 2021 to December 2023
  • Prospective
  • Single-blinded
  • May 2021 to December 2023

Primary result

As reported in the abstract

ICP and CPP
  • Intracranial pressure (ICP) and cerebral perfusion pressure (CPP) did not significantly differ between groups at any studied time
  • Intragroup: significant decreases in ICP and CPP in the intervention group, with posterior recovery in both groups
  • CPP significantly decreased in the control group, not reaching preintervention values at last measurement

Further findings

PaCO2 · end of the study

Significantly lower in the intervention group vs control

Original publication

Effects of rapid chest compression technique on intracranial and cerebral perfusion pressures in acute neurocritical patients: a randomized controlled trial. Crit Care. Published 23 April 2025. doi:10.1186/s13054-025-05405-8

Composed by AI from the published abstract and checked against it. How Briefs are made →

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