RCP automática de alta qualidade: uma revisao integrativa

Abstract

Introduction: Cardiopulmonary arrest is considered one of the most prevalent and high-mortality emergency situations. Cardiopulmonary resuscitation consists of several strategies and protocols for its effective and rapid execution. Automatic mechanical chest compression devices were developed to address the weaknesses and obstacles. Objective: to summarize studies evaluating the effectiveness of automatic chest compressions, their applicability, and difficulties in insertion in prehospital settings. Method: integrative review answering the guiding question: What are the associated factors and the effectiveness of automatic CPR? Conducted through an online search for scientific articles in the CINAHL, EMBASE, PUDMED/MEDLINE, SCOPUS, and Web of Science databases, with the following descriptors: Ambulances, Mechanical chest compression, and Efficiency. Results: 1,115 articles were found. After applying the inclusion and exclusion criteria and reading, 26 articles were obtained to compose the sample. Three thematic categories emerged from the analysis of the studies: Category 1: Comparison between automatic mechanical devices. Category 2: Survival rate of patients undergoing automatic chest compression. Category 3: Characteristics of mechanical devices and manual compressions in relation to frequency, pressure point, depth, mean time of non-intervention and their outcome. Conclusion: the data suggest that automatic devices do not have a clear superiority in terms of survival rate compared to manual CPR. Although automatic chest compression devices show promise, there are still challenges to be overcome to optimize their use and ensure consistent outcomes for patients.