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July 24, 1981

Abdominal Binding During Cardiopulmonary Resuscitation in Man

Author Affiliations

From the Cardiology Division, Department of Medicine, Baltimore City Hospitals (Dr Chandra), the Peter Belfer Laboratory for Myocardial Research, Cardiology Division (Dr Weisfeldt), and the Department of Medicine (Dr Snyder), The Johns Hopkins Medical Institutions, Baltimore.

JAMA. 1981;246(4):351-353. doi:10.1001/jama.1981.03320040023023

Prior studies in dogs have shown improved blood pressure (BP) and carotid flow with abdominal binding during cardiopulmonary resuscitation (CPR). We assessed the effect of abdominal binding at pressures of 60 to 110 cm H2O during CPR in ten patients experiencing cardiac arrest. Abdominal binding for brief periods (30 to 60 s) raised mean arterial pressure from 53.9±7.1 mm Hg before binding to 67.2±8.4 mm Hg after binding. In six patients studied who had abdominal binding performed for four minutes, this beneficial effect was still apparent at the end of the time period. No abdominal visceral injury was found in six patients at autopsy. Thus, abdominal binding is an effective yet simple technique for increasing BP during CPR in man with considerable field use potential.

(JAMA 1981;246:351-353)