Cardiopulmonary resuscitation algorithms, defibrillation and optimized ventilation during resuscitation

Ricardo A. Samson, Marc D. Berg, Robert A. Berg

Research output: Contribution to journalReview articlepeer-review

9 Scopus citations


Purpose of review: In 2005, the American Heart Association released its Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. This article reviews the treatment algorithms for Advanced Cardiac Life Support, citing the evidence on which the Guidelines are based. Additional focus is placed on defibrillation and optimized ventilation. Recent findings: Major changes include a reorganization of the algorithms for cardiac arrest. Emphasis on effective cardiopulmonary resuscitation is placed as the key to improved survival. Single defibrillation shocks are recommended (compared with three 'stacked' shocks) with immediate provision of cardiopulmonary resuscitation and minimal interruptions in chest compressions. The recommended chest compression:ventilation rate for single rescuers has been changed to 30:2. Summary: Despite advances in resuscitation science, basic life support remains the key to improving survival outcomes. Ultimately, as new knowledge is gained, we believe resuscitation therapies will be more individualized, on the basis of pathophysiology and etiology of the initial cardiac arrest.

Original languageEnglish (US)
Pages (from-to)146-156
Number of pages11
JournalCurrent Opinion in Anaesthesiology
Issue number2
StatePublished - Apr 2006


  • Algorithms
  • Cardiopulmonary resuscitation
  • Defibrillation

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine


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