Cardiac Massage


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cardiac massage

[′kärd·ē‚ak mə′säzh]
(medicine)
Rhythmic compression of the heart by a physician or other person in the effort to maintain effective circulation following heart failure.

Cardiac Massage

 

in cases of cardiac arrest, a method of resuscitation involving the rhythmic compression of the heart.

There are two types of cardiac massage—open and closed. Open cardiac massage is performed surgically, through an opening in the chest wall. In closed cardiac massage, which is a form of emergency first aid, both hands are used to apply rhythmic pressure to the victim’s chest. One palm is placed over the other, and the arms are kept straightened at the elbows. The full body weight is used to press down. The victim should be on his back on a hard surface, and 50 to 60 compressions should be applied every minute. The index and middle fingers are used to administer closed cardiac massage on newborns and infants, whereas one hand is used for children up to approximately 12 years of age.

At each compression of the heart, blood enters the vessels of the systemic and pulmonary circulation systems. The heart fills with blood from the major veins when pressure is released. Cardiac massage reinstates circulation and maintains the vital functions of the body. It stimulates the activity of the cardiac muscle and helps restore independent cardiac contractility. Artificial respiration is administered with cardiac massage.

REFERENCES

Chervinskii, A. A., Iu. N. Bokarev, and Iu. I. Malyshev. Osnovy prakticheskoi reanimatologii. Moscow, 1968.
Buianov, V. M. Pervaia meditsinskaia pomoshch’, 2nd ed. Moscow, 1974.
Osnovy reanimatologii, 2nd ed. Edited by V. A. Negovskii. Moscow, 1975.

V. F. POZHARISKII

References in periodicals archive ?
The physiotherapist working in the cardio-surgical unit must know how to start cardiac massage and mouth-to-mouth breathing in case she is the only person on hand when an arrest occurs.
An innovative kit could make direct cardiac massage more feasible--a significant advance over closed chest compression be cause it fosters much better hemodynamics, Dr.
The 26-year-old Leopard Trek rider fell with 25 kilometres remaining and was unconscious with blood coming from his mouth and nose before medics gave him a cardiac massage at the scene.
The fall left him unconscious with blood coming from his mouth and nose and, even though medics gave him cardiac massage at the scene, they were unsuccessful in their attempts to revive him.
Although the inquest heard she had vomited and paramedics reported she was given the kiss of life and cardiac massage, her doctors did not give her a brain scan while she was in hospital.
Further doses of atropine were given with adrenaline and external cardiac massage, resulting in a return of cardiac rhythm with a heart rate of 60 bpm and systolic blood pressure of 80 mmHg.
Luke maintains the right to receive cardiac massage if it becomes necessary.
Supported by her two sisters, Helen and Jacqui, she challenged the view of doctors that Luke's condition was seriously deteriorating and, if it became critical, it would 'not be in his best interests' to resuscitate him through cardiac massage or mechanical ventilation.
After untangling Giles from the bike's safety belt he pulled him into the boat, and gave him a cardiac massage to save him.
I was given a cardiac massage until the ambulance arrived and then paramedics had to use the defibrillator on me four times," he said.
The point I'm not DAY confident about is, while I was feeling the pulse, was somebody pressing the chest, giving compressions, and maybe I felt the fact that somebody else was actually, you know, doing cardiac massage.
The broken ribs in his chest were caused by a cardiac massage," it said.