NSW mechanical cardiopulmonary resuscitation (mCPR) clinical practice guide – adult patients

Mechanical cardiopulmonary resuscitation (mCPR) is delivered using an automated device that provides the external chest compression component of cardiopulmonary resuscitation at a consistent depth and rate.

This clinical practice guide supports clinicians to provide safe, high-quality care when a decision is being made to use a mCPR device during in-hospital cardiac arrest.

mCPR is used in the following areas of the hospital during in-hospital cardiac arrest:

  • Emergency departments
  • Intensive care units
  • Cardiology units
  • Cardiac catheter labs

Key points must be considered when deploying a mCPR device:

  • Good-quality manual chest compressions must remain the gold standard for the delivery of external chest compressions during CPR.
  • Early defibrillation of a shockable rhythm must not be delayed.
  • CPR must be commenced immediately for cardiac arrest, with no delay while waiting for a decision on the deployment of a mCPR device.

The decision to use a mCPR device during in-hospital cardiac arrest must take into account key considerations and recommendations to ensure patients receive appropriate care at the right time, and that clinicians are supported to provide safe, high-quality care during mCPR deployment.

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The information on this page is general in nature and cannot reflect individual patient variation. It reflects Australian intensive care practice, which may differ from that in other countries. It is intended as a supplement to the more specific information provided by the doctors and nurses caring for your loved one. ICNSW attests to the accuracy of the information contained here but takes no responsibility for how it may apply to an individual patient. Please refer to the full disclaimer.