Meta-Analysis
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Crit Care Med. Jul 9, 2021; 10(4): 151-162
Published online Jul 9, 2021. doi: 10.5492/wjccm.v10.i4.151
COVID-19 and resuscitation: La tournée of traditional Chinese medicine?
Adrian A Inchauspe
Adrian A Inchauspe, Chronic and Acute Care, Neuro-psychiatric Hospital Interzonal "Dr. Alejandro Korn", Melchor Romero, Berazategui 1884, Buenos Aires, Argentina
Author contributions: Inchauspe AA is the sole author of the intellectual content, conception and design of this work and/or in the analysis and interpretation of the data (when applicable), as well as in the writing of this manuscript.
Conflict-of-interest statement: The author has nothing to disclose.
PRISMA 2009 Checklist statement: The author has read the PRISMA 2009 Checklist and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Adrian A Inchauspe, MD, Doctor, Professor, Research Scientist, Chronic and Acute Care, Neuro-psychiatric Hospital Interzonal "Dr. Alejandro Korn", Melchor Romero, 14 # 4079, B1884CUB, Berazategui 1884, Buenos Aires, Argentina. adrian.inchauspe@yahoo.com.ar
Received: February 10, 2021
Peer-review started: February 10, 2021
First decision: March 17, 2021
Revised: May 1, 2021
Accepted: June 2, 2021
Article in press: June 2, 2021
Published online: July 9, 2021
Abstract
BACKGROUND

As it has been established in previous publications of the author, the current extra-hospital statistics referring to cardiopulmonary resuscitation (CPR) are far from being minimally satisfactory (14%-17% success). Since the appearance of acquired immune deficiency syndrome, its application has been increasingly undermined as other subsequent pandemics (H1N1, Ebola, coronavirus disease 2019) seriously infringing lay rescuers intervention during classical CPR steps (mouth-to-mouth ventilation), forcing to modify vital support protocols. Both KI-1 Yong quan and PC-9 Zhong chong alternative rescue maneuvers could come to aid those victims of impending death situation due to both cardiac arrest or stroke, upgrading current survival rates of said unfortunate patients.

AIM

To validate a complementary resuscitation maneuver originated in Chinese Medicine knowledge, carefully integrated into international CPR protocols [World Journal of Critical Care Medicine (WJCCM), August 2013].

METHODS

The model to verify its statistical validity of quoted research was the Retrospective Cohort Study, which redeems the “semiotic paradigm” that gave rise to medical semiotics. Its value strives in the differential detail if the deceased patients are considered the control group instead of the patients that may be deceased. Thus, combining the semiotic paradigm with the Retrospective Cohort Study allows us to manage the collateral potential lethal effects of the random process in cases of extreme emergencies.

RESULTS

The statistic results provided by the methodological analysis of this work were previously published in WJCCM August 2013, ISSN 2220-3141). In a total of 89 patients in which the Yong quan maneuver was tested, 75 survived and 14 died. In order to compare this data with the percentages of survivors in the other maneuvers, we stipulate the assumption that if 89 patients are the 100% of the sample, how many patients would survive if the survival rate is 6.4% in CPR, 30% in defibrillation and 48% in CPR + defibrillation. By this way we obtained the approximate values of patients that would survive when applying these classical resuscitation maneuvers. Then we obtained the format of the tables to perform the exact Fisher test with the help of a statistical processor; the consequent result in a valuation of P < 0.0001 was considered "extremely statistically significant".

CONCLUSION

The author herein provides a methodological–statistical analysis of such contribution which does not imply any cost at all and could even help prevent the withdrawal of classical CPR practices.

Keywords: COVID-19, Cardiopulmonary resuscitation protocol, Contingency measures, KI-1 Yong quan resuscitation maneuver, Pandemic

Core Tip: Against current pandemic scenario, the author analyzes the possible difficulties that could occur on essential life support protocols as cardiopulmonary resuscitation (CPR). As happened with the previous H1N1 pandemic, from when it was decided to postpone the "kiss to life" (mouth ventilation) giving priority to the precordial massage, coronavirus disease 2019 global situation could drastically reduce survival rates due to CPR and life-support protocols. For this reason, the author insists on an additional complementary resuscitation maneuver from Traditional Chinese Medicine - already published by the World Journal of Critical Care Medicine in Beijing in August 2013, in order to improve the rescue success in sudden death and out-of-hospital cardiac arrest.