In recent years, remarkable advancement has been made in cardiac resuscitation, and clinical data indicate that the resuscitation rate has been greatly improved. This advancement can be attributed to the introduction of the closed chest cardiac massage (CCCM), which marks an epoch in resuscitology.However, CCCM must be administered by well trained individuals to preclude the development of complications, such as rib and sternal fractures, bone marrow emboli, liver or spleen lacerrations. In the case of an obese patient, particularly one with a thick thorax, this technique may be inadequate to provide sufficient flow of blood to the brain. In such cases, should brute force be applied, in an attempt to obtain satisfactory efficacy, the forementioned complications are unavoidable.The author has attempted to develop a technique that will furnish the efficacy of the CCCM but does not require the violent force necessary to depress the sternum. Furthermore, the author developed a new technique of cardiac resuscitation through the oesophagus by inflating a balloon rhythmically which was inserted an appropriate level of the oesophagus behind the heart. The balloon was connected by a thick-walled long tube to another balloon that was placed on the sternum. Thus, the combined technique of CCCM was accomplished from both sternal and oesophageal side by depressing the balloon on the sternum and concomitantly inflating the balloon in the esophagus.The purpose of this study is to determine whether the new technique would be sufficient to support CCCM without the need for violent force which can cause severe complications.
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