Importância Do Retorno Completo Do Tórax Nas Compressões Torácicas Durante a Ressuscitação Cardiopulmonar: Implicações Fisiológicas, Qualidade Assistencial E Desfechos Clínicos
Year: 2026
Type: article
Abstract: Full chest recoil between compressions is an essential component of high-quality cardiopulmonary resuscitation, although in many settings it receives less practical attention than compression depth and rate. This study aimed to analyze, in light of recent literature, the importance of full chest recoil during chest compressions and its repercussions on hemodynamics, resuscitation quality, and clinical outcomes. An integrative review was conducted as an applied, exploratory, and descriptive study with a qualitative approach, grounded in 2025 international guidelines and in clinical, experimental, and observational studies published mainly between 2019 and 2025. Findings showed that incomplete chest release, also described as leaning, increases residual intrathoracic pressure, reduces venous return, impairs coronary perfusion pressure, and may decrease indirect perfusion markers such as end-tidal carbon dioxide. The review also showed that full chest recoil depends not only on technical knowledge but also on rescuer posture, fatigue management, real-time feedback, and training quality. It is concluded that full chest recoil should be incorporated as a structural axis of chest compression quality because of its direct impact on resuscitation effectiveness and patient safety.
DOI: 10.63391/zw72py57
Author: Robson Adachi dos Santos
Language: English
Subfield: Emergency Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W7163818769