ACD-CPR devices are third-generation devices that work on the piston principle.
ITD can be used alone during S-CPR as well as it may be used in combination with manual ACD-CPR devices such as the CardioPump and the ResQPump.
Phased thoracic-abdominal active compression-decompression CPR constitutes the working principle behind ACD-CPR and IAC-CPR and is a new method that combines the two techniques.
11) used a circulation computer model in an experimental study to compare five ITD-supported techniques (S-CPR, ACD-CPR, IAC-CPR, Lifestick-CPR, and EECP-CPR) in terms of their hemodynamic effects, and they found Lifestick-CPR to be the most effective.
In the case of automatic ACD-CPR devices such as LUCAS and LDB-CPR devices such as Autopulse, the guidelines state that the evidence to support or reject the routine use of these devices in the treatment of cardiac arrest is not sufficient and that manual chest compressions remain as the standard treatment of cardiac arrest; however, these devices may be a reasonable alternative for use by properly trained personnel (AHA 2015: Class IIb, LOE B-R).
The AHA 2010 guideline states with regard to manual ACD-CPR devices that there is no adequate evidence to either recommend or reject the routine use of these devices and that the use of the devices may be considered in the event of properly trained personnel.