Type your tag names separated by a space and hit enter

Cardiocerebral Resuscitation (CCR)

Cardiocerebral Resuscitation (CCR) is a topic covered in the Pocket ICU Management.

To view the entire topic, please or purchase a subscription.

Anesthesia Central is an all-in-one web and mobile solution for treating patients before, during, and after surgery. This collection of drug, procedures and test information is derived from Davis’s Drug, MGH Clinical Anesthesia Procedures, Pocket Guide to Diagnostic Tests, and MEDLINE Journals. Explore these free sample topics:

Anesthesia Central

-- The first section of this topic is shown below --

First Things First (assess & treat for the following)


  • Cardiopulmonary Resuscitation (CPR) has the mnemonic “ABC” for airway/breathing/circulation. There is a new paradigm emphasizing circulation as the most important component of ABC, at least in primary cardiac arrest. Cardiocerebral Resuscitation (CCR) or Continuous Chest Compression-CPR (CCC-CPR) is developed from this paradigm. Aim of CCR is to put maintenance of coronary and cerebral circulation as a priority, minimizing interruptions for intubation, ventilation, defibrillation, etc. of the patient.
  • At present, CCR should be seen as a refinement of the broad resuscitation efforts of the arrest victim, but not as an alternative to traditional CPR algorithms. The ultimate goal of CPR is a good neurological outcome. This is possible by maintaining adequate cerebral and coronary perfusion in a timely fashion, the main emphasis of the CCR concept.


  • CPR is the common approach to two different pathophysiologic conditions: primary cardiac arrest (i.e., due to arrhythmias) and cardiac arrest secondary to respiratory failure. Most of the cases of sudden, unexpected collapse are likely to be due to primary cardiac arrest. Cardiac arrest secondary to ventricular fibrillation has three phases:
    • Electrical phase: The first 5 minutes of cardiac arrest, where defibrillation is the most important intervention. This is the rationale behind the availability of AEDs in public places (e.g., airports, casinos).
    • Circulatory phase: Roughly between 5 and 15 minutes after cardiac arrest. For a good neurological recovery, effective chest compressions are needed before and after defibrillation efforts. If coronary perfusion is inadequate, even a successful defibrillation is likely to result in pulseless electrical activity.
    • Metabolic phase: Starting 15 or so minutes after cardiac arrest, metabolic effects due to lack of perfusion becomes pronounced. New concepts, such as hypothermia, are needed to improve survival of the victim during this phase.

-- To view the remaining sections of this topic, please or purchase a subscription --

Last updated: April 13, 2010


"Cardiocerebral Resuscitation (CCR)." Pocket ICU Management, PocketMedicine.com, Inc, 2010. Anesthesia Central, anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534149/all/Cardiocerebral_Resuscitation__CCR_.
Cardiocerebral Resuscitation (CCR). Pocket ICU Management. PocketMedicine.com, Inc; 2010. https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534149/all/Cardiocerebral_Resuscitation__CCR_. Accessed April 18, 2019.
Cardiocerebral Resuscitation (CCR). (2010). In Pocket ICU Management. Available from https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534149/all/Cardiocerebral_Resuscitation__CCR_
Cardiocerebral Resuscitation (CCR) [Internet]. In: Pocket ICU Management. PocketMedicine.com, Inc; 2010. [cited 2019 April 18]. Available from: https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534149/all/Cardiocerebral_Resuscitation__CCR_.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Cardiocerebral Resuscitation (CCR) ID - 534149 Y1 - 2010/04/13/ BT - Pocket ICU Management UR - https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534149/all/Cardiocerebral_Resuscitation__CCR_ PB - PocketMedicine.com, Inc DB - Anesthesia Central DP - Unbound Medicine ER -