Ref. [12] In recent years, researchers have developed a variety of CPR devices, such as Thumper, AutoPulse, and the LUCAS chest compressors. Resuscitation. In accordance with the guidelines, chest compressions have to be performed continuously to improve the outcome [5]. 0000008924 00000 n Resources: Zhuang Shuai, Kai Tang, Jiankang Zheng. Crit Care. Cardiac output and the cardiac index were also monitored using a USCOM™ (Ultrasonic cardiac output monitor, Spacelabshealthcare®; Sydney, Australia).

: Dickinson ET, Verdile VP, Schneider RM, Salluzzo RF. How to cite this article: Liu M, Shuai Z, Ai J, Tang K, Liu H, Zheng J, Gou J, Lv Z. And then the references of related papers were searched twice to reduce the omission. It ensure this meta-analysis higher credibility. : Horster S, Stemmler HJ, Strecker N, Brettner F, Hausmann A, et al. The primary outcome included difference between the average values (of 3 measures) of hemodynamic parameters (arterial pressure) between manual and mechanical (Lucas) chest compression. 2005; 293: 305-310. Ann Emerg Med. 0000022273 00000 n According to the different pressing methods and ages, it can be divided into 3 types: point compression, load distribution (vest type) compression, and full chest (3D type) compression. Resuscitation. Once these measures had been implemented and according to usual practices of the service, a femoral artery catheter [14] saws inserted during the mechanical chest compression for the invasive monitoring of arterial pressure. 1995; 26: 300-303. Mechanical chest compressions and simultaneous defibrillation vs conventional, The item(s) has been successfully added to ", This article has been saved into your User Account, in the Favorites area, under the new folder. But a study by Rubertsson 2014 in suggested that there was no significant difference between manual CPR and Mechanical chest compression with LUCAS in 4-hour survival.

Differences for all of the mean values for arterial pressure were significant with p<0.0001 (Table 2). The proportion of ROSC (Return of Spontaneous Circulation) was 24% (n=5). European Resuscitation Council Guidelines for Resuscitation 2010 Section 1. Values for cardiac output and cardiac index were averaged automatically by the USCOM® over 15 cycles of compression-decompression thus 15 cardiac cycles. The original study types in this study included randomized controlled studies, cohort studies, or case-control studies. Figure 3: Correlation between EtCO2 and cardiac output with manual chest compression. The French SAMU/SMUR system is well described in the literature [9,10] (SAMU= Service d’Aide Médicale Urgente). Twenty-six patients were eligible in the study period. [29]. modify the keyword list to augment your search. According to the most recent recommendations ILCOR 2015 [32], the automatic CPR provided by the Lucas system is indicated for the transportation of patients being transferred to a centre specialized in circulatory support following intoxication with B blockers. The authors have no conflicts of interest to disclose. Chest. 0000003628 00000 n Ref. This low statistical power could also explain the low correlation coefficient for EtCO2-CO, as well as the absence of significance with regard to manual massage. trailer <]/Prev 556890>> startxref 0 %%EOF 415 0 obj <>stream 800-638-3030 (within USA), 301-223-2300 (international) Medicine. There was no significant difference between the 2 groups (7.5% vs 8.5%, P = .50; OR = 0.92; 95%CI: [0.73, 1.17]). Lancet. 2004; 363: 1794-1801. : Liao Q, Sjöberg T, Paskevicius A, Wohlfart B, Steen S. Manual versus mechanical cardiopulmonary resuscitation. First documented rhythm and clinical outcome from in-hospital, [2].

0000009334 00000 n Research progress of automatic CPR apparatus (Chinese). The paper search process is shown in Figure 1. By improving the point pressing and the pressing head and adopting the suction disc press head, the chest can be pulled up while pressing it at the same time. Sunde K, Wik L, Steen PA. Quality of mechanical, manual standard and active compression-decompression CPR on the arrest site and during transport in a manikin model. Nanchong 637000, Sichuan Province, P.R.

Ref. In addition, the studied indicators in this paper include not only the success rate after CPR, but also the short-term outcome indicators such as ROSC, survival to hospital admission, survival to hospital discharge and survival to 30 days of patients. 2007; 75: 454-459. This study was conducted using the LUCAS 2, which is powered by a rechargeable lithium battery with an autonomy of 45 minutes (two batteries are always available during the intervention). : Sende J, Jabre P, Leroux B, Penet C, Lecarpentier E, et al.

The Authors. Third, LUCAS removes fatigue factors and ensures the effectiveness of CPR. Improved haemodynamics with increased compression-decompression rates during ACD-CPR in pigs. China. Circulation. : Duchateau FX, Gueye P, Curac S, Tubach F, Broche C, et al. Am J Emerg Med. 0000006998 00000 n 2001; 119: 811-817. But manual chest compression has a lot of defects. The others were defined as difference that is statistically significant if P < .05. The results is consistent with the above research in ROSC, survival to hospital admission, survival to hospital discharge, and survival to 30 days. ∗Correspondence: Zhan Lv, Department of Cardiology, Cardiovascular Research Center, Affiliated Hospital of North Sichuan Medical College, No.63 Wenhua Rd. 0000003851 00000 n 2009; 26: 210-212. [24] However, manual chest compression will be affected by fatigue, especially after 2 to 3 minutes of CPR. Concerning pig models, certain authors have reported that mechanical chest compression, whatever the device, provides better coronary and thus myocardial perfusion and a greater probability of ROSC [22,23]. 2013; 41: 1782-1789. Ref. The LUCAS device extends the reach of care by maintaining chest compressions during transport to advanced lifesaving therapies, including ECMO or PCI in the cath lab. Executive summary. 2010; 10: 53.

0000034106 00000 n Then the LUCAS system was started and three new measurements of the same parameters at one-minute intervals were recorded (Figure 1). Lactate levels could not be measured during the massage in the present study given the interventional nature of such sampling techniques and the need for additional authorisations, which would have made it impossible to classify this study as routine care as initially defined by the ethics committee. [1] In the United States and Europe, about 300,000 and 450,000 people, respectively, suffer CA each year. 0000004114 00000 n Context The LUCAS mechanical chest compression device may be better than manual chest compression during resuscitation attempts after cardiac arrest.


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