Assessment of CPR interruptions from transthoracic impedance during use of the LUCAS™ mechanical chest compression system

Yost, Dana; Phillips, Reid H.; Gonzales, Louis; Lick, Charles; Satterlee, Paul A.; Levy, Michael; Barger, Joseph; Dodson, Pamela P.; Poggi, Stephen; Wojcik, Karen; Niskanen, Robert A.; Chapman, Fred W.

doi:10.1016/j.resuscitation.2012.01.019

Cited by 52 publications

(26 citation statements)

References 16 publications

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“…[129][130][131][132][133] The most likely explanation is that inexperienced rescuers underestimate the time required to apply the device, 134 which leads to a significant decrease in CCF during the first 5 minutes of an arrest [135][136][137] despite increases in CCF later in the resuscitation. 138 There is evidence that pre-event "pit crew" team training can reduce the pause required to apply the device.…”

Section: Additional Logistic Considerationsmentioning

confidence: 99%

Cardiopulmonary Resuscitation Quality: Improving Cardiac Resuscitation Outcomes Both Inside and Outside the Hospital

Meaney¹,

Bobrow²,

Mancini³

et al. 2013

Circulation

836

521

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The "2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care" increased the focus on methods to ensure that high-quality cardiopulmonary resuscitation (CPR) is performed in all resuscitation attempts. There are 5 critical components of high-quality CPR: minimize interruptions in chest compressions, provide compressions of adequate rate and depth, avoid leaning between compressions, and avoid excessive ventilation. Although it is clear that high-quality CPR is the primary component in influencing survival from cardiac arrest, there is considerable variation in monitoring, implementation, and quality improvement. As such, CPR quality varies widely between systems and locations. Victims often do not receive high-quality CPR because of provider ambiguity in prioritization of resuscitative efforts during an arrest. This ambiguity also impedes the development of optimal systems of care to increase survival from cardiac arrest. This consensus statement addresses the following key areas of CPR quality for the trained rescuer: metrics of CPR performance; monitoring, feedback, and integration of the patient’s response to CPR; team-level logistics to ensure performance of high-quality CPR; and continuous quality improvement on provider, team, and systems levels. Clear definitions of metrics and methods to consistently deliver and improve the quality of CPR will narrow the gap between resuscitation science and the victims, both in and out of the hospital, and lay the foundation for further improvements in the future.

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Section: Additional Logistic Considerationsmentioning

confidence: 99%

Cardiopulmonary Resuscitation Quality: Improving Cardiac Resuscitation Outcomes Both Inside and Outside the Hospital

Meaney¹,

Bobrow²,

Mancini³

et al. 2013

Circulation

836

521

View full text Add to dashboard Cite

show abstract

“…[15][16][17] The use of automatic compression devices could also permit safe and effective CPR, 18 but little data are available to quantify the performance of mechanical chest compression devices (MCCDs). 19 Although MCCDs may contribute to improve the patient outcome when the cardiac arrest occurs in hospital, 20 some meta-analysis have reported that automated CPR versus manual CPR does not improve survival or neurologic outcome in out-of-hospital cardiac arrest. 21,22 It can be argued that the specific characteristics of environment, resuscitation, and transport reproduced in our study could be ideal to test the performance of MCCDs in this setting and to compare them with manual CPR.…”

Section: Discussionmentioning

confidence: 99%

Cardiopulmonary Resuscitation Quality by Helicopter Rescue Swimmers While Flying

Abelairas‐Gómez

Vázquez-González

García

et al. 2016

Air Medical Journal

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“…8 A subsequent report from that project noted that prolonged chest compression interruptions for device application were frequently observed, and that such interruptions represented an important opportunity for improvement. 9 Based on that initial finding, along with continued evidence of an inefficient device application process in ongoing review of downloaded monitor data, Anchorage Fire Department initiated a quality improvement effort at the beginning of 2013 aimed at optimizing integration of the mechanical compression device into the resuscitation sequence.…”

Section: Introductionmentioning

confidence: 99%

A quality improvement initiative to optimize use of a mechanical chest compression device within a high-performance CPR approach to out-of-hospital cardiac arrest resuscitation

et al. 2015

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Assessment of CPR interruptions from transthoracic impedance during use of the LUCAS™ mechanical chest compression system

Cited by 52 publications

References 16 publications

Cardiopulmonary Resuscitation Quality: Improving Cardiac Resuscitation Outcomes Both Inside and Outside the Hospital

Cardiopulmonary Resuscitation Quality: Improving Cardiac Resuscitation Outcomes Both Inside and Outside the Hospital

Cardiopulmonary Resuscitation Quality by Helicopter Rescue Swimmers While Flying

A quality improvement initiative to optimize use of a mechanical chest compression device within a high-performance CPR approach to out-of-hospital cardiac arrest resuscitation

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