Automated continuous chest compression for in-hospital cardiopulmonary resuscitation of patients with pulseless electrical activity: A report of five cases
“…The use of mechanical chest compression devices in the inhospital setting has been reported, particularly in settings where the performance of manual CPR is difficult, such as during in-hospital transport 71 and PCI. 72 Mechanical devices include active compression-decompression and load-distributing band devices that automatically compress the chest.…”
“…The use of mechanical chest compression devices in the inhospital setting has been reported, particularly in settings where the performance of manual CPR is difficult, such as during in-hospital transport 71 and PCI. 72 Mechanical devices include active compression-decompression and load-distributing band devices that automatically compress the chest.…”
“…Several case series demonstrate the feasibility of using the device in the out of hospital [18] and inhospital [19][20] settings. Axelsson et al reported their experience with introducing LUCAS into two emergency medical service (EMS) systems in Sweden [21].…”
Section: Lucasmentioning
confidence: 99%
“…CPR is frequently interrupted during imaging. Staff are also exposed to potentially high doses or radiation (100 Gy cm -2 ) [19]. Mechanical chest compression devices can provide chest compressions during PCI.…”
Purpose of review:It is recognised that the quality of CPR is an important predictor of outcome from cardiac arrest yet studies consistently demonstrate that the quality of CPR performed in real life is frequently sub-optimal. Mechanical chest compression devices provide an alternative to manual CPR. This review will consider the evidence and current indications for the use of these devices.
Recent findings:Physiological and animal data suggest that mechanical chest compression devices are more effective than manual CPR. However there is no high quality evidence showing improved outcomes in humans. There are specific circumstances where it may not be possible to perform manual CPR effectively e.g. during ambulance transport to hospital, en-route to and during cardiac catheterisation, prior to organ donation and during diagnostic imaging where using these devices may be advantageous.
Summary:There is insufficient evidence to recommend the routine use of mechanical chest compression devices. There may be specific circumstances when CPR is difficult or impossible where
“…of patients with pulseless electrical provide additional therapeutic effects activity: A report of five cases (55) in those patients with PEA due to PE, mechanical thrombus fragmentation, and increase pulmonary artery flow after LUCAS-compression. than in the S-CPR group.…”
Section: Studies Conducted On the Effectiveness Of Mccdsmentioning
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