Mechanical active compression-decompression versus standard mechanical cardiopulmonary resuscitation: A randomised haemodynamic out-of-hospital cardiac arrest study

Berve, Per Olav; Härdig, Bjarne Madsen; Skålhegg, Tore; Kongsgaard, Håvard; Kramer‐Johansen, Jo

doi:10.1016/j.resuscitation.2021.10.026

Cited by 12 publications

(22 citation statements)

References 161 publications

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“…In terms of accuracy, the rate and depth of chest compressions in patients with cardiac arrest through a mechanical chest compression device using both the remote control and non-remote control have similar accuracy, a high percentage is close to the resuscitation guidelines [14], [15]. In addition, it was found that the hands-off time for chest compression was less than ten seconds by guideline standards.…”

Section: Discussionmentioning

confidence: 71%

The Viability of Using Remote Controlled Mechanical Chest Compression Devices to Reduce Contamination in Cardiac Arrest Patients during the COVID-19 Pandemic

Apiratwarakul

Cheung²,

Bhudhisawasdi³

et al. 2022

Open Access Maced J Med Sci

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BACKGROUND: Mechanical chest compression devices play an important role in assisting patients undergoing cardiac arrest. However, this equipment induces an aerosol-generating procedure that could contaminate hospital staff. The development of a remote control system for mechanical chest compression devices may solve the problem; however, there are currently no studies regarding the efficacy of this system. AIM: This study aims to analyze efficacy of remote control systems for mechanical chest compression devices and compare it with non-remote control systems. METHODS: This was an analytical cross-sectional study at Srinagarind Hospital, Thailand. Data were collected in two periods of the study. The first period was between January and December 2021 using a non-remote control system to operate the mechanical chest compression device. The second period was from January to April 2022 and collected data on the use of a remote control system. RESULTS: Sixty-four participants were examined over the 16-month period of the study. A total of 53.1% (n = 34) of participants were male and the mean age of the patients was 52.4 ± 5.1 years old. The number of emergency medical service members (EMS) needed for resuscitation in the remote control group was less than the non-remote control group (3 vs. 5; p = 0.040). The number of emergency department (ED) members needed for resuscitation in the remote control group was four compared with eight in the non-remote control group. CONCLUSIONS: The remote controlled mechanical chest compression device can effectively reduce the number of staff working both in the EMS and in the ED of the hospital, thus reducing exposure and contamination from aerosol-generating procedure. It was also proven accurate in terms of rate and depth of chest compression according to resuscitation guidelines.

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Section: Discussionmentioning

confidence: 71%

The Viability of Using Remote Controlled Mechanical Chest Compression Devices to Reduce Contamination in Cardiac Arrest Patients during the COVID-19 Pandemic

Apiratwarakul

Cheung²,

Bhudhisawasdi³

et al. 2022

Open Access Maced J Med Sci

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“…Experimental studies, investigating the effect of active decompression on pigs’ hemodynamics, found a higher cerebral blood flow and cardiac output compared with a non-active decompression approach 14 , 19 , 20 . A human study comparing a modified LUCAS 2 device with an active decompression feature vs a standard LUCAS 2 device found a better cerebral oxygen saturation when the active decompression was correctly administered 15 .…”

Section: Discussionmentioning

confidence: 99%

“…Active decompression (defined as using a force to pull the chest above its neutral position) has been demonstrated to increase cardiac output and cerebral blood flow in an animal study 14 and also to increase cerebral oxygenation in a human study 15 . However, the effect of the suction cup assisting the chest back to its neutral position between each compression has never been examined.…”

Section: Introductionmentioning

confidence: 99%

Suction cup on a piston-based chest compression device improves coronary perfusion pressure and cerebral oxygenation during experimental cardiopulmonary resuscitation

Mälberg¹,

Smékal²,

Marchesi³

et al. 2022

Resuscitation Plus

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“… 6 The hemodynamic benefits of AD have been studied experimentally 15 and clinically. 7 CPR injury is an independent factor for 30-day mortality. 16 Thus, it is of clinical interest to explore any differences in CPR related injury patterns when a new mode of mechanical chest compressions (AD) is evaluated.…”

Section: Introductionmentioning

confidence: 97%

Injuries associated with mechanical chest compressions and active decompressions after out-of-hospital cardiac arrest: A subgroup analysis of non-survivors from a randomized study

et al. 2023

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Mechanical active compression-decompression versus standard mechanical cardiopulmonary resuscitation: A randomised haemodynamic out-of-hospital cardiac arrest study

Cited by 12 publications

References 161 publications

The Viability of Using Remote Controlled Mechanical Chest Compression Devices to Reduce Contamination in Cardiac Arrest Patients during the COVID-19 Pandemic

The Viability of Using Remote Controlled Mechanical Chest Compression Devices to Reduce Contamination in Cardiac Arrest Patients during the COVID-19 Pandemic

Suction cup on a piston-based chest compression device improves coronary perfusion pressure and cerebral oxygenation during experimental cardiopulmonary resuscitation

Injuries associated with mechanical chest compressions and active decompressions after out-of-hospital cardiac arrest: A subgroup analysis of non-survivors from a randomized study

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