Use of an Automated, Load-Distributing Band Chest Compression Device for Out-of-Hospital Cardiac Arrest Resuscitation

Abstract

Compared with resuscitation using manual CPR, a resuscitation strategy using LDB-CPR on EMS ambulances is associated with improved survival to hospital discharge in adults with out-of-hospital nontraumatic cardiac arrest.

Mechanical Cardiopulmonary Resuscitation and Hospital Survival Among Adult Patients With Nontraumatic Out‐of‐Hospital Cardiac Arrest Attending the Emergency Department: A Prospective, Multicenter, Observational Study in Japan (SOS‐KANTO [Survey of Survivors after Out‐of‐Hospital Cardiac Arrest in Kanto Area] 2012 Study)

“…On the basis of the previous studies,10, 17, 18, 19, 20, 21, 22, 23, 24 we selected adult patients with nontraumatic OHCA who had sustained circulatory arrest on hospital arrival (thus, all eligible patients who attended the ED received ongoing CPR by EMS). The inclusion criteria were as follows: (1) age ≥18 years, (2) patients with undetectable blood pressure on hospital arrival, (3) patients who received advanced cardiovascular life support after hospital arrival, and (4) patients who were transferred to hospitals that had an mCPR device.…”

“…The primary outcome was survival to hospital discharge 10, 19, 20, 21, 23, 24. The secondary outcomes included ROSC10, 17, 18, 19, 20, 21 and successful hospital admission 10, 18, 19, 20, 21, 22…”

“…The secondary outcomes included ROSC10, 17, 18, 19, 20, 21 and successful hospital admission 10, 18, 19, 20, 21, 22…”

Mechanical cardiopulmonary resuscitation for patients with cardiac arrest

“…In addition, Autopulse can obviously improve coronary perfusion, and generate approximately 36% of the normal blood flow, which is much higher than that generated by manual compression (13%). [17] But before and after use of Autopulse, there is no significant difference in the pressure of end tidal carbon dioxide (PETCO 2 ), which serves as an important parameter for evaluating cardiac output and pulmonary blood flow. [18] Axelsson et al [5] reported that in 126 patients who participated in the study, 64 were enrolled in a mechanical chest compression group and 62 in a control group.…”

Erweiterte Reanimationsmaßnahmen für Erwachsene („advanced life support“)

“…Eine weitere Studie demonstrierte einen schlechteren Einfluss auf das 30-TageÜberleben ["odds ratio" (OR) 0,4], wobei eine Subgruppenanalyse eine erhöhte ROSC-Rate bei der Anwendung der LDB-CPR ermittelte [596]. Andere nichtrandomisierte klinische Studien berichteten von erhöhten Raten an stabilem ROSC [597,598], einer erhöhten Entlassungsrate nach präklinischem Kreislaufstillstand [598] und einer verbesserten Hämodyna-mik bei primär nichterfolgreicher Reanimation innerklinischer Kreislaufstillstän-de [592]. Ergebnisse von klinischen [595,599] und Simulationsstudien [600] lassen vermuten, das lokale Rahmenbedingungen die Qualität der Reanimation und den Erfolg der Anwendung der LDB-CPR mitbeeinflussen.…”