دورية أكاديمية
Metrics of mechanical chest compression device use in out-of-hospital cardiac arrest.
| العنوان: | Metrics of mechanical chest compression device use in out-of-hospital cardiac arrest. |
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| المؤلفون: | Levy M; Anchorage Fire Department University of Alaska Anchorage College of Health WWAMI School of Medical Education Anchorage Alaska USA., Kern KB; University of Arizona Tucson Arizona USA., Yost D; Resurgent Biomedical Consulting Lake Stevens Washington USA., Chapman FW; Physio-Control now a part of Stryker Redmond Washington USA., Hardig BM; Department of Cardiology, Specialized Medicine Helsingborg Hospital Helsingborg Sweden.; Department of Clinical Sciences Cardiology, Faculty of Medicine Lund Sweden. |
| المصدر: | Journal of the American College of Emergency Physicians open [J Am Coll Emerg Physicians Open] 2020 Jul 04; Vol. 1 (6), pp. 1214-1221. Date of Electronic Publication: 2020 Jul 04 (Print Publication: 2020). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: John Wiley & Sons, Inc Country of Publication: United States NLM ID: 101764779 Publication Model: eCollection Cited Medium: Internet ISSN: 2688-1152 (Electronic) Linking ISSN: 26881152 NLM ISO Abbreviation: J Am Coll Emerg Physicians Open Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: Hoboken, NJ : John Wiley & Sons, Inc., [2020]- |
| مستخلص: | Objective: The quality of cardiopulmonary resuscitation (CPR) affects outcomes from cardiac arrest, yet manual CPR is difficult to administer. Although mechanical CPR (mCPR) devices offer high quality CPR, only limited data describe their deployment, their interaction with standard manual CPR (sCPR), and the consequent effects on chest compression continuity and patient outcomes. We sought to describe the interaction between sCPR and mCPR and the impact of the sCPR-mCPR transition upon outcomes in adult out-of-hospital cardiac arrest (OHCA). Methods: We analyzed all adult ventricular fibrillation OHCA treated by the Anchorage Fire Department (AFD) during calendar year 2016. AFD protocols include the immediate initiation of sCPR upon rescuer arrival and transition to mCPR, guided by patient status. We compared CPR timing, performance, and outcomes between those receiving sCPR only and those receiving sCPR transitioning to mCPR (sCPR + mCPR). Results: All 19 sCPR-only patients achieved return of spontaneous circulation (ROSC) after a median of 3.3 (interquartile range 2.2-5.1) minutes. Among 30 patients remaining pulseless after sCPR (median 6.9 [5.3-11.0] minutes), transition to mCPR occurred with a median chest compression interruption of 7 (5-13) seconds. Twenty-one of 30 sCPR + mCPR patients achieved ROSC after a median of 11.2 (5.7-23.8) additional minutes of mCPR. Survival differed between groups: sCPR only 14/19 (74%) versus sCPR + mCPR 13/30 (43%), P = 0.045. Conclusion: In this series, transition to mCPR occurred in patients unresponsive to initial sCPR with only brief interruptions in chest compressions. Assessment of mCPR must consider the interactions with sCPR. Competing Interests: Michael Levy has received compensation from Physio‐Control, now a part of Stryker, for ECG over‐reading and for speaking at a Physio‐Control sponsored dinner discussion and is chief medical advisor for Stryker Physio‐Control. Karl B. Kern is a compensated member of the Science Advisory Board for Physio‐Control, and has received investigator‐initiated grant funding from Physio‐Control. Dana Yost has received compensation from Resurgent Biomedical Consulting LLC. (RBC) for ECG over read and CPR data analysis. RBC consults with Physio‐Control. Fred Chapman is employed by Stryker/Physio‐Control, the manufacturer producing the LUCAS chest compression device, LIFEPAK 15 Monitor/Defibrillator and CODE‐STAT Data Review Software. At the time of this study, Bjarne Madsen‐Hardig was employed by Physio‐Control/Lund, the manufacturer producing the LUCAS chest compression device, LIFEPAK 15 Monitor/Defibrillator, and CODE‐STAT Data Review Software. (© 2020 The Authors. JACEP Open published by Wiley Periodicals LLC on behalf of the American College of Emergency Physicians.) |
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| فهرسة مساهمة: | Keywords: cardiac arrest; cardiopulmonary resuscitation; mechanical CPR; resuscitation |
| تواريخ الأحداث: | Date Created: 20210104 Latest Revision: 20240330 |
| رمز التحديث: | 20240330 |
| مُعرف محوري في PubMed: | PMC7771774 |
| DOI: | 10.1002/emp2.12184 |
| PMID: | 33392525 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2688-1152 |
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| DOI: | 10.1002/emp2.12184 |