smpСкорая медицинская помощьEMERGENCY MEDICAL CARE2072-6716Northwest State Medical University named after II Mechnikov10.24884/2072-6716-2016-17-1-41-49smp-126Research ArticleОБЗОРЫREVIEWSПЕРСПЕКТИВЫ ПОВЫШЕНИЯ КАЧЕСТВА СЕРДЕЧНО-ЛЕГОЧНОЙ РЕАНИМАЦИИ НА ДОГОСПИТАЛЬНОМ ЭТАПЕPROSPECTS FOR IMPROVING THE QUALITY OF CARDIO-PULMONARY RESUSCITATIONМишинаТ. П.MishinaT. P.MTP007@yandex.ruМарусановВ. Е.MarusanovV. E.MTP007@yandex.ruСеверо-Западный государственный медицинский университет им. И. И. МечниковаРоссияNorth-Western State Medical University named after I. I. MechnikovRussian Federation2016231220161714149Copyright © Мишина Т.П., Марусанов В.Е., 20162016Мишина Т.П., Марусанов В.Е.Mishina T.P., Marusanov V.E.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://smp.spb.ru/jour/article/view/126

Цель исследования: определение доказательств эффективности или возможных недостатков механи- ческих устройств, в частности аппарата LUCAS, при сердечно-легочной реанимации (СЛР). Материалы и методы исследования: проведен обзор публикаций о применении механического устройства LUCAS при СЛР. Результаты: анализ опубликованных данных показал, что рандомизированные клинические ис- следования не смогли продемонстрировать улучшение выживаемости для пациентов, реанимированных с использование механических устройств компрессии грудной клетки. Европейским Советом по реани- мации от 2015 года устройства для механической СЛР не рекомендованы для рутинного использования, но подчеркивается, что в особых ситуациях они могут быть необходимы. Доказательства предыдущих исследований свидетельствуют о положительной роли механической системы LUCAS для непрямого массажа сердца в деятельности таких подразделений системы здравоохранения, как скорая медицин- ская помощь. Выводы: система LUCAS для непрямого массажа сердца представляет собой устройство, позволяющее выполнять эффективный непрямой массаж сердца во время проведения сердечно-легоч- ной реанимации, соответствующий современным методологическим указаниям по СЛР

Objective: definition of evidence of the effectiveness or possible shortcomings of mechanical devices, in particular apparatus LUCAS, in cardio-pulmonary resuscitation (CPR). Material and methods: a review of publications on the use of a mechanical device LUCAS CPR. Results: the analysis of published data showed that randomized clinical trials failed to demonstrate a survival benefit for patients resuscitated with the use of mechanical chest compression devices. European Resuscitation Council from 2015 to mechanical CPR devices are not recommended for routine use, but stresses that in special situations they may be needed. Evidence of previous studies have shown the positive role of the mechanical system for the LUCAS chest compressions in the activities of such units of the health system, as the ambulance. Conclusions: The system for the LUCAS chest compression is a device that allows you to perform effective chest compressions during cardiopulmonary resuscitation, corresponding to modern methodological guidelines for CPR.

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The authors declare that there are no conflicts of interest present.