PROSPECTS FOR IMPROVING THE QUALITY OF CARDIO-PULMONARY RESUSCITATION
https://doi.org/10.24884/2072-6716-2016-17-1-41-49
Abstract
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.
About the Authors
T. P. Mishina
North-Western State Medical University named after I. I. Mechnikov
Russian Federation
Russian Federation
V. E. Marusanov
North-Western State Medical University named after I. I. Mechnikov
Russian Federation
Russian Federation
References
1. American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care // Circulation.- 2015.- Vol. 132, Iss. 18, suppl. 2.- P. S313-S561
2. European Resuscitation Council Guidelines for Resuscitation 2015: Section 3. Adult advanced life support // Resuscitation- 2015.- Vol. 95.- P. 100-147. doi: 10.1016/j.resuscitation.2015.07.016
3. Edelson D. P. , Abella B. S., Kramer-Johansen J. et al. Effects of compression depth and pre-shock pauses predict defibrillation failure during cardiac arrest // Resuscitation.- 2006.- Vol. 71, N 2.- Р. 137-145. doi: 10.1016/j.resuscitation.2006.04.008
4. Wik L., Kramer-Johansen J., Myklebust H. et al. Quality of cardiopulmonary resuscitation during out-of- hospital cardiac arrest // JAMA.- 2005.- Vol. 293, N 3.- Р. 299-304. doi: 10.1001/jama.293.3.299
5. Krarup N. H., Terkelsen C. J., Johnsen S. P. et al. Quality of cardiopulmonary resuscitation in out-of-hospital cardiac arrest is hampered by interruptions in chest compressions-A nationwide prospective feasibility study // Resuscitation.- 2011.- Vol. 82, N 3 - Р. 263-269. doi: 10.1016/j.resuscitation.2010.11.003
6. Bonnemeier H., Simonis G., Olivecrona G. et al. Continuous mechanical chest compression during in-hospital cardiopulmonary resuscitation of patients with pulseless electrical activity // Resuscitation.- 2011.- Vol. 82, N 2.- Р. 155-159. doi: 10.1016/j.resuscitation.2010.10.019
7. Wagner H., Madsen Hardig B., Steen S. et al. Evaluation of coronary blood flow velocity during cardiac arrest with circulation maintained through mechanical chest compressions in a porcine model // BMC Cardiovasc Disord.- 2011.- Vol. 11.- Р. 73. doi: 10.1186/1471-2261-11-73
8. Jacobs I., Nadkarni V. Utstein cardiac arrest outcome reports // Resustantion.- 2009.- Vol. 80, N 2.- Р. 1093-1094. doi: 10.1016/j.resuscitation.2008.12.007
9. Rubertsson S., Lindgren E., Smekal D. et al. Mechanical chest compressions and simultaneous defibrillation vs conventional cardiopulmonary resuscitation in out-of-hospital cardiac arrest: the LINC randomized trial // JAMA.- 2014.- Vol. 311, N 1.- Р. 53-61. doi: 10.1001/jama.2013.282538
10. Wik L., Olsen J., Persse D. et al. Manual vs. integrated automatic load-distributing band CPR with equal survival after out of hospital cardiac arrest. The randomized CIRC trial // Resuscitation.- 2014.- Vol.85, № 6.- Р. 741-748. doi: 10.1016/j.resuscitation.2014.03.005
11. Nolan J. P. , Soarb J., Zidemanc D. A. et al. European Resuscitation Council Guidelines for Resuscitation 2010 // Resuscitation.- 2010.- Vol. 81, N 10.- Р. 1219-1276. doi: 10.1016/j.resuscitation.2010.08.021
12. Ochoa F. J., Ramalle-Gуmara E., Lisa V., Saralegui I. The effect of rescuer fatigue on the quality of chest com- pressions // Resuscitation.- 1998.- Vol. 37, N 3.- Р. 149-152
13. Axelsson C., Nestin J., Svensson L. et al. Clinical consequences of the introduction of mechanical chest compres- sion in the EMS system for treatment of out-of-hospital cardiac arrest - а pilot study // Resuscitation.- 2006.- Vol. 71, N 1.- Р. 47-55
14. Axelsson С., Karlsson T., Axelsson Å., Herlitz J. Mechanical active compression-decompression cardiopulmonary resuscitation (ACD-CPR) versus manual CPR according to pressure of end tidal carbon dioxide (P(ET)CO2) dur- ing CPR in out-of-hospital cardiac arrest (OHCA) // Resuscitation.- 2009.- Vol. 80, N 10.- Р.1099-1103. doi: 10.1016/j.resuscitation.2009.08.006
15. Box M. S., Watson J. N., Addison P. S. et al. Shock outcome prediction before and after CPR: a comparative study of manual and automated active compression-decompression CPR // Resuscitation.- 2008.- Vol. 78, N 3, Р.265-274. doi: 10.1016/j.resuscitation.2008.03.225
16. Trivedi K., Borovnik-Lesjak V., Gazmuri R. J. LUCAS 2™ device, compression depth, and the 2010 cardiopulmo- nary resuscitation guidelines // Am. J. Emerg. Med.- 2013.- Vol. 31, N 7.- Р. 1154.e1-2. doi: 10.1016/j. ajem.2013.03.007. Epub 2013 May 18
17. Rubertsson S., Lindgren E., Smekal D. et al. Mechanical chest compressions and simultaneous defibrillation vs conventional cardiopulmonary resuscitation in out-of-hospital cardiac arrest: the LINC randomized trial // JAMA.- 2014 - Vol. 311, N 1.- Р. 53-61. doi: 10.1001/jama.2013.282538
18. Perkins G. D., Lall R., Quinn T. Mechanical versus manual chest compression for out-of-hospital cardiac arrest (PARAMEDIC): a pragmatic, cluster randomised controlled trial // Lancet.- 2015.- Vol. 385, N 9972.- Р. 947-955. doi: 10.1016/S0140-6736(14)61886-9
19. Esibov A., Banville I., Chapman F. W. Mechanical chest compressions improved aspects of CPR in the LINC trial // Resuscitation.- 2015.- Vol. 91.- Р. 116-121. doi: 10.1016/j.resuscitation.2015.02.028. Epub 2015 Mar 9
20. Tranberg T., Lassen J. F., Kaltoft A. K. Quality of cardiopulmonary resuscitation in out-of-hospital cardiac arrest before and after introduction of a mechanical chest compression device, LUCAS-2; a prospective, observational study // Scand J. Trauma Resusc Emerg. Med.- 2015.- Vol. 23.- Р. 37. doi: 10.1186/s13049-015-0114-2
21. Gässler H., Kümmerle S., Ventzke M. M. et al. Mechanical chest compression: an alternative in helicopter emer- gency medical services? // Intern Emerg. Med.- 2015.- Vol. 10, N 6.- Р. 715-720. doi: 10.1007/s11739- 015-1238-0. Apr 28
22. Gates S., Quinn T., Deakin C.D. et al. Mechanical chest compression for out of hospital cardiac arrest: Systematic re- view and meta-analysis // Resuscitation.- 2015.- Vol. 94.- Р. 91-97. doi: 10.1016/j.resuscitation.2015.07.002
23. Obersladstaetter D., Braun P. , Freund M. C. et al. Autopsy is more sensitive than computed tomography in detec- tion of LUCAS-CPR related non-dislocated chest fractures // Resuscitation.- Vol. 83, N 3.- Р.e89-90. doi: 10.1016/j.resuscitation.2011.12.003
24. Bonnemeier H., Gerling I., Barantke M., Schunkert H. Necropsy findings of non-survivors of CPR after mechan- ical and conventional chest compression // ERC congress.- 2008; 22.05.2008-25.05.2008, Ghent, Belgium. Poster 470 (on file at Jolife)
25. Smekal D., Lindgren E., Sandler H. et al. CPR-related injuries after manual or mechanical chest compressions with the LUCAS™ device: a multicentre study of victims after unsuccessful resuscitation / // Resuscitation.- 2014.- Vol. 85, N 12.- Р. 1708-1712. doi: 10.1016/j.resuscitation.2014.09.017
26. Kralj E., Podbregar M., Kejžar N., Balažic J. Frequency and number of resuscitation related rib and sternum fractures are higher than generally considered // Resuscitation.- 2015.- Vol. 93.- Р. 136-141. doi: 10.1016/j.resuscitation.2015.02.034
27. Beesems S. G., Hardig B. M., Nilsson A., Koster R. W. Force and depth of mechanical chest compressions and their relation to chest height and gender in an out-of-hospital setting // Resuscitation.- 2015.- Vol. 91.- Р. 67-72. doi: 10.1016/j.resuscitation.2015.03.020
28. Govindarajan P., Lin L., Landman A. et al. Practice variability among the EMS systems participating in Cardiac Arrest Registry to Enhance Survival (CARES) // Resuscitation.- 2012.- Vol. 83, N 1.- Р. 76-80
29. Ong M. E., Quah J. L., Annathurai A. et al. Improving the quality of cardiopulmonary resuscitation by training dedicated cardiac arrest teams incorporating a mechanical load-distributing device at the emergency department // Resuscitation.- 2013.- Vol. 84, N 4.- Р. 508-514. doi: 10.1016/j.resuscitation.2012.07.033
30. Lerner E. B., Persse D., Souders C. M. et al. Design of the Circulation Improving Resuscitation Care (CIRC) Trial: a new state of the art design for out-of-hospital cardiac arrest research // Resuscitation.- 2011.- Vol. 82, N 3.- Р. 294-299
Review
For citations:
Mishina T.P., Marusanov V.E. PROSPECTS FOR IMPROVING THE QUALITY OF CARDIO-PULMONARY RESUSCITATION. EMERGENCY MEDICAL CARE. 2016;17(1):41-49. (In Russ.) https://doi.org/10.24884/2072-6716-2016-17-1-41-49
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