Mechanical Chest Compression in Cardiopulmonary Resuscitation: Experience of Using AutoPulse
The article discusses the use of mechanical devices for cardiopulmonary resuscitation (CPR), and the experience of using resuscitation system for mechanical chest compression AutoPulse (Zoll) during CPR in patients with circulatory arrest.
Introduction. The modern means for chest compression can provide an increase in coronary and cerebral blood flow or increase short-term survival. Because number of studies has shown that the conduct standard manual chest compression is often done very badly health care providers. But you must understand that the use of mechanical devices for CPR does not exclude education and training with a view to continuous assessment of the quality of the devices compression of the chest.
Methods and Results. Resuscitation system AutoPulse was used in 12 patients (mean age 42.4 ± 1.1 years; the ratio of men and women 10/2) with circulatory arrest rhythms: ventricular fibrillation (n = 4) and asystole (n = 8). The causes of circulatory arrest were severe accidental hypothermia, polytrauma and traumatic brain injury.
After it was observed in a patient of circulatory arrest, immediately began CPR standard package, which included manual chest compressions. Then established under the patient platform AutoPulse and connects it to work — the average connection resuscitation system we took about 30–40 seconds. But you need to stress the importance teaching of preliminary skills caregivers connect and operate the device that dramatically reduces the time required to connect it.
Since all patients were intubated, we used the continuous chest compression on a background ventilator. During CPR connected the monitoring for continuous recording of the electrocardiogram. The whole complex of CPR was performed according European Council Guidelines for Resuscitation 2010. The study we have achieved return of spontaneous circulation in all 12 patients (100 %). Any complications during mechanical chest compression resuscitation system AutoPulse were found.
Conclusions. 1. Use of resuscitation system AutoPulse (Zoll) allows us to optimize chest compressions and release the medical staff the «hand» to perform other manipulations during cardiopulmonary resuscitation.
2. AutoPulse improves the efficiency of cardiopulmonary resuscitation in case of need to prolong more than 30 minutes.
3. The mechanical chest compressions with the system AutoPulse is safe for patients.
4. Resuscitation system AutoPulse has great potential during cardiopulmonary resuscitation in unfavorable or limited space when moving or transporting patients primarily on the out-of-hospital settings as will us in hospital.
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