DOI: https://doi.org/10.22141/2224-0586.4.51.2013.89319

Mechanical Chest Compression in Cardiopulmonary Resuscitation: Experience of Using AutoPulse

Yu.Yu. Kobelyatsky, A.V. Tsaryov

Abstract


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.


Keywords


cardiopulmonary resuscitation; mechanical chest compression; circulatory arrest

References


Kouwenhoven W.B., Jude J.R., Knickerbocker G.G. Closet — chest cardiac massage // JAMA. — 1960. — Vol. 173. — P. 1064-1067.

Niemann J.T. Current concepts: cardiopulmonary resuscitation // NEJM. — 1992. — Vol. 327. — P. 1075-1080.

Ducas J., Roussos C., Karsadis C., Magder S. Thoracoabdominal mechanics during resuscitations maneuvers // Chest. — 1983. — Vol. 84. — P. 446-451.

Зильбер А.П. Этюды критической медицины. — М.: Медпресс-информ, 2006. — 568 с.

Chandra N.S. Mechanisms of blood flow during CPR // Ann. Emerg. Med. — 1993. — Vol. 22(2, pt.2). — P. 281-288.

Deakin C.D., Nolan J.P., Soar J., Sunde K., Koster R.W., Smith G.B., Perkins G.D. European Resuscitation Council Guidelines for Resuscitation 2010. Section 4. Adult advanced life support // Resuscitation. — 2010. — Vol. 81. — P. 1305-1352.

Halperin H.R., Rayburn B.K. Alternate cardiopulmonary resuscitation devices // J.P. Ornato, M.A. Peberdy. Cardiopulmonary Resuscitation. — Humana Press, 2005. — P. 177-197.

Halperin H.R., Carver D.J. Mechanical CPR devices // Signa Vitae. — 2010. — Vol. 5(Suppl. 1). — P. 69-73.

Неговский В.А. Аппараты для искусственного дыхания. — М.: Медгиз, 1959. — 79 с.

Halperin H.R., Tsitlik J.E., Gelfand M. et al. A preliminary study of CPR by circumferential compression of the chest with use of pneumatic vest // NEJM. — 1993. — Vol. 329. — P. 762-768.

Kramer-Johansen J., Myklebust H., Wik L. et al. Quality of out-of-hospital cardiopulmonary resuscitation with real time automated feedback: a prospective interventional study // Resuscitation. — 2006. — Vol. 71. — P. 283-292.

Sutton R.M., Maltese M.R., Niles D. et al. Quantitative analysis of chest compression interruptions during in-hospital resuscitation of older children and adolescents // Resuscitation. — 2009. — Vol. 80. — P. 1259-1263.

Sutton R.M., Niles D., Nysaether J. et al. Quantitative analysis of CPR quality during in-hospital resuscitation of older children and adolescents // Pediatrics. — 2009. — Vol. 124. — P. 494-499.

Timerman S., Cardoso L.F., Ramires J.A., Halperin H. Improved hemodynamic performance with a novel chest compression device during treatment of in-hospital cardiac arrest // Resuscitation.— 2004. — Vol. 61. — P. 273-280.

Halperin H., Berger R., Chandra N. et al. Cardiopulmonary resuscitation with ahydraulic — pneumatic band // Crit. Care Med. — 2000. — Vol. 28. — P. 203-206.

Halperin H.R., Paradis N., Ornato J.P. et al. Cardiopulmonary resuscitation with a novel chest compression device in a porcine model of cardiac arrest: improved hemodynamics and mechanisms // J. Am. Coll. Cardiol. — 2004. — Vol. 44. — P. 2214-2220.

Casner M., Andersen D., Isaacs S.M. Preliminary report of the impact of a new CPR assist device on the rate of return of spontaneous circulation in out of hospital cardiac arrest // Prehospital Emergency Care. — 2005. — Vol. 9. — P. 61-67.

Ong M.E., Ornato J.P., Edwards D.P. et al. Use of an automated, load-distributing band chest compression device for out-of-hospital cardiac arrest resuscitation // JAMA. — 2006. — Vol. 295. — P. 2629-2637.

Ong M.E.H, Sultana P., Fook-Chong S., Annitha A., Ang S.H., Tiah L., Yong K.L. Comparison of load — distributing band and standard cardiopulmonary resuscitation in patients presenting with cardiac arrest to the emergency department // Prehospital Emergency Care. — 2011. — Vol. 15. — P. 106.

Hallstrom A., Rea T.D., Sayre M.R. et al. Manual chest compression vs use of an automated chest compression device during resuscitation following out-of-hospital cardiac arrest: a randomized trial // JAMA. — 2006. — Vol. 295. — P. 2620-2628.

Paradis N., Young G., Lemeshow S., Brewer J., Halperin H. Inhomogeneity and temporal effects in AutoPulse Assisted Prehospital International Resuscitation — an exception from consent trial terminated early // Am. J. Emerg. Med. — 2010. — Vol. 28. — P. 391-398.

Wagner H., Terkelsen C.J., Friberg H. et al. Cardiac arrest in the catheterization laboratory: a 5-year experience of using mechanical chest compressions to facilitate PCI during prolonged resuscitation efforts // Resuscitation. — 2010. — Vol. 81. — P. 383-387.

Wirth S., Korner M., Treitl M. et al. Computed tomography during cardiopulmonary resuscitation using automated chest compression devices — an initial study // Eur. Radiol. — 2009. — Vol. 19. — P. 1857-1866.

Sunde K., Wik L., Steen P.A. Quality of mechanical, manual standard and active compression-decompression CPR on the arrest site and during transport in a manikin model // Resuscitation. — 1997. — Vol. 34. — P. 235-242.

Olasveengen T.M., Wik L., Steen P.A. Quality of cardiopulmonary resuscitation before and during transport in out-of-hospital cardiac arrest // Resuscitation. — 2008. — Vol. 76. — P. 185-190.




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