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KMID : 0385920230340020087
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Journal of the Korean Society of Emergency Medicine
2023 Volume.34 No. 2 p.87 ~ p.95
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Comparison of the effectiveness of cardiopulmonary resuscitation before and after using the LUCAS device in in-hospital cardiac arrest
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Yoon Jong-Woo
Kim Yong-Oh
Choi Han-Joo
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Abstract
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Objective: High-quality chest compressions are consistently delivered by mechanical chest compression devices. This study assesses the feasibility of LUCAS in in-hospital cardiac arrest (IHCA) patients.
Methods: This was a single-center, retrospective, before and after clinical study comparing the clinical outcomes of LUCAS cardiopulmonary resuscitation (CPR) in IHCA patients. The return of spontaneous circulation (ROSC) rate and 7- day mortality were evaluated to assess short-term outcomes. Additional outcomes included epinephrine dose, CPR time, and the number of medical workers participating in CPR.
Results: The number of medical workers who participated in CPR in the LUCAS CPR group was fewer than in the manual CPR group (manual CPR 9.3 vs. LUCAS CPR 4.5; P=0.001). In IHCA patients, no significant differences were obtained in the ROSC rate (manual CPR 46.4% vs. LUCAS CPR 31.4%; P=0.051) and 7-day mortality (manual CPR 81% vs. LUCAS CPR 86.3%; P=0.434) between the two groups. However, the median CPR time (manual CPR 28.1 vs.
LUCAS CPR 42.8; P=0.001) and the epinephrine dose (manual CPR 8.3 vs. LUCAS CPR 13.3; P=0.001) were significantly longer in the LUCAS CPR group than the manual CPR group.
Conclusion: Compared to manual CPR, CPR with LUCAS required fewer healthcare workers and had no significant difference in the ROSC rate and mortality in patients with IHCA.
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KEYWORD
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Heart arrest, Cardiopulmonary resuscitation, Hospital Rapid Response Team
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