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首页> 外文期刊>Prehospital emergency care >HANDS-OFF TIME DURING AUTOMATED CHEST COMPRESSION DEVICE APPLICATION IN OUT-OF-HOSPITAL CARDIAC ARREST: A CASE SERIES REPORT
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HANDS-OFF TIME DURING AUTOMATED CHEST COMPRESSION DEVICE APPLICATION IN OUT-OF-HOSPITAL CARDIAC ARREST: A CASE SERIES REPORT

机译：自动胸外按压装置在医院外心脏骤停中的处理时间：病例报告

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Introduction: During out-of-hospital cardiac arrest (OHCA), chest compression interruptions or hands-off time (HOT) affect the prognosis. Our aim was to measure HOT due to the application of an automated chest compression device (ACD) by an advanced life support team. Materials and Methods: This was a prospective observational case series report since the introduction of a new method of installing the ACD. Inclusion criteria were patients over 18years old with OHCA who were treated with an ACD (Lucas 2(TM), Physio-Control). The ACD application was indicated only for OHCA patients transported to a hospital for Extra Corporeal Life Support (ECLS). We recorded the HOT related to switching from manual to mechanical chest compressions. An ACD consists of dorsal and ventral components, which can be installed either in one or in two steps, separated from a chest compression sequence. HOT was expressed as a median number of seconds [interquartile range]. Results: From January 1, 2012 to January 15, 2013, 30 patients were included. In the case of ACD application in one phase (n = 16), the median HOT was 25.3s [19.8-30.5]. With regard to patients with an ACD application in two phases (n = 14), the median HOT was, respectively, 9.8s [7.8-17] and 12.4s [9.5-16.2], that is, a median global HOT of 23.6s [19-27.6]. HOT was not different between ACD applications in one or two phases (p = 0.52). For a two phase application, the median chest compression time between the two manipulations was 14.2s [6.4-18]. Conclusion: There was no significant difference between techniques in the application of the Lucas 2(TM) device in terms of HOT. The short time needed to apply the device lends itself well to use as a primary chest compression modality during cardiac arrest as well as a bridge to novel resuscitation strategies (ECLS). A further study is currently underway with a larger number of ECLS patients.
机译：简介：在院外心脏骤停（OHCA）期间，胸部按压中断或放手时间（HOT）会影响预后。我们的目标是通过高级生命支持团队应用自动胸部按压设备（ACD）来测量HOT。材料和方法：这是自引入新的ACD安装方法以来的前瞻性观察病例系列报告。纳入标准为接受ACD（Lucas 2TM，Physio-Control）治疗的OHCA超过18岁的患者。仅适用于被运往医院进行体外生命支持（ECLS）的OHCA患者的ACD应用。我们记录了与从手动胸部按压转换为机械胸部按压有关的HOT。 ACD由背侧和腹侧组件组成，可以分一步安装，也可以分两步安装，与胸部按压顺序分开。 HOT表示为中位数秒数（四分位间距）。结果：2012年1月1日至2013年1月15日，共纳入30例患者。在ACD应用为一个阶段（n = 16）的情况下，中位HOT为25.3s [19.8-30.5]。对于分两个阶段（n = 14）应用ACD的患者，中位HOT分别为9.8s [7.8-17]和12.4s [9.5-16.2]，即全球HOT中位数为23.6s [19-27.6]。在ACD应用程序中，在一两个阶段中HOT并无差异（p = 0.52）。对于两阶段应用，两次操作之间的中位胸部按压时间为14.2s [6.4-18]。结论：就HOT而言，在Lucas 2™设备的应用技术之间没有显着差异。使用该设备所需的时间很短，很适合用作心脏骤停期间的主要胸部按压方式，以及通往新型复苏策略（ECLS）的桥梁。目前正在对更多的ECLS患者进行进一步的研究。

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