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LUCAS Device Use Associated with Prolonged Pauses during Application and Long Chest Compression Intervals
Sean Morgan1, J Jordan Gray2, Woodrow Sams3
1Department of Emergency Medicine, University of Colorado School of Medicine, Aurora, Colorado.
Prehospital Emergency Care
|March 1, 2023
Summary
Mechanical compression devices in out-of-hospital cardiac arrest (OHCA) resuscitation prolong compression intervals and pauses. Further study is needed to understand the clinical significance of these prolonged pauses and their impact on patient outcomes.
Area of Science:
- Emergency Medicine
- Cardiology
- Resuscitation Science
Background:
- High-quality out-of-hospital cardiac arrest (OHCA) resuscitation requires minimizing interruptions in chest compressions.
- The impact of mechanical chest compression devices on resuscitation quality is not well understood.
Purpose of the Study:
- To investigate the association between mechanical chest compression device use and compression interruption patterns during OHCA resuscitation.
- To compare compression pause durations and intervals with and without the LUCAS device.
Main Methods:
- Systematic abstraction of CPR metrics from adult non-traumatic OHCA cases utilizing the LUCAS device.
- Analysis of compression-pause segments, stratifying by LUCAS device application.
- Evaluation of pause durations and comparison with airway management or defibrillation events.
Main Results:
- LUCAS device use was associated with significantly longer compression intervals compared to manual compressions (133s vs. 38s).
- Pauses exceeding 10 seconds were more frequent with LUCAS application than with airway management or defibrillation.
- Peri-LUCAS pauses exceeded 30 seconds in 6/38 cases.
Conclusions:
- Mechanical chest compression devices are associated with prolonged compression intervals and longer pauses during OHCA resuscitation.
- The clinical significance and impact on patient outcomes of these prolonged pauses require further investigation.
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