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Complication frequency of mechanical chest compression devices: A single-center, blinded study using retrospective
Takumi Tsuchida1, Takashi Kamiishi2, Hiroaki Usubuchi2
1Division of Acute and Critical Care Medicine, Department of Anesthesiology and Critical Care Medicine, Hokkaido University Faculty of Medicine, Sapporo, Japan.
Resuscitation Plus
|October 10, 2024
Summary
Mechanical chest compression devices like LUCAS did not increase overall complications in cardiac arrest patients. However, LUCAS use was linked to more hemothorax cases and longer transport times compared to manual CPR.
Area of Science:
- Emergency medicine
- Cardiology
- Critical care medicine
Background:
- Mechanical chest compression devices are increasingly used for cardiac arrest.
- Existing cardiopulmonary resuscitation (CPR) guidelines and device updates necessitate evidence review.
Purpose of the Study:
- To compare complications associated with mechanical chest compression devices (LUCAS) versus manual CPR in out-of-hospital cardiac arrest (OHCA).
Main Methods:
- A single-center, retrospective study of adult OHCA patients receiving CPR.
- Propensity score matching was used to compare patients receiving LUCAS versus manual CPR.
- Computed tomography (CT) scans evaluated by a blinded radiologist to determine compression complications.
Main Results:
- No significant difference in overall chest compression complications between LUCAS and manual CPR groups.
- The LUCAS group had a higher incidence of hemothorax (p=0.028).
- Factors like female sex, older age, and longer CPR duration correlated with complications, while LUCAS use did not.
Conclusions:
- LUCAS use was not associated with an increased overall incidence of chest compression complications in OHCA patients.
- LUCAS use was associated with more hemothorax and longer transport times compared to manual CPR.
- Further research is needed to evaluate the multifaceted benefits of LUCAS.
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