| 병원 내 심정지 환자에서 루카스 사용 전과 후의 심폐소생술 결과 비교 연구 |
윤종우
, 김용오
, 최한주
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| 단국대학교병원 응급의학과 |
| Comparison of the effectiveness of cardiopulmonary resuscitation before and after using the LUCAS device in in-hospital cardiac arrest |
| Jong Woo Yoon
, Yong Oh Kim
, Han Joo Choi
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| Department of Emergency Medicine, Dankook Medical Hospital, Dankook University School of Medicine, Cheonan, Korea |
| Correspondence |
Han Joo Choi ,Tel: 041-550-6840, Fax: 041-550-7054, Email: iqtus@hanmail.net,
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Received: June 16, 2022; Revised: October 4, 2022 Accepted: December 30, 2022. Published online: April 30, 2023. |
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| ABSTRACT |
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.
Method:
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. |
| Key words:
Heart arrest; Cardiopulmonary resuscitation; Hospital Rapid Response Team |
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