Posted by lucascpr.com on May 21st 2021
Lucas Chest Compression Device
Lucas Chest Compression Device
The mechanical chest compression device (LUCAS) can be a useful tool in the cath lab during situations of acute vessel closure causing cardiac arrest.
Increased opportunities
for better patient outcomes
The LUCAS device has been shown to improve quality of chest compressions, increase ETCO2 levels as well as being able to sustain life-saving circulation during prolonged resuscitation attempts. LUCAS has been studied extensively, shown to be safe and effective and to save patients that would otherwise have been considered futile.
Improving operational efficiencies
With the LUCAS device, fatigue, individual variations or psychological factors are removed from CPR and there is no longer a need for switching CPR providers every two minutes. LUCAS helps provide high-quality and safer chest compressions in situations such as patient movement and transportation, during prolonged CPR or in the cath lab.
LUCAS enables and facilitates:
- Extended CPR
- High-quality CPR during transport Putzer G, Braun P, Zimmerman A, et al.
LUCAS compared to manual cardiopulmonary resuscitation is more effective during helicopter rescue – a prospective, randomized, cross-over manikin study
. Am J Emerg Med. 2013 Feb;31(2):384-9" data-ref-id="1511.1" data-original-title="" title="" style="box-sizing: border-box; background-color: transparent; color: rgb(175, 109, 4); text-decoration-line: none; font-weight: 400; cursor: pointer;">1, Gyory R, Buchle S, Rodgers D, et al. The efficacy of LUCAS in prehospital cardiac arrest scenarios: A crossover mannequin study. West J Emerg Med. 2017;18(3):437-445
" data-ref-id="1512.1" data-original-title="" title="" style="box-sizing: border-box; background-color: transparent; color: rgb(175, 109, 4); text-decoration-line: none; font-weight: 400; cursor: pointer;">2, Magliocca A, Olivari D, De Giorgio D, et al. LUCAS Versus Manual Chest Compression During Ambulance Transport: A Hemodynamic Study in a Porcine Model of Cardiac Arrest. Journal of the American Heart Association 2018;8(1)" data-ref-id="7063.1" data-original-title="" title="" style="box-sizing: border-box; background-color: transparent; color: rgb(175, 109, 4); text-decoration-line: none; font-weight: 400; cursor: pointer;">26
- Treatment of the underlying cause, such as myocardial infarction, pulmonary embolism and accidental hypothermia
LUCAS device has shown to:
- Provide consistent quality of chest compressions during resuscitation attempts Putzer G, Braun P, Zimmerman A, et al. LUCAS compared to manual cardiopulmonary resuscitation is more effective during helicopter rescue – a prospective, randomized, cross-over manikin study. Am J Emerg Med. 2013 Feb;31(2):384-9
" data-ref-id="1511.1" data-original-title="" title="" style="box-sizing: border-box; background-color: transparent; color: rgb(175, 109, 4); text-decoration-line: none; font-weight: 400; cursor: pointer;">1, Gyory R, Buchle S, Rodgers D, et al. The efficacy of LUCAS in prehospital cardiac arrest scenarios: A crossover mannequin study. West J Emerg Med. 2017;18(3):437-445
" data-ref-id="1512.1" data-original-title="" title="" style="box-sizing: border-box; background-color: transparent; color: rgb(175, 109, 4); text-decoration-line: none; font-weight: 400; cursor: pointer;">2, Wyss CA, Fox J, Franzeck F, et al. Mechanical versus manual chest compression during CPR in a cardiac catherisation settting. Cardiovascular Medicine. 2010;13(3):92-96
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- Create life-sustaining perfusion of the brain and heart of the patientCarmona JF., et al. Cerebral blood flow measured by transcranial Doppler ultrasound during manual chest wall or automated LUCAS 2 compressions during cardiopulmonary resuscitation. Emergencias. 2012; 24: 47-49
" data-ref-id="1514.1" data-original-title="" title="" style="box-sizing: border-box; background-color: transparent; color: rgb(175, 109, 4); text-decoration-line: none; font-weight: 400; cursor: pointer;">4, Larsen AI., et al. Coronary blood flow and perfusion pressure during coronary angiography in patients with ongoing mechanical chest compression: A report on 6 cases. Resuscitation. 2010. 81: p. 493–497
" data-ref-id="1515.1" data-original-title="" title="" style="box-sizing: border-box; background-color: transparent; color: rgb(175, 109, 4); text-decoration-line: none; font-weight: 400; cursor: pointer;">5, Wagner H, Madsen Hardig B, Harnek J, et al. Aspects on resuscitation in the coronary interventional catheter laboratory. Circulation. 2010;122:A91
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- Create good neurological outcomesRubertsson S, Lindgren E, Smekal D, et al. Mechanical chest compressions and simultaneous defibrillation vs conventional cardiopulmonary resuscitation in out-of-hospital cardiac arrest. The LINC randomized trial. JAMA. 2013;311(1):53-61.
" data-ref-id="1517.1" data-original-title="" title="" style="box-sizing: border-box; background-color: transparent; color: rgb(175, 109, 4); text-decoration-line: none; font-weight: 400; cursor: pointer;">7, Sporer K., et al. Continuous Quality Improvement Efforts Increase Survival with Favorable Neurologic Outcome after Out-of-hospital Cardiac Arrest. Prehosp Emerg Care. 2017 Jan-Feb;21(1):1-6
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LUCAS helps your team by:
- Freeing up hands and reducing chaos around the patient
- Calming down the scene and buying time to make decisions
- Providing CPR guidance and data for feedback
- LUCAS helps keep your team safe:
- During ambulance, helicopter or in-hospital transportation
- By reducing x-ray exposure of CPR provider during PCI in cath lab
- During the physically demanding work of providing CPR in awkward physical conditions
Pre-hospital
Staying safe
Caregivers cannot deliver optimal care if they are at risk of injury on the job. From the field to the cath lab, the LUCAS device reduces risks to caregivers while maintaining Guidelines-consistent chest compressions.
Addresses transport hazards
The ambulance transport environment is inherently dangerous because of high-speed driving, risky maneuvers and hazardous road conditions. This poses a significant safety risk for the EMS crew who are often standing and unrestrained in a confined space while performing CPR.William P, Rao P, Kanakadandi U, et. al. Mechanical Cardiopulmonary Resuscitation In and On the Way to the Cardiac Catheterization Laboratory. Circulation Journal. Released May 25, 2016 Circ J 2016; 80: 1292–1299
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CPR guidelines recognizes the value of mechanical CPR in situations where provider safety is compromised or when high-quality manual CPR is not possible.ERC European Resuscitation Council Guidelines for Resuscitation 2015. Resuscitation. 2015;95:1-311" data-ref-id="1525.1" data-original-title="" title="" style="box-sizing: border-box; background-color: transparent; color: rgb(175, 109, 4); text-decoration-line: none; font-weight: 400; cursor: pointer;">15, AHA 2015 guidelines. Circulation. 2015;132[suppl 2]:S315-573 " data-ref-id="1526.1" data-original-title="" title="" style="box-sizing: border-box; background-color: transparent; color: rgb(175, 109, 4); text-decoration-line: none; font-weight: 400; cursor: pointer;">16
Did you know that:
- The LUCAS device is now considered mandatory on Danish Search & Rescue Helicopters.Winther K, Bleeg RC. LUCAS™2 in Danish Search and Rescue Helicopters. Air Medical Journal. 2016 35(2): 79-83
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- 30-40% of patients who have achieved return of spontaneous circulation on the scene will re-arrest prior to hospital arrival, some during the transport.Salcido DD, Stephenson AM, Condle JP, Callaway CW, Menegazzi JJ. Incidence of rearrest after return of spontaneous circulation in out-of-hospital cardiac arrest. Prehosp Emerg Care. 2010;14(4):413-8
" data-ref-id="1529.1" data-original-title="" title="" style="box-sizing: border-box; background-color: transparent; color: rgb(175, 109, 4); text-decoration-line: none; font-weight: 400; cursor: pointer;">19, Lerner EB, O’Connell M, Pirrallo RG. Rearrest after prehospital resuscitation. Prehosp Emerg Care. 2011 Jan-Mar;15(1):50-4
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- “EMS personnel encounter a hazardous and difficult work environment in amoving ambulance while providing lifesaving and life-sustaining emergency patient care." Brice J, Studnek J, Bigham B, et. al. EMS Provider and Patient Safety during Response and Transport: Proceedings of an Ambulance Safety Conference. Prehospital Emergency Care. Vol. 16, Iss. 1, 2012" data-ref-id="1528.1" data-original-title="" title="" style="box-sizing: border-box; background-color: transparent; color: rgb(175, 109, 4); text-decoration-line: none; font-weight: 400; cursor: pointer;">18
Ambulance Safety Conference Summary
7 sec
A median 7 second interruption when transitioning from manual to LUCAS mechanical chest compressions in routine use in a BLS/ALS system.Levy M, Yost D, Walker R, et al. A quality improvement initiative to optimize use of a mechanical chest compression device within a high-performance CPR approach to out-of-hospital cardiac arrest.
Resuscitation. 2015;92:32-37
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