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A novel mechanical chest compressor with rapid deployment in all population cardiopulmonary resuscitation

Cardiopulmonary resuscitation (CPR) resuscitates patients suffering from cardiac arrest. Mechanical chest compression CPR highlights the need for high CPR quality to facilitate survival and neurological recovery. However, current CPR devices cannot be used on pregnant women or infants. These devices...

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Autores principales: Sung, Chih-Wei, Wang, Hung-Chih, Shieh, Jiann-Shing, Jaw, Fu-Shan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7142104/
https://www.ncbi.nlm.nih.gov/pubmed/32269273
http://dx.doi.org/10.1038/s41598-020-63058-9
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author Sung, Chih-Wei
Wang, Hung-Chih
Shieh, Jiann-Shing
Jaw, Fu-Shan
author_facet Sung, Chih-Wei
Wang, Hung-Chih
Shieh, Jiann-Shing
Jaw, Fu-Shan
author_sort Sung, Chih-Wei
collection PubMed
description Cardiopulmonary resuscitation (CPR) resuscitates patients suffering from cardiac arrest. Mechanical chest compression CPR highlights the need for high CPR quality to facilitate survival and neurological recovery. However, current CPR devices cannot be used on pregnant women or infants. These devices’ long re-setup times interrupt CPR and can cause cerebral ischemia. This study designed a novel device with a crank-sliding mechanism. The polar coordinate system (r, θ, z) shortened the setup time and enabled adjustment without moving the patient. We compared our device with commercial products (e.g., LUCAS-2) by quantifying the compression pressure. Control groups for manual CPR of trained physicians and untrained citizens were recruited. We used Resusci Anne products as models. Our results indicated that our design exhibited performance similar to that of LUCAS-2 in adults (557.8 vs. 623.6 mmHg, p = 0.217) and met the current CPR standard guidelines. Notably, our device is applicable to pregnant women [565 vs. 564.5 (adults) mmHg, p = 0.987] and infants [570.8 vs. 564.5 (adults) mmHg, p = 0.801] without lowering the compression quality. The overall compression quality and stability of mechanical chest compression CPR were favorable to those of manual CPR. Our device provides an innovative prototype for the next generation of CPR facilities.
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spelling pubmed-71421042020-04-11 A novel mechanical chest compressor with rapid deployment in all population cardiopulmonary resuscitation Sung, Chih-Wei Wang, Hung-Chih Shieh, Jiann-Shing Jaw, Fu-Shan Sci Rep Article Cardiopulmonary resuscitation (CPR) resuscitates patients suffering from cardiac arrest. Mechanical chest compression CPR highlights the need for high CPR quality to facilitate survival and neurological recovery. However, current CPR devices cannot be used on pregnant women or infants. These devices’ long re-setup times interrupt CPR and can cause cerebral ischemia. This study designed a novel device with a crank-sliding mechanism. The polar coordinate system (r, θ, z) shortened the setup time and enabled adjustment without moving the patient. We compared our device with commercial products (e.g., LUCAS-2) by quantifying the compression pressure. Control groups for manual CPR of trained physicians and untrained citizens were recruited. We used Resusci Anne products as models. Our results indicated that our design exhibited performance similar to that of LUCAS-2 in adults (557.8 vs. 623.6 mmHg, p = 0.217) and met the current CPR standard guidelines. Notably, our device is applicable to pregnant women [565 vs. 564.5 (adults) mmHg, p = 0.987] and infants [570.8 vs. 564.5 (adults) mmHg, p = 0.801] without lowering the compression quality. The overall compression quality and stability of mechanical chest compression CPR were favorable to those of manual CPR. Our device provides an innovative prototype for the next generation of CPR facilities. Nature Publishing Group UK 2020-04-08 /pmc/articles/PMC7142104/ /pubmed/32269273 http://dx.doi.org/10.1038/s41598-020-63058-9 Text en © The Author(s) 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Article
Sung, Chih-Wei
Wang, Hung-Chih
Shieh, Jiann-Shing
Jaw, Fu-Shan
A novel mechanical chest compressor with rapid deployment in all population cardiopulmonary resuscitation
title A novel mechanical chest compressor with rapid deployment in all population cardiopulmonary resuscitation
title_full A novel mechanical chest compressor with rapid deployment in all population cardiopulmonary resuscitation
title_fullStr A novel mechanical chest compressor with rapid deployment in all population cardiopulmonary resuscitation
title_full_unstemmed A novel mechanical chest compressor with rapid deployment in all population cardiopulmonary resuscitation
title_short A novel mechanical chest compressor with rapid deployment in all population cardiopulmonary resuscitation
title_sort novel mechanical chest compressor with rapid deployment in all population cardiopulmonary resuscitation
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7142104/
https://www.ncbi.nlm.nih.gov/pubmed/32269273
http://dx.doi.org/10.1038/s41598-020-63058-9
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