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Mechanische CPR (AutoPulse™) in Bauchlage, machbar?

BACKGROUND: Due to SARS-CoV‑2 respiratory failure, prone positioning of patients with respiratory and hemodynamic instability has become a frequent intervention in intensive care units (ICUs), and even in patients undergoing transfer in an ambulance or helicopter. It has become increasingly importan...

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Autores principales: Pietsch, U., Knapp, J., Wenzel, V., Lischke, V., Albrecht, R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Medizin 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7510768/
https://www.ncbi.nlm.nih.gov/pubmed/32968843
http://dx.doi.org/10.1007/s00101-020-00851-1
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author Pietsch, U.
Knapp, J.
Wenzel, V.
Lischke, V.
Albrecht, R.
author_facet Pietsch, U.
Knapp, J.
Wenzel, V.
Lischke, V.
Albrecht, R.
author_sort Pietsch, U.
collection PubMed
description BACKGROUND: Due to SARS-CoV‑2 respiratory failure, prone positioning of patients with respiratory and hemodynamic instability has become a frequent intervention in intensive care units (ICUs), and even in patients undergoing transfer in an ambulance or helicopter. It has become increasingly important how to perform safe and effective CPR in prone position, achieving both an optimal outcome for the patient and optimal protection of staff from infection. MATERIALS AND METHODS: We conducted feasibility tests to assess the effects of CPR with an automatic load-distributing band (AutoPulse™) in prone position and discussed different aspects of mechanical chest compression (mCPR) in prone position. RESULTS: In supine position, AutoPulse™ generated a constant pressure depth of 3cm at a frequency of 84/min. In prone position, AutoPulse™ generated a constant pressure depth of 2.6cm at a frequency of 84/min. CONCLUSION: We found mCPR to be feasible in manikins in both prone and supine positions.
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spelling pubmed-75107682020-09-23 Mechanische CPR (AutoPulse™) in Bauchlage, machbar? Pietsch, U. Knapp, J. Wenzel, V. Lischke, V. Albrecht, R. Anaesthesist Notfallmedizin BACKGROUND: Due to SARS-CoV‑2 respiratory failure, prone positioning of patients with respiratory and hemodynamic instability has become a frequent intervention in intensive care units (ICUs), and even in patients undergoing transfer in an ambulance or helicopter. It has become increasingly important how to perform safe and effective CPR in prone position, achieving both an optimal outcome for the patient and optimal protection of staff from infection. MATERIALS AND METHODS: We conducted feasibility tests to assess the effects of CPR with an automatic load-distributing band (AutoPulse™) in prone position and discussed different aspects of mechanical chest compression (mCPR) in prone position. RESULTS: In supine position, AutoPulse™ generated a constant pressure depth of 3cm at a frequency of 84/min. In prone position, AutoPulse™ generated a constant pressure depth of 2.6cm at a frequency of 84/min. CONCLUSION: We found mCPR to be feasible in manikins in both prone and supine positions. Springer Medizin 2020-09-23 2021 /pmc/articles/PMC7510768/ /pubmed/32968843 http://dx.doi.org/10.1007/s00101-020-00851-1 Text en © Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2020 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Notfallmedizin
Pietsch, U.
Knapp, J.
Wenzel, V.
Lischke, V.
Albrecht, R.
Mechanische CPR (AutoPulse™) in Bauchlage, machbar?
title Mechanische CPR (AutoPulse™) in Bauchlage, machbar?
title_full Mechanische CPR (AutoPulse™) in Bauchlage, machbar?
title_fullStr Mechanische CPR (AutoPulse™) in Bauchlage, machbar?
title_full_unstemmed Mechanische CPR (AutoPulse™) in Bauchlage, machbar?
title_short Mechanische CPR (AutoPulse™) in Bauchlage, machbar?
title_sort mechanische cpr (autopulse™) in bauchlage, machbar?
topic Notfallmedizin
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7510768/
https://www.ncbi.nlm.nih.gov/pubmed/32968843
http://dx.doi.org/10.1007/s00101-020-00851-1
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