Hanouz Jean Luc, Thuaudet Sylvain, Ramakers Michel, Bessodes Alain, Charbonneau Pierre, Gérard Jean Louis, Bricard Henri
Department of Anesthesiology and Surgical Intensive Care and Emergency Medicine, CHU de Caen, France.
Resuscitation. 2002 Jan;52(1):49-53. doi: 10.1016/s0300-9572(01)00443-9.
Recently, a new device for minimally invasive direct cardiac massage (MIDCM) has been developed. In animal models of cardiopulmonary resuscitation MIDCM has been shown to provide better organ perfusion than external chest compressions (ECC) massage. Since this device has been developed to improve cardiopulmonary resuscitation in humans, its use must be simple. Thus, we measured the time required for the insertion of the MIDCM device on human cadavers.
After a 1 h theoretical course, physicians and surgeons were asked to use the MIDCM device on human cadavers. We measured the time from the cutaneous incision to the first direct cardiac compression.
The mean time required for the insertion of the MIDCM device was 16+/-11 s (range 8-58 s). The insertion time required for each group of physicians were as follows, 15+/-8 s for anaesthesiologists (range 8-28 s), 11+/-2 s for cardiac surgeons (range 9-15 s), 42+/-14 s for cardiologists (range 27-58 s), and 12+/-4 s for intensive care physicians (range 8-18). All participants compared the insertion of the MIDCM device favorably with the insertion of a chest drain.
The MIDCM device can be placed in a few seconds in human cadavers by physicians familiar with chest drain insertion. Theoretical course and training with the device may be useful especially for those who are not familiar with chest drain insertion.
最近，一种用于微创直接心脏按压（MIDCM）的新设备已被研发出来。在心肺复苏的动物模型中，MIDCM已被证明比外部胸部按压（ECC）能提供更好的器官灌注。由于开发此设备是为了改善人类的心肺复苏情况，其使用必须简便。因此，我们测量了在人体尸体上插入MIDCM设备所需的时间。
在进行1小时的理论课程培训后，要求内科医生和外科医生在人体尸体上使用MIDCM设备。我们测量了从皮肤切口到首次直接心脏按压的时间。
插入MIDCM设备所需的平均时间为16±11秒（范围为8 - 58秒）。每组医生所需的插入时间如下：麻醉医生为15±8秒（范围为8 - 28秒），心脏外科医生为11±2秒（范围为9 - 15秒），心脏病专家为42±14秒（范围为27 - 58秒），重症监护医生为12±4秒（范围为8 - 18秒）。所有参与者都认为MIDCM设备的插入比胸腔引流管的插入更有利。
熟悉胸腔引流管插入的医生能够在几秒钟内将MIDCM设备放置在人体尸体上。理论课程和该设备的培训可能特别有助于那些不熟悉胸腔引流管插入的人。
