Schewe J-C, Heister U, Hoeft A, Krep H
Klinik und Poliklinik für Anästhesiologie und Operative Intensivmedizin, Universitätsklinikum, Rheinische Friedrich-Wilhelms-Universität, Sigmund-Freud-Strasse 25, 53105 Bonn, Deutschland.
Anaesthesist. 2008 Jun;57(6):582-8. doi: 10.1007/s00101-008-1376-0.
Survival rates after cardiac arrest remain poor despite substantial efforts to advance the cardiopulmonary resuscitation algorithm in the last decades. Recent changes in the resuscitation guidelines in 2005 focused on minimizing interruptions during chest compressions. The aim to provide optimal chest compressions led to the development of automated mechanical chest compression devices, one of which is the AutoPulse resuscitation system. A case of successful use of the AutoPulse system in a 66-year-old patient with sudden cardiac arrest is presented and a review is given of more than 3 years experience in the routine use of this mechanical device for CPR in the emergency medical system in Bonn. Based on this experience, the AutoPulse system is considered to be a safe and effective technical advancement that under certain CPR conditions can be a helpful tool and provide an increased quality of chest compressions.
尽管在过去几十年里人们为改进心肺复苏算法付出了巨大努力，但心脏骤停后的存活率仍然很低。2005年复苏指南的最新变化集中在尽量减少胸外按压期间的中断。提供最佳胸外按压的目标促使了自动机械胸外按压设备的发展，其中之一就是AutoPulse复苏系统。本文介绍了一例在一名66岁心脏骤停患者中成功使用AutoPulse系统的病例，并回顾了在波恩紧急医疗系统中常规使用这种机械装置进行心肺复苏超过3年的经验。基于这一经验，AutoPulse系统被认为是一项安全有效的技术进步，在某些心肺复苏条件下可以成为一个有用的工具，并提高胸外按压的质量。
