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在一系列院外心脏骤停患者中与LUCAS按压装置相关的严重损伤。

LUCAS compression device-related severe injuries in a series of patients presenting with outside hospital cardiac arrest.

作者信息

Waqar Aneeq, Rajput Furqan, Rachwan Rayan Jo, Abi-Saab Tarek, Gimelli Giorgio

机构信息

Department of Cardiovascular Medicine, University of Wisconsin, Madison, WI, USA.

Department of Pathology, University of Wisconsin, Madison, WI, USA.

出版信息

J Cardiol Cases. 2022 Oct 4;26(6):432-435. doi: 10.1016/j.jccase.2022.09.006. eCollection 2022 Dec.

Abstract

UNLABELLED

This case series presents patients who presented to the hospital with an outside hospital cardiac arrest and were initially resuscitated successfully. All patients suffered fatal traumatic injuries during the resuscitation process with the common variable being the use of mechanical cardiopulmonary resuscitation (CPR) device. The goal of this case series is to describe the limitations and potential fatal side effects of CPR. We also present a review of literature with our impressions of the appropriate indications for the use of mechanical CPR.

LEARNING OBJECTIVES

  1. Recognize appropriate indications for the use of mechanical vs manual cardiopulmonary resuscitation (CPR). 2) Identify signs and symptoms of mechanical CPR-related complications.
摘要

未加标注

本病例系列介绍了那些在院外发生心脏骤停并被送入医院且最初成功复苏的患者。所有患者在复苏过程中均遭受致命创伤,共同变量是使用了机械心肺复苏(CPR)设备。本病例系列的目的是描述心肺复苏的局限性和潜在致命副作用。我们还对文献进行了综述,并阐述了我们对机械心肺复苏使用的适当指征的看法。

学习目标

1)识别机械心肺复苏与徒手心肺复苏(CPR)使用的适当指征。2)识别机械心肺复苏相关并发症的体征和症状。

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LUCAS compression device-related severe injuries in a series of patients presenting with outside hospital cardiac arrest.
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本文引用的文献

2
Skeletal and soft tissue injuries after manual and mechanical chest compressions.
Eur Heart J Qual Care Clin Outcomes. 2019 Jul 1;5(3):259-265. doi: 10.1093/ehjqcco/qcy062.
5
Frequency and number of resuscitation related rib and sternum fractures are higher than generally considered.
Resuscitation. 2015 Aug;93:136-41. doi: 10.1016/j.resuscitation.2015.02.034. Epub 2015 Mar 12.
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Chest compression rates and survival following out-of-hospital cardiac arrest.
Crit Care Med. 2015 Apr;43(4):840-8. doi: 10.1097/CCM.0000000000000824.
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A systematic review and pooled analysis of CPR-associated cardiovascular and thoracic injuries.
Resuscitation. 2014 Jun;85(6):724-31. doi: 10.1016/j.resuscitation.2014.01.028. Epub 2014 Feb 10.

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