手动与自动胸部按压设备在零重力下用于心肺复苏术的比较（MACCC-0G 研究）。
Manual versus automatic chest compression devices for cardiopulmonary resuscitation under zero gravity (The MACCC - 0G STUDY).
机构信息
Service de Médecine Intensive et Réanimation, Hôpital Brabois, CHRU Nancy, 54500 Vandœuvre-Lès-Nancy, France; Faculté de Médecine de Nancy, Université de Lorraine, DevAH UR 3450, Vandœuvre-Lès-Nancy, France.
Faculté de Santé, Université Paris Cité, Paris, France.
出版信息
Resuscitation. 2024 Oct;203:110385. doi: 10.1016/j.resuscitation.2024.110385. Epub 2024 Sep 4.
INTRODUCTION
Cardiopulmonary resuscitation (CPR) in microgravity requires specific methods to counteract weightlessness. Automatic chest compression devices (ACCDs) could improve CPR in microgravity. We aimed to compare ACCDs versus manual CPR in microgravity simulated through parabolic flights.
METHODS
This prospective, open, controlled study compared 3 ACCDs (LUCAS 3©, AUTOPULSE©, EASYPULSE©) to manual CPR during the 66th CNES (Centre National d'Etudes Spatiales) parabolic flights campaign onboard the Novespace Air Zero-G A310 aircraft. Chest compression depths and rates were monitored by a Laerdal© Resusci-Ann-QCPR manikin.
RESULTS
The LUCAS 3© device had a median compression depth of 53.0 [53.0-54.0] mm, significantly higher than the EASYPULSE©, AUTOPULSE©, and Manual CPR (Handstand method), measured at 29.0 [26.0-32.0] mm, 29.0 [27.5-30.7] mm and 34.5 [29.6-43.3] mm, respectively (p value < 0.001). Compression rates were 101 [101-101], 100 [100-100] and 80 [80-80] compressions per minute (cpm) for the LUCAS 3©, EASYPULSE©, and AUTOPULSE©, respectively. Manual CPR provided a significantly higher compression rate with 115 [109-123] cpm (p value < 0.001).
CONCLUSION
Only LUCAS 3© provided effective CPR according to international guidelines. ACCDs should implement microgravity CPR algorithms.
简介
微重力下心肺复苏（CPR）需要特定的方法来对抗失重。自动胸部按压设备（ACCDs）可以改善微重力下的 CPR。我们旨在通过抛物线飞行模拟比较 ACCD 与手动 CPR。
方法
这项前瞻性、开放性、对照研究比较了 3 种 ACCD（LUCAS 3©、AUTOPULSE©、EASYPULSE©）与 Novespace Air Zero-G A310 飞机上的第 66 次法国国家空间研究中心（Centre National d'Etudes Spatiales）抛物线飞行期间的手动 CPR。胸部按压深度和速率由 Laerdal©Resusci-Ann-QCPR 模型监测。
结果
LUCAS 3© 设备的中位压缩深度为 53.0 [53.0-54.0] mm，明显高于 EASYPULSE©、AUTOPULSE©和手动 CPR（倒立手），分别为 29.0 [26.0-32.0] mm、29.0 [27.5-30.7] mm 和 34.5 [29.6-43.3] mm（p 值均<0.001）。压缩率分别为 LUCAS 3© 的 101 [101-101]、EASYPULSE© 的 100 [100-100]和 AUTOPULSE© 的 80 [80-80]次/分钟（cpm）。手动 CPR 提供了显著更高的压缩率，为 115 [109-123] cpm（p 值均<0.001）。
结论
只有 LUCAS 3© 按照国际指南提供了有效的 CPR。ACCD 应实施微重力 CPR 算法。
Zotero 插件