A remote-controlled automatic chest compression device capable of moving compression position during CPR: A pilot study in a mannequin and a swine model of cardiac arrest

被引：1

作者：

Suh, Gil Joon ^{[1
,2
,3
]}

Kim, Taegyun ^{[2
]}

Kim, Kyung Su ^{[2
,3
]}

Kwon, Woon Yong ^{[1
,2
,3
]}

Kim, Hayoung ^{[2
]}

Park, Heesu ^{[2
]}

Wang, Gaonsorae ^{[2
]}

Park, Jaeheung ^{[4
,5
]}

Hur, Sungmoon ^{[5
]}

Sim, Jaehoon ^{[4
]}

Kim, Kyunghwan ^{[6
]}

Lee, Jung Chan ^{[3
,7
,8
,9
,10
,11
]}

Shin, Dong Ah ^{[7
]}

Cho, Woo Sang ^{[8
]}

Kim, Byung Jun ^{[8
]}

Kwon, Soyoon ^{[8
]}

Lee, Ye Ji ^{[12
]}

机构：

[1] Seoul Natl Univ, Coll Med, Dept Emergency Med, Seoul, South Korea

[2] Seoul Natl Univ Hosp, Dept Emergency Med, Seoul, South Korea

[3] Seoul Natl Univ, Res Ctr Disaster Med, Med Res Ctr, Seoul, South Korea

[4] Seoul Natl Univ, Grad Sch Convergence Sci & Technol, Seoul, South Korea

[5] Adv Inst Convergence Technol, Suwon, South Korea

[6] NT Robot Co, Seoul, South Korea

[7] Seoul Natl Univ, Inst Med & Biol Engn, Med Res Ctr, Seoul, South Korea

[8] Seoul Natl Univ, Grad Sch, Interdisciplinary Program Bioengn, Seoul, South Korea

[9] Seoul Natl Univ, Coll Med, Dept Biomed Engn, Seoul, South Korea

[10] Seoul Natl Univ Hosp, Dept Biomed Engn, Seoul, South Korea

[11] Seoul Natl Univ Hosp, Innovat Med Technol Res Inst, Seoul, South Korea

[12] Seoul Natl Univ Hosp, Biomed Res Inst, Seoul, South Korea

来源：

PLOS ONE | 2024年 / 19卷 / 01期

关键词：

CARDIOPULMONARY-RESUSCITATION; VALVE MOTION; QUALITY; DECOMPRESSION;

D O I：

10.1371/journal.pone.0297057

中图分类号：

O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];

学科分类号：

07 ; 0710 ; 09 ;

摘要：

Background Recently, we developed a chest compression device that can move the chest compression position without interruption during CPR and be remotely controlled to minimize rescuer exposure to infectious diseases. The purpose of this study was to compare its performance with conventional mechanical CPR device in a mannequin and a swine model of cardiac arrest. Materials and methods A prototype of a remote-controlled automatic chest compression device (ROSCER) that can change the chest compression position without interruption during CPR was developed, and its performance was compared with LUCAS 3 in a mannequin and a swine model of cardiac arrest. In a swine model of cardiac arrest, 16 male pigs were randomly assigned into the two groups, ROSCER CPR (n = 8) and LUCAS 3 CPR (n = 8), respectively. During 5 minutes of CPR, hemodynamic parameters including aortic pressure, right atrial pressure, coronary perfusion pressure, common carotid blood flow, and end-tidal carbon dioxide partial pressure were measured. Results In the compression performance test using a mannequin, compression depth, compression time, decompression time, and plateau time were almost equal between ROSCER and LUCAS 3. In a swine model of cardiac arrest, coronary perfusion pressure showed no difference between the two groups (p = 0.409). Systolic aortic pressure and carotid blood flow were higher in the LUCAS 3 group than in the ROSCER group during 5 minutes of CPR (p < 0.001, p = 0.008, respectively). End-tidal CO(2 )level of the ROSCER group was initially lower than that of the LUCAS 3 group, but was higher over time (p = 0.022). A Kaplan-Meier survival analysis for ROSC also showed no difference between the two groups (p = 0.46). Conclusion The prototype of a remote-controlled automated chest compression device can move the chest compression position without interruption during CPR. In a mannequin and a swine model of cardiac arrest, the device showed no inferior performance to a conventional mechanical CPR device.

引用

页数：13

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