A comparison of autopsy detected injuries in a porcine model of cardiac arrest treated with either manual or mechanical chest compressions

被引：11

作者：

Xanthos, Theodoros ^{[1
]}

Pantazopoulos, Ioannis ^{[4
]}

Roumelioti, Hara

Lelovas, Pavlos ^{[1
]}

Iacovidou, Nicoletta ^{[5
]}

Dontas, Ismene ^{[2
]}

Demestiha, Theano ^{[1
]}

Spiliopoulou, Hara ^{[3
]}

机构：

[1] Univ Athens, Sch Med, Dept Anat, GR-11527 Athens, Greece

[2] Univ Athens, Sch Med, Dept Expt Surg & Surg Res, GR-11527 Athens, Greece

[3] Univ Athens, Sch Med, Dept Forens Med & Toxicol, GR-11527 Athens, Greece

[4] Sotiria Gen Hosp, Dept Resp Med 12, Athens, Greece

[5] Univ Med Sch, Dept Obstet & Gynecol 2, Div Neonatol, Athens, Greece

来源：

EUROPEAN JOURNAL OF EMERGENCY MEDICINE | 2011年 / 18卷 / 02期

关键词：

hematomas; LUCAS; manual cardiopulmonary resuscitation; rib fractures; sternal fractures; CARDIOPULMONARY-RESUSCITATION; ACD-CPR; FREQUENCY;

D O I：

10.1097/MEJ.0b013e32833e79cf

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

The objective of this study was to evaluate and compare the complications of cardiopulmonary resuscitation after manual or mechanical chest compressions in a swine model of ventricular fibrillation. In this retrospective study, 106 swine were treated with either manual (n=53) or mechanical chest compressions with the LUCAS device (n=53). All swine cadavers underwent necropsy. The animals with no autopsy findings were significantly fewer in the LUCAS group (P=0.004). Sternal fractures were identified in 18 animals in the manual and only two in the LUCAS group (P=0.003). Rib fractures were present in 16 animals in the manual and only four in the LUCAS group (P=0.001). Nine animals in the manual, and two in the LUCAS group had liver hematomas (P=0.026%). In the manual group, eight animals were detected with spleen hematomas whereas no such injury was identified in the LUCAS group (P=0.003). LUCAS devise minimized the resuscitation-related trauma compared with manual chest compressions in a swine model of cardiac arrest. European Journal of Emergency Medicine 18:108-110 (C) 2011 Wolters Kluwer Health vertical bar Lippincott Williams & Wilkins.

引用

页码：108 / 110

页数：3

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