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LUCAS™ CPR In-Hospital Use

LUCAS CPR Hospital Use

Duration: 5 min 46 sec.

LUCAS - your partner in life-support

With the LUCAS Chest Compression System the emergency department or hospital staff are relieved of the tiresome work to perform manual compressions on a rotating two minute schedule basis. This does not only reduce crowding and chaos around the patient and calms down the situation, it also buys time for medical experts to more efficiently assess the patient’s condition and determine the best treatment plan.

Facilitating diagnosis and enabling definite therapy

Sometimes advance life-support like CPR and defibrillation alone are not enough or appropriate to achieve a stable pulse in the patient. The most common cause for cardiac arrest is an acute myocardial infarction.  LUCAS has in a wide range of case/reports of refractory VF or PEA been the critical tool for making transportation to the cath lab possible, followed by emergency angiography with consecutive life/saving PCI intervention during ongoing LUCAS circulatory support.

In this case, maintaining uninterrupted circulation through manual as well as mechanical chest compressions continued until the successful percutaneous coronary intervention saved the patients life without neurologic damage.

Pubmed abstract; Prause et al, Am J Emerg Med. 2010; 28(6):746.e5-6. Epub 2010 Mar 25

Prause G, Archan S, Gemes G, Kaltenböck F, Smolnikov I, Schuchlenz H, Wildner G. “Tight control of effectiveness of cardiac massage with invasive blood pressure monitoring during cardiopulmonary resuscitation”. Am J Emerg Med. 2010; 28(6):746.e5-6. Epub 2010 Mar 25

LUCAS has been used successfully in several types of cardiac arrests (PEA or asystole due to anaphylactic shock, accidental hypothermia, renal insufficiency and pulmonary emboli) in the hospital. Effective and tireless LUCAS compressions have enabled a prolonged resuscitation during which the cause of the arrest was able to be found and treated (1, 2, 3, 4, 5, 6).

1) Schäfer et al; Clin Res Cardiol 96: Suppl 1 (2007). P961 - Reanimationsbehandlung mittels LUCAS – ein Fallbericht (P961 – Resuscitation with LUCAS – a case report)
2) Vatsgar et al; Resuscitation 68 (2006) 155—159. Cardiac arrest and resuscitation with an automatic mechanical chest compression device (LUCAS) due to anaphylaxis of a woman receiving caesarean section because of pre-eclampsia
3) Linder et al; Lakartidningen (Journal of Swedish physcian´s association) no 34, (2006), volyme 103. Mechanical compression during PCI saved life (Swedish: Mekanisk kompression under perkutan koronarintervention räddade liv)
4) Holmstrom et al; Resuscitation 67 (2005), 139-141. A case of hypothermic cardiac arrest treated with an external chest compression device (LUCAS) during transport to re-warming
5) Wik et al; Resuscitation 66 (2005) 391-394. Use of an automatic chest compression device (LUCAS) as a bridge to establishing cardiopulmonary bypass for a patient with hypothermic cardiac arrest
6) Nielsen et al; Resuscitation 65 (2005), 111-113. Successful resuscitation with mechanical CPR, therapeutic hypothermia and coronary intervention during manual CPR after out-of-hsoptial cardiac arrest

There are different generations (i.e., versions) of the LUCAS Chest Compression System. The first generation was driven by compressed air, whereas the later generations are driven by battery. Although all LUCAS versions are similar in most respects and deliver chest compressions according to the AHA and ERC guidelines, they differ somewhat in mechanical design and usability. The differences need to be considered when extrapolating clinical and animal data from the different versions.

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Physio-Control Inc. / Jolife AB, Ideon Science Park, SE-223 70 Lund, Sweden, Tel: +46 (0) 46 286 50 00, Fax: +46 (0) 46 286 50 10, info@lucas-cpr.com
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