Lucas 2 chest compression system (2)
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The LUCAS 2 is a mechanical chest compression device that provides consistent, high-quality CPR according to AHA guidelines. It can be used by first responders, medical professionals, and in pre-hospital and in-hospital settings for patients in cardiac arrest. The LUCAS 2 compresses the chest at a rate of 102 times per minute and a depth of 2.1 inches, allowing for full chest recoil between compressions. While it increases perfusion and standardizes compressions, there can be delays in application and it may not fit all patient sizes.
Lucas 2 chest compression system (2)
- 1. LUCAS 2 Chest Compression System Presented by: Brooke Otterson
- 2. About the LUCAS 2 What it does & how to use it: • Delivers mechanical chest compressions based on the 2010 AHA CPR guidelines • Video on how to use LUCAS 2: https://www.youtube.com/watch?v=HvNkWpZmdHA Who can it be used on? Adult Patients who fit into the device: • Sternum height of 6.7–11.9 inches (17 – 30.3 cm) • Maximum chest width: 17.7 inches (45 cm) The use of LUCAS is not restricted by patient weight. *Patients with sternum height between 6.7 inches-7.3 inches will receive linearly increasing depth from 1.5 inches to 2.1 inches.
- 3. Who Operates • First responders • Ambulance personnel • Nurses • Physicians • Other medical staff who have undertaken a CPR course and received training in how to use LUCAS 2
- 4. Implications for Use Sudden Cardiac Arrest Victims Pre-hospital At scene During transfer- ambulance, helicopter In-hospital Emergency Department/Trauma Center/ICU On Units- code teams Cath Labs
- 5. Sudden Cardiac Arrest Statistics • Nearly 383,000 out-of hospital sudden cardiac arrests occur each year in the US o 147.7 out of every 100,000 adults • 88% of all sudden cardiac arrests occur at home • Survival from cardiac arrest is noted on national levels to be less than 8%. • Survival from cardiac arrest without neurologic insult is around 1 %. • Roughly 30 individuals are brought into Long Prairie by ambulance in sudden cardiac arrest.
- 6. AHA Guidelines for CPR and LUCAS 2010 AHA Guidelines: • A compression rate of at least 100/min • A compression depth of at least 2 inches (5 cm) in adults • Allowing for complete chest recoil after each compression • Minimizing interruptions in chest compressions • Avoiding excessive ventilation LUCAS 2: • Compression Frequency: 102 ± 2 compressions per minute • Compression Depth: 2.1 inches ± 0.1 inches • Complete chest recoil between compressions • Minimizes interruptions in chest compressions once initiated • Avoiding excessive ventilation by letting the user know when to ―give breaths‖
- 7. Advantages Disadvantages • Increased perfusion to brain and heart • Controlled compression rate • Controlled compression depth • Complete recoil of chest between compressions • Reduces number of CPR interruptions • Compressions do not need to be stopped to deliver defibrillation • Allow healthcare providers to focus on other life saving procedures and to provide for their own safety. • Long interruption time needed to apply device • Potential for incorrect application of the device • One size does not fit all
- 8. References American Heart Association, Inc. (2013). Heart disease and stroke statistics—2013 update. Retrieved from http://circ.ahajournals.org/content/early/2012/12/12/CIR.0b013e31828124ad.full.pdf American Heart Association, Inc. (2010). Highlights of the 2010 American Heart Association guidelines for CPR and ECC.Retrieved from http://www.heart.org/idc/groups/heart-public/@wcm/@ecc/documents/downloadable/ucm_317350.pdf Park, C., Roffi, M., Bendjelid, K., & Bonvini, R. (2013). Percutaneous noncoronary interventions during continuous mechanical chest compression with the LUCAS-2 device. American Journal Of Emergency Medicine, 31(2), 456.e1-3. doi:10.1016/j.ajem.2012.07.022 Physio-Control, Inc. (2011). Lucas chest compression system: Your partner in in life support. Retrieved from http://www.lucas- cpr.com/ Physio-Control, Inc. (2013). LUCAS 2 chest compression system. Retrieved from http://www.physio-control.com/LUCAS/ Putzer, G., Braun, P., Zimmermann, A., Pedross, F., Strapazzon, G., Brugger, H., & Paal, P. (2013). LUCAS compared to manual cardiopulmonary resuscitation is more effective during helicopter rescue-a prospective, randomized, cross-over manikin study. The American Journal Of Emergency Medicine, 31(2), 384-389. doi:10.1016/j.ajem.2012.07.018 Trivedi, K., Borovnik-Lesjak, V., & Gazmuri, R. (2013). LUCAS 2(TM) device, compression depth, and the 2010 cardiopulmonary resuscitation guidelines. American Journal Of Emergency Medicine, 31(7), 1154.e1-2. doi:10.1016/j.ajem.2013.03.007 Yost, D., Phillips, R., Gonzales, L., Lick, C., Satterlee, P., Levy, M., & ... Niskanen, R. (2012). Assessment of CPR interruptions from transthoracic impedance during use of the LUCAS™ mechanical chest compression system. Resuscitation, 83(8), 961- 965. doi:10.1016/j.resuscitation.2012.01.019