For patients surviving resuscitation, the subsequent clinical course until death or hospital discharge was evaluated for signs of visceral or chest cage damage by a panel of two radiologists, an intensivist and a cardiologist, using all available information. Among the large prospective clinical trials that have been published using an automated CPR device, the AutoPulse ® Resuscitation System has achieved the highest survival rate. Cardiac arrest in special circumstancesCardiopulmonary resuscitation interruptions with use of a load-distributing band device during Emergency Department Cardiac ArrestAssessment of CPR interruptions from transthoracic impedance during use of the LUCAS mechanical chest compression systemCPR-related injuries after manual or mechanical chest compressions with the LUCAS device: a multicentre study of victims after unsuccessful resuscitationManual and automated cardiopulmonary resuscitation (CPR): a comparison of associated injury patternsTraumatic injuries after mechanical cardiopulmonary resuscitation (LUCAS™2): a forensic autopsy studyEffects of mechanical chest compression device with a load-distributing band on post-resuscitation injuries identified by post-mortem computed tomographyComparison of computed tomography and autopsy in detection of injuries after unsuccessful cardiopulmonary resuscitationVirtual autopsy as an alternative to traditional medical autopsy in the intensive care unit: a prospective cohort studyChest compression injuries detected via routine post-arrest care in patients who survive to admission after out-of-hospital cardiac arrest© The Author 2017. After randomization of 69 patients and observing a lower-than-expected inclusion rate, we decided to merge the patients allocated to the two control groups up to that moment into one control group for use in both comparisons and changed the allocation to 1:1:1 for AutoPulse:LUCAS:control for the remainder of the study (Flowchart displaying randomization, exclusion, and inclusion.

Per-patient randomization with 1:1 allocation to either LUCAS study or AutoPulse study study was followed by per-patient randomization with 1:1 allocation to the study device or to manual control CPR, and the resulting treatment allocation concealed in opaque envelopes that were placed at the coronary care unit (CCU).

We categorized mechanical CPR recipients by witness to compare prognostic effectiveness of AUTOPULSE and LUCAS. Wolters Kluwer

CC, chest compression; ROSC, return of spontaneous circulation; CT, computed tomography.Flowchart displaying randomization, exclusion, and inclusion. We do not sugest that the severe or life-threatening injuries that we reported are the only possible injuries. Search for other works by this author on:

LUCAS showed a lower survival than AUTOPULSE (OR, 0.23; 95% CI, 0.06-0.84), although it showed no significant association with ROSC. Excluded were patients with a traumatic cause of the arrest, patients with known or estimated age <18 years, patients who arrived at the emergency room with a mechanical chest compression device already applied by the ambulance crew, patients who had return of spontaneous circulation before application of the study device, and patients who had no cardiac arrest.Randomization was done by computer-generated random numbers. Search for other works by this author on: The AutoPulse may generate high intra-thoracic pressure because of the force on the circumference of the chest. Comparison of in-hospital use of mechanical chest compression devices for out-of-hospital cardiac arrest patients: AUTOPULSE vs LUCAS. If the mechanical chest compression device did not operate as intended because of battery failure or other malfuction, the device was removed from the patient, manual chest compression administered, and the patient was excluded from analysis.Chest compression data from all patients were obtained from a LifePak 12 defibrillator (Physio-Control, Redmond, WA, USA) and analysed with specific software (CodeStat Suite V9, Physio-Control, Redmond, WA, USA) with automated time synchronization. Percutaneous coronary intervention (OR, 6.30; 95% CI, 1.53-25.95) and target temperature management (TTM; OR, 7.30; 95% CI, 2.27-23.49) were the independent factors for survival. 3D hybrid printed models in complex congenital heart disease: 3D echocardiography and cardiovascular magnetic resonance imaging fusion LUCAS showed no significant increase in ROSC or survival in comparison with AUTOPULSE in both subgroups.The in-hospital use of LUCAS may have a deleterious effect for survival compared with AUTOPULSE.

Part 5: adult basic life support and cardiopulmonary resuscitation quality: 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular careEuropean Resuscitation Council Guidelines for Resuscitation 2015: Section 2. Adult OHCA patients after receiving in-hospital …

This definition of the primary endpoint was clinically oriented and could not be assessed in full if the patient did not survive the resuscitation attempt. Baltimore, Maryland CC, chest compression; ROSC, return of spontaneous circulation; CT, computed tomography.One AutoPulse device, one LUCAS device, and one Philips MRx defibrillator were stationed at the CCU, together with the randomization envelopes.

Chicago, Illinois

This study aimed to investigate the prognostic difference between AUTOPULSE and LUCAS for out-of-hospital cardiac arrest (OHCA) adult patients.A retrospective observational study was performed nationwide. The RD between AutoPulse and controls was +4.4% (95% CI −8.5 to 17.3), Death of three patients was clearly and directly attributable to the resuscitation damage itself: two patients with LUCAS compressions had a liver rupture with massive bleeding (one died during resuscitation and one died in the ICU) and one AutoPulse-treated patient had a tension pneumothorax with air embolism involving the brain and died during resuscitation.

1. Clinical trial registration: ISRCTN14647429 (LUCAS) and ISRCTN75393297 (AutoPulse).Patients were included between 3 November 2008 and 26 May 2014.