Abstract:
BACKGROUND:Physical and mental workload during cardiopulmonary resuscitation (CPR) is challenging under extreme working conditions. We hypothesized that the mechanical chest-compression device Lund University Cardiac Assist System (LUCAS) increases the effectiveness of CPR, decreases the physical workload and improves the mental performance of the emergency medical service (EMS) staff during simulated emergency helicopter flights. METHODS:During simulated helicopter flights, 12 EMS teams performed manual or LUCAS-CPR on a manikin at random order. Compression depth, rate, overall time of compressions, application of drugs and defibrillation were recorded to test the quality of CPR. Heart rate monitoring of EMS members was used as a surrogate of physical workload. Cognitive performance was evaluated shortly after each flight by a questionnaire and a memory test about medical and extraneous items presented to the teams during the flights. RESULTS:Overall times of chest-compressions were similar, compression rate (101.7±9.6/min) was lower and compressions were deeper (3.9±0.2cm) with LUCAS as compared to manual CPR (113.3±19.3/min and 3.7±0.4cm) (P<0.01, respectively). Heart rates of the EMS staff were increased after manual as compared to mechanical CPR (100.1±21.0 vs. 80.4±11.3, P<0.01). Results of the questionnaire (93.6±6.9% vs. 87.0±7.3% correct answers, P<0.01) and memory test (22.4±15.4% vs. 11.3±7.5%, P<0.02) were significantly better after LUCAS resuscitation. Dosing of drugs, application intervals and rate of correct handling of drugs and defibrillation were not different between LUCAS or manual CPR. CONCLUSIONS:During simulated helicopter flights LUCAS-CPR improved the efficacy of chest-compressions, was physically less demanding and provided enhanced cognitive performance of the EMS team as compared to manual CPR.
journal_name
Minerva Anestesioljournal_title
Minerva anestesiologicaauthors
Rehatschek G,Muench M,Schenk I,Dittrich W,Schewe JC,Dirk C,Hering Rsubject
Has Abstractpub_date
2016-04-01 00:00:00pages
429-37issue
4eissn
0375-9393issn
1827-1596pii
R02Y9999N00A150149journal_volume
82pub_type
杂志文章,随机对照试验abstract:BACKGROUND:The detection of epidural space is usually performed by the technique of loss of resistance (LOR) without technological support, although there are few commercial options. In this work, we aimed to assess the feasibility of a new, non-invasive, mechatronic system for LOR detection in clinical settings. The s...
journal_title:Minerva anestesiologica
pub_type: 杂志文章
doi:10.23736/S0375-9393.20.14031-8
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abstract::Postanaesthetic shivering is one of the leading causes of discomfort for patients recovering from general anesthesia. During EMG records, the distinguishing factor from shivering in fully awake patients is the existence of clonus similar to that recorded in patients with spinal cord transection. They coexist with the ...
journal_title:Minerva anestesiologica
pub_type: 杂志文章,评审
doi:
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abstract:AIM:Microdialysis allows the biochemical analysis of interstitial fluids as a bedside procedure. This technique is of interest to evaluate the glucose dependent metabolism in hypoglycaemic patients. It was the aim to perform subcutaneous and blood microdialysis during hypoglycaemic clamp experiments in 12 healthy young...
journal_title:Minerva anestesiologica
pub_type: 杂志文章
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abstract:BACKGROUND:The characteristics of sevoflurane make it able to be used without N2O avoiding its undesirable effects to this associates. The aim of the study is to evaluate the clinical characteristics of sevoflurane anesthesia "N2O free" in comparison to sevoflurane anesthesia with N2O. METHODS:920 patient undergoing e...
journal_title:Minerva anestesiologica
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:
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abstract::Intraoperative brain mapping has the goal of aiding with maximal surgical resection of brain tumors while minimizing functional sequelae. Retrospective randomized studies on large populations have shown that this technique can optimize the surgical approach while reducing postoperative morbidity. During direct electri...
journal_title:Minerva anestesiologica
pub_type: 杂志文章,评审
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更新日期:2008-06-01 00:00:00
abstract::The case of a woman of 27 affected by the Prader-Willi syndrome who underwent general anaesthesia for dental surgery is reported. The patient presented severe mental retardation, small stature, moderate muscular hypotonia, hyperphagia, obesity, and diabetes mellitus. Premedication consisted of diazepam and atropine; a...
journal_title:Minerva anestesiologica
pub_type: 杂志文章
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journal_title:Minerva anestesiologica
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2001-05-01 00:00:00
abstract::A case of high spinal anesthesia complicating an interscalene brachial plexus block is described. After an apparently straightforward location of the plexus with good paresthesias, the injection of 10 ml of local anesthetic caused a high spinal block whose main feature was apnea. The patient retained his consciousness...
journal_title:Minerva anestesiologica
pub_type: 杂志文章
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pub_type: 杂志文章
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journal_title:Minerva anestesiologica
pub_type: 临床试验,杂志文章
doi:
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journal_title:Minerva anestesiologica
pub_type: 临床试验,杂志文章
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journal_title:Minerva anestesiologica
pub_type: 杂志文章
doi:
更新日期:1993-07-01 00:00:00
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journal_title:Minerva anestesiologica
pub_type: 杂志文章,评审
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journal_title:Minerva anestesiologica
pub_type: 杂志文章,评审
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journal_title:Minerva anestesiologica
pub_type: 杂志文章,评审
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journal_title:Minerva anestesiologica
pub_type: 评论,信件
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pub_type: 杂志文章,随机对照试验
doi:
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journal_title:Minerva anestesiologica
pub_type: 杂志文章
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pub_type: 杂志文章,多中心研究
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pub_type: 杂志文章
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更新日期:2016-04-05 00:00:00
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journal_title:Minerva anestesiologica
pub_type: 临床试验,杂志文章,随机对照试验
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