Development and validation of an improved mechanical thorax for simulating cardiopulmonary resuscitation with adjustable chest stiffness and simulated blood flow.

Abstract:

:Investigations of compressive frequency, duty cycle, or waveform during CPR are typically rooted in animal research or computer simulations. Our goal was to generate a mechanical model incorporating alternate stiffness settings and an integrated blood flow system, enabling defined, reproducible comparisons of CPR efficacy. Based on thoracic stiffness data measured in human cadavers, such a model was constructed using valve-controlled pneumatic pistons and an artificial heart. This model offers two realistic levels of chest elasticity, with a blood flow apparatus that reflects compressive depth and waveform changes. We conducted CPR at opposing levels of physiologic stiffness, using a LUCAS device, a motor-driven plunger, and a group of volunteers. In high-stiffness mode, blood flow generated by volunteers was significantly less after just 2min of CPR, whereas flow generated by LUCAS device was superior by comparison. Optimal blood flow was obtained via motor-driven plunger, with trapezoidal waveform.

journal_name

Med Eng Phys

authors

Eichhorn S,Spindler J,Polski M,Mendoza A,Schreiber U,Heller M,Deutsch MA,Braun C,Lange R,Krane M

doi

10.1016/j.medengphy.2017.02.005

subject

Has Abstract

pub_date

2017-05-01 00:00:00

pages

64-70

eissn

1350-4533

issn

1873-4030

pii

S1350-4533(17)30057-7

journal_volume

43

pub_type

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