https://doi.org/10.4081/ecj.2021.9525
The role of automated compression devices in out-of- and in- hospital cardiac arrest. Can we spare rescuers’ hands?
Submitted: 24 November 2020
Accepted: 26 March 2021
Published: 28 June 2021
Accepted: 26 March 2021
Abstract Views: 1043
PDF: 393
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Research regarding the use of mechanical compressions in the setting of a cardiac arrest, either outside of or inside the hospital environment has produced mixed results. The debate whether they can replace manual compressions still remains. The aim of this review is to present current literature contemplating the application of mechanical compressions in both settings, data comparing them to manual compressions as well as current guidelines regarding their implementation in everyday clinical use. Currently, their implementation in the resuscitation protocol seems to benefit the victims of an in-hospital cardiac arrest rather than the victims that sustain a cardiac arrest outside of the hospital.
Couper K, Yeung J, Nicholson T, et al. Mechanical chest compression devices at in-hospital cardiac arrest: A systematic review and meta-analysis. Resuscitation 2016;103:24-31.
DOI: https://doi.org/10.1016/j.resuscitation.2016.03.004
Gräsner JT, Lefering R, Koster RW, et al. EuReCa ONE—27 Nations, ONE Europe, ONE Registry: A prospective one month analysis of out-of-hospital cardiac arrest outcomes in 27 countries in Europe. Resuscitation 2016;105:188-95.
DOI: https://doi.org/10.1016/j.resuscitation.2016.10.001
Gräsner JT, Wnent J, Herlitz J, et al. Survival after out-of-hospital cardiac arrest in Europe - Results of the EuReCa TWO study. Resuscitation 2020;148:218-26.
DOI: https://doi.org/10.1016/j.resuscitation.2019.12.042
Schluep M, Gravesteijn BY, Stolker RJ, et al. One-year survival after in-hospital cardiac arrest: A systematic review and meta-analysis. Resuscitation 2018;132:90-100.
DOI: https://doi.org/10.1016/j.resuscitation.2018.09.001
Kleinman ME, Brennan EE, Goldberger ZD, et al. Part 5: Adult basic life support and cardiopulmonary resuscitation quality: 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation 2015;132:S414-35.
DOI: https://doi.org/10.1161/CIR.0000000000000259
Jones AYM. Can cardiopulmonary resuscitation injure the back? Resuscitation 2004;61:63-7.
DOI: https://doi.org/10.1016/j.resuscitation.2003.12.007
Yuksen C, Prachanukool T, Aramvanitch K, et al. Is a mechanical-assist device better than manual chest compression? A randomized controlled trial. Open Access Emerg Med 2017;9:63-7.
DOI: https://doi.org/10.2147/OAEM.S133074
Kłosiewicz T, Puślecki M, Zalewski R, et al. Impact of automatic chest compression devices in out-of-hospital cardiac arrest. J Thorac Dis 2020;12:2200–27.
DOI: https://doi.org/10.21037/jtd.2020.04.25
Levy M, Yost D, Walker RG, et al. A quality improvement initiative to optimize use of a mechanical chest compression device within a high-performance CPR approach to out-of-hospital cardiac arrest resuscitation. Resuscitation 2015;92:32-7.
DOI: https://doi.org/10.1016/j.resuscitation.2015.04.005
Couper K, Smyth M, Perkins GD. Mechanical devices for chest compression: To use or not to use? Curr Opin Crit Care 2015;21:188-94.
DOI: https://doi.org/10.1097/MCC.0000000000000200
Lameijer H, Immink RS, Broekema JJ, Ter Maaten JC. Mechanical cardiopulmonary resuscitation in in-hospital cardiac arrest: a systematic review. Eur J Emerg Med 2015;22:379–83.
DOI: https://doi.org/10.1097/MEJ.0000000000000304
Pinto DC, Haden-Pinneri K, Love JC. Manual and automated cardiopulmonary resuscitation (CPR): A comparison of associated injury patterns. J Forensic Sci 2013;58:904-9.
DOI: https://doi.org/10.1111/1556-4029.12146
Spiro JR, White S, Quinn N, et al. Automated cardiopulmonary resuscitation using a load-distributing band external cardiac support device for in-hospital cardiac arrest: A single centre experience of AutoPulse-CPR. Int J Cardiol 2015;180:7-14.
DOI: https://doi.org/10.1016/j.ijcard.2014.11.109
Perkins GD, Kocierz L, Smith SCL, et al. Compression feedback devices over estimate chest compression depth when performed on a bed. Resuscitation 2009;80:79-82.
DOI: https://doi.org/10.1016/j.resuscitation.2008.08.011
Ong MEH, Quah JLJ, Annathurai A, et al. Improving the quality of cardiopulmonary resuscitation by training dedicated cardiac arrest teams incorporating a mechanical load-distributing device at the emergency department. Resuscitation 2013;84:508-14.
DOI: https://doi.org/10.1016/j.resuscitation.2012.07.033
Couper K, Quinn T, Booth K, et al. Mechanical versus manual chest compressions in the treatment of in-hospital cardiac arrest patients in a non-shockable rhythm: A multi-centre feasibility randomised controlled trial (COMPRESS-RCT). Resuscitation 2021;158:228-235. Epub 2020 Oct 7.
DOI: https://doi.org/10.1016/j.resuscitation.2020.09.033
Poole K, Couper K, Smyth MA, Yeung J, Perkins GD. Mechanical CPR: Who? When? How? Crit Care 2018;22:140.
DOI: https://doi.org/10.1186/s13054-018-2059-0
Tan SC, Leong BSH. Cardiac arrests within the emergency department: An Utstein style report, causation and survival factors. Eur J Emerg Med 2018;25:12-7.
DOI: https://doi.org/10.1097/MEJ.0000000000000427
Webb JG, Solankhi NK, Chugh SK, et al. Incidence, correlates, and outcome of cardiac arrest associated with percutaneous coronary intervention. Am J Cardiol 2002;90:1252-4.
DOI: https://doi.org/10.1016/S0002-9149(02)02846-1
Latsios G, Mpompotis G, Tsioufis K, et al. Advanced cardiopulmonary resuscitation (CPR) in the Catheterization Laboratory: Consensus document of the Working Groups of 1) Cardiopulmonary Resuscitation/Acute Cardiac Care and 2) Hemodynamic and Interventional Cardiology, Hellenic Cardiological Society. Hell J Cardiol 2017;58:396-400.
DOI: https://doi.org/10.1016/j.hjc.2017.11.010
Hirshfeld JW, Ferrari VA, Bengel FM, et al. 2018 ACC/HRS/NASCI/SCAI/SCCT Expert Consensus Document on Optimal Use of Ionizing Radiation in Cardiovascular Imaging: Best Practices for Safety and Effectiveness: A Report of the American College of Cardiology Task Force on Expert Consensus Decision Pathways. J Am Coll Cardiol 2018;71:e283-e351.
DOI: https://doi.org/10.1016/j.jacc.2018.02.016
Chambers CE, Fetterly KA, Holzer R, et al. Radiation safety program for the cardiac catheterization laboratory. Catheter Cardiovasc Interv 2011;77:546-56.
DOI: https://doi.org/10.1002/ccd.22867
Venturini JM, Retzer E, Estrada JR, et al. Mechanical chest compressions improve rate of return of spontaneous circulation and allow for initiation of percutaneous circulatory support during cardiac arrest in the cardiac catheterization laboratory. Resuscitation 2017;115:56-60.
DOI: https://doi.org/10.1016/j.resuscitation.2017.03.037
Grogaard HK, Wik L, Eriksen M, et al. Continuous Mechanical Chest Compressions During Cardiac Arrest to Facilitate Restoration of Coronary Circulation With Percutaneous Coronary Intervention. J Am Coll Cardiol 2007;50:1093-4.
DOI: https://doi.org/10.1016/j.jacc.2007.05.028
Agostoni P, Cornelis K, Vermeersch P. Successful percutaneous treatment of an intraprocedural left main stent thrombosis with the support of an automatic mechanical chest compression device. Int J Cardiol 2008;124:e19-21.
DOI: https://doi.org/10.1016/j.ijcard.2006.11.175
Larsen AI, Hjørnevik ÅS, Ellingsen CL, Nilsen DWT. Cardiac arrest with continuous mechanical chest compression during percutaneous coronary intervention. A report on the use of the LUCAS device. Resuscitation 2007;75:454-9.
DOI: https://doi.org/10.1016/j.resuscitation.2007.05.007
Yadav K, Truong HT. Cardiac Arrest in the Catheterization Laboratory. Curr Cardiol Rev 2018;14:115-20.
DOI: https://doi.org/10.2174/1573403X14666180509144512
Wagner H, Terkelsen CJ, Friberg H, et al. Cardiac arrest in the catheterisation laboratory: A 5-year experience of using mechanical chest compressions to facilitate PCI during prolonged resuscitation efforts. Resuscitation 2010;81:383-7.
DOI: https://doi.org/10.1016/j.resuscitation.2009.11.006
Wagner H, Hardig BM, Rundgren M, et al. Mechanical chest compressions in the coronary catheterization laboratory to facilitate coronary intervention and survival in patients requiring prolonged resuscitation efforts. Scand J Trauma Resusc Emerg Med 2016;24:4.
DOI: https://doi.org/10.1186/s13049-016-0198-3
Latsios G, Antonopoulos A, Vogiatzakis N, et al. Successful primary PCI during prolonged continuous cardiopulmonary resuscitation with an automated chest compression device (AutoPulse). Int J Cardiol 2016;225:258-9.
DOI: https://doi.org/10.1016/j.ijcard.2016.10.023
Dallan LA, Vargas TT, Janella BL, et al. Chest compressions using mechanical devices are more effective than manual compressions in cardiac arrest concomitant with emergency percutaneous coronary intervention. J Am Coll Cardiol 2014;63:A1868.
DOI: https://doi.org/10.1016/S0735-1097(14)61871-4
Field JM, Hazinski MF, Sayre MR, et al. Part 1: Executive summary: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2010;122:S640-56.
Truhlář A, Deakin CD, Soar J, et al. European Resuscitation Council Guidelines for Resuscitation 2015. Section 4. Cardiac arrest in special circumstances. Resuscitation 2015;95:148-201.
DOI: https://doi.org/10.1016/j.resuscitation.2015.07.016
Halperin HR, Paradis N, Ornato JP, et al. Cardiopulmonary resuscitation with a novel chest compression device in a porcine model of cardiac arrest: Improved hemodynamics and mechanisms. J Am Coll Cardiol 2004;44:2214-20.
DOI: https://doi.org/10.1016/j.jacc.2004.08.061
Ikeno F, Kaneda H, Hongo Y, et al. Augmentation of tissue perfusion by a novel compression device increases neurologically intact survival in a porcine model of prolonged cardiac arrest. Resuscitation 2006;68:109-18.
DOI: https://doi.org/10.1016/j.resuscitation.2005.05.024
Hallstrom A, Rea TD, Sayre MR, et al. Manual chest compression vs use of an automated chest compression device during resuscitation following out-of-hospital cardiac arrest: A randomized trial. JAMA 2006;295:2620-8.
DOI: https://doi.org/10.1001/jama.295.22.2620
Yost D, Phillips RH, Gonzales L, et al. Assessment of CPR interruptions from transthoracic impedance during use of the LUCASTM mechanical chest compression system. Resuscitation 2012;83:961-5.
DOI: https://doi.org/10.1016/j.resuscitation.2012.01.019
Westfall M, Krantz S, Mullin C, Kaufman C. Mechanical versus manual chest compressions in out-of-hospital cardiac arrest: A meta-analysis. Crit Care Med 2013;41:1782-9.
DOI: https://doi.org/10.1097/CCM.0b013e31828a24e3
Khan SU, Lone AN, Talluri S, et al. Efficacy and safety of mechanical versus manual compression in cardiac arrest – A Bayesian network meta-analysis. Resuscitation 2018;130:182-8.
DOI: https://doi.org/10.1016/j.resuscitation.2018.05.005
Hock Ong ME, Fook-Chong S, Annathurai A, et al. Improved neurologically intact survival with the use of an automated, load-distributing band chest compression device for cardiac arrest presenting to the emergency department. Crit Care 2012;16:R144.
DOI: https://doi.org/10.1186/cc11456
Hayashida K, Tagami T, Fukuda T, et al. Mechanical cardiopulmonary resuscitation and hospital survival among adult patients with nontraumatic out-of-hospital cardiac arrest attending the emergency department: A prospective, multicenter, observational study in Japan (SOS-KANTO [Survey of Survivos after Out-of-Hospital Cardiac Arrest in Kanto Area] 2012 Study). J Am Heart Assoc 2017;6:e007420.
Olasveengen TM, Wik L, Steen PA. Quality of cardiopulmonary resuscitation before and during transport in out-of-hospital cardiac arrest. Resuscitation 2008;76:185-90.
DOI: https://doi.org/10.1016/j.resuscitation.2007.07.001
Russi CS, Myers LA, Kolb LJ, et al. A Comparison of Chest Compression Quality Delivered During On-Scene and Ground Transport Cardiopulmonary Resuscitation. West J Emerg Med 2016;17:634–9.
DOI: https://doi.org/10.5811/westjem.2016.6.29949
Ong MEH, Mackey KE, Zhang ZC, et al. Mechanical CPR devices compared to manual CPR during out-of-hospital cardiac arrest and ambulance transport: A systematic review. Scand J Trauma Resusc Emerg Med 2012;20:39.
DOI: https://doi.org/10.1186/1757-7241-20-39
Tazarourte K, Sapir D, Laborne FX, et al. Refractory cardiac arrest in a rural area: Mechanical chest compression during helicopter transport. Acta Anaesthesiol Scand 2013;57:71-6.
DOI: https://doi.org/10.1111/j.1399-6576.2012.02759.x
Wik L, Kramer-Johansen J, Myklebust H, et al. Quality of cardiopulmonary resuscitation during out-of-hospital cardiac arrest. JAMA 2005;293:299-304.
DOI: https://doi.org/10.1001/jama.293.3.299
Lyon RM, Crawford A, Crookston C, et al. The combined use of mechanical CPR and a carry sheet to maintain quality resuscitation in out-of-hospital cardiac arrest patients during extrication and transport. Resuscitation 2015;93:102-6
DOI: https://doi.org/10.1016/j.resuscitation.2015.05.030
Casner M, Andersen D, Isaacs SM. The impact of a new CPR assist device on rate of return of spontaneous circulation in out-of-hospital cardiac arrest. Prehospital Emerg Care 2005;9:61-7.
DOI: https://doi.org/10.1080/10903120590891714
Hock Ong ME, Ornato JP, Edwards DP, et al. Use of an automated, load-distributing band chest compression device for out-of-hospital cardiac arrest resuscitation. JAMA 2006;295:2629-37.
DOI: https://doi.org/10.1001/jama.295.22.2629
Tranberg T, Lippert FK, Christensen EF, et al. Distance to invasive heart centre, performance of acute coronary angiography, and angioplasty and associated outcome in out-of-hospital cardiac arrest: A nationwide study. Eur Heart J 2017;38:1645-52.
DOI: https://doi.org/10.1093/eurheartj/ehx104
Smekal D, Johansson J, Huzevka T, Rubertsson S. A pilot study of mechanical chest compressions with the LUCASTM device in cardiopulmonary resuscitation. Resuscitation 2011;82:702-6.
DOI: https://doi.org/10.1016/j.resuscitation.2011.01.032
Cheskes S, Schmicker RH, Christenson J, et al. Perishock pause: An independent predictor of survival from out-of-hospital shockable cardiac arrest. Circulation 2011;124:58-66.
DOI: https://doi.org/10.1161/CIRCULATIONAHA.110.010736
Wik L, Olsen JA, Persse D, et al. Manual vs. integrated automatic load-distributing band CPR with equal survival after out of hospital cardiac arrest. The randomized CIRC trial. Resuscitation 2014;85:741-8.
DOI: https://doi.org/10.1016/j.resuscitation.2014.03.005
Rubertsson S, Lindgren E, Smekal D, et al. Mechanical chest compressions and simultaneous defibrillation vs conventional cardiopulmonary resuscitation in out-of-hospital cardiac arrest: The LINC randomized trial. JAMA 2014;311:53-61.
DOI: https://doi.org/10.1001/jama.2013.282538
Marti J, Hulme C, Ferreira Z, et al. The cost-effectiveness of a mechanical compression device in out-of-hospital cardiac arrest. Resuscitation 2017;117:1-7.
DOI: https://doi.org/10.1016/j.resuscitation.2017.04.036
Koster RW, Beenen LF, Van Der Boom EB, et al. Safety of mechanical chest compression devices AutoPulse and LUCAS in cardiac arrest: A randomized clinical trial for non-inferiority. Eur Heart J 2017;38:3006-13.
DOI: https://doi.org/10.1093/eurheartj/ehx318
Buckler DG, Burke RV, Naim MY, et al. Association of Mechanical Cardiopulmonary Resuscitation Device Use with Cardiac Arrest Outcomes: A Population-Based Study Using the CARES Registry (Cardiac Arrest Registry to Enhance Survival). Circulation 2016;134:2131-3.
DOI: https://doi.org/10.1161/CIRCULATIONAHA.116.026053
Youngquist ST, Ockerse P, Hartsell S, Stratford C, Taillac P. Mechanical chest compression devices are associated with poor neurological survival in a statewide registry: A propensity score analysis. Resuscitation 2016;106:102-7.
DOI: https://doi.org/10.1016/j.resuscitation.2016.06.039
Perkins GD, Lall R, Quinn T, et al. Mechanical versus manual chest compression for out-of-hospital cardiac arrest (PARAMEDIC): A pragmatic, cluster randomised controlled trial. Lancet 2015;385:947-55.
DOI: https://doi.org/10.1016/S0140-6736(14)61886-9
Liu M, Shuai Z, Ai J, Tang K, et al. Mechanical chest compression with LUCAS device does not improve clinical outcome in out-of-hospital cardiac arrest patients: A systematic review and meta-analysis. Medicine (Baltimore) 2019;98:e17550
DOI: https://doi.org/10.1097/MD.0000000000017550
Soar J, Nolan JP, Böttiger BW, et al. European Resuscitation Council Guidelines for Resuscitation 2015. Section 3. Adult advanced life support. Resuscitation 2015;95:100-47.
DOI: https://doi.org/10.1016/j.resuscitation.2015.07.016
Brooks SC, Anderson ML, Bruder E, et al. Part 6: Alternative techniques and ancillary devices for cardiopulmonary resuscitation: 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation 2015;132:S436-43.
DOI: https://doi.org/10.1161/CIR.0000000000000260
Wang PL, Brooks SC. Mechanical versus manual chest compressions for cardiac arrest. Cochrane Database of Systematic Reviews 2018:CD007260
DOI: https://doi.org/10.1002/14651858.CD007260.pub4
Neumar RW, Shuster M, Callaway CW, et al. Part 1: Executive summary: 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation 2015;132:S315-67.
Dabrowski M, Sip M, Dabrowska A, et al. It is impossible to follow the ERC algorithm in a two-paramedics ambulance team. Resuscitation 2017;118:E43.
DOI: https://doi.org/10.1016/j.resuscitation.2017.08.108
Ortega-Deballon I, Hornby L, Shemie SD. Protocols for uncontrolled donation after circulatory death: A systematic review of international guidelines, practices and transplant outcomes. Crit Care 2015;19:268.
DOI: https://doi.org/10.1186/s13054-015-0985-7
Mateos-Rodríguez A, Pardillos-Ferrer L, Navalpotro-Pascual JM, et al. Kidney transplant function using organs from non-heart-beating donors maintained by mechanical chest compressions. Resuscitation 2010;81:904-7.
DOI: https://doi.org/10.1016/j.resuscitation.2010.04.024
Manara AR, Murphy PG, Ocallaghan G. Donation after circulatory death. Br J Anaesth 2012;108:i108-21.
DOI: https://doi.org/10.1093/bja/aer357
Yannopoulos D. The interventional cardiologist as a resuscitator: a new era of machines in the cardiac catheterization laboratory. Hell J Cardiol 2017;401-2.
DOI: https://doi.org/10.1016/j.hjc.2018.01.011
Lamhaut L, Tea V, Raphalen JH, et al. Coronary lesions in refractory out of hospital cardiac arrest (OHCA) treated by extra corporeal pulmonary resuscitation (ECPR). Resuscitation 2018;126:154-9.
DOI: https://doi.org/10.1016/j.resuscitation.2017.12.017
Stub D, Bernard S, Pellegrino V, et al. Refractory cardiac arrest treated with mechanical CPR, hypothermia, ECMO and early reperfusion (the CHEER trial). Resuscitation 2015;86:88-94.
DOI: https://doi.org/10.1016/j.resuscitation.2014.09.010
Dalle Ave AL, Shaw DM, Gardiner D. Extracorporeal membrane oxygenation (ECMO) assisted cardiopulmonary resuscitation or uncontrolled donation after the circulatory determination of death following out-of-hospital refractory cardiac arrest—An ethical analysis of an unresolved clinical dilemma. Resuscitation 2016;108:87-94
DOI: https://doi.org/10.1016/j.resuscitation.2016.07.003
Nolan JP, Monsieurs KG, Bossaert L, et al. European Resuscitation Council COVID-19 guidelines executive summary. Resuscitation 2020;153:45-55.
DOI: https://doi.org/10.1016/j.resuscitation.2020.06.001
Latsios G, Synetos A, Mastrokostopoulos A, et al. Cardiopulmonary Resuscitation in patients with suspected or confirmed Covid-19. A Consensus of the Working group of the Cardiopulmonary Resuscitation of the Hellenic Society of Cardiology. Hell J Cardiol 2020;S1109-9666(20)30200-1.
Chahar P, Marciniak D. Cardiopulmonary resuscitation in COVID-19 patients. Cleve Clin J Med 2020; Online ahead of print.
DOI: https://doi.org/10.3949/ccjm.87a.ccc040
How to Cite
Latsios, G., Leopoulou, M., Synetos, A., Karanasos, A., Melidi, E., Toutouzas, K., & Tsioufis, K. (2021). The role of automated compression devices in out-of- and in- hospital cardiac arrest. Can we spare rescuers’ hands?. Emergency Care Journal, 17(2). https://doi.org/10.4081/ecj.2021.9525
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
