Comparison of effects of manual and mechanical chest compression during extracorporeal cardiopulmonary resuscitation
10.3760/cma.j.issn.1671-0282.2023.09.007
- VernacularTitle:体外膜肺氧合心肺复苏过程中人工与机械按压的效果比较
- Author:
Feiyan PAN
1
;
Kun CHEN
;
Hongjie TONG
;
Haozhe FAN
;
Xiaoling ZHANG
;
Wei HU
;
Qiao GU
;
Qianqian WANG
Author Information
1. 浙江大学医学院附属金华医院重症医学科，金华 321000
- Keywords:
Cardiopulmonary resuscitation;
Extracorporeal membrane oxygenation;
Mechanical chest compression;
Manual chest compression;
Retrospective study
- From:
Chinese Journal of Emergency Medicine
2023;32(9):1184-1188
- CountryChina
- Language:Chinese
-
Abstract:
Objectives:To compare the effects of manual and mechanical chest compression on patients receiving extracorporeal cardiopulmonary resuscitation (ECPR).Methods:Patients who underwent extracorporeal cardiopulmonary resuscitation admitted to Jinhua Municipal Central Hospital, Hangzhou First People's Hospital and the First Hospital of Jiaxing from September 2014 to July 2022 were enrolled in the study. The patients were divided into the manual group and mechanical group according to the compression method, and the clinical data of the two groups were compared. To explore the effects of the two compression method on the ECPR implementation, proportion of return of spontaneous circulation (ROSC) and hospital survival.Results:A total of 108 patients who underwent ECPR were included in the study, 50 patients in the manual group and 58 patients in the mechanical group. There were no significant differences in sex, age, laboratory tests before ECPR, ROSC proportion (90.0% vs. 86.2%) and survival (34.0% vs. 39.7%) between the two groups (all P>0.05). The puncture time in the mechanical group was shorter than that in the manual group [12 (9,15) min vs. 13 (11,16) min, P<0.05]. Conclusions:Compared with manual compression, mechanical compression during ECPR neither increase the probability of ROSC nor reduce in-hospital mortality in patients with cardiac arrest. However, mechanical compression may help to shorten the puncture time.
