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[Automatic load-distributing band CPR (AutoPulse™) in prone position, feasible?]

Urs Pietsch, J Knapp, V Wenzel, V Lischke & R Albrecht

abstract

BACKGROUND
Due to SARS-CoV‑2 respiratory failure, prone positioning of patients with respiratory and hemodynamic instability has become a frequent intervention in intensive care units (ICUs), and even in patients undergoing transfer in an ambulance or helicopter. It has become increasingly important how to perform safe and effective CPR in prone position, achieving both an optimal outcome for the patient and optimal protection of staff from infection.

MATERIALS AND METHODS
We conducted feasibility tests to assess the effects of CPR with an automatic load-distributing band (AutoPulse™) in prone position and discussed different aspects of mechanical chest compression (mCPR) in prone position.

RESULTS
In supine position, AutoPulse™ generated a constant pressure depth of 3cm at a frequency of 84/min. In prone position, AutoPulse™ generated a constant pressure depth of 2.6cm at a frequency of 84/min.

CONCLUSION
We found mCPR to be feasible in manikins in both prone and supine positions.
   
citation Pietsch U, Knapp J, Wenzel V, Lischke V, Albrecht R. [Automatic load-distributing band CPR (AutoPulse™) in prone position, feasible?]. Anaesthesist 2021; 70:247-249.
   
type journal paper/review (Translation2::getLang(): unknown language "". Use Translation2::setLang() to set a default language.)
date of publishing 2021
journal title Anaesthesist (70/3)
ISSN electronic 1432-055X
pages 247-249
PubMed 32968843
DOI 10.1007/s00101-020-00851-1