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Manual versus automatic chest compression devices for cardiopulmonary resuscitation under zero gravity (The MACCC - 0G STUDY)

Article dans une revue avec comité de lecture
Author
REYNETTE, Nathan
444382 Développement, Adaptation et Handicap [DevAH]
479108 Service de Réanimation Médicale [CHRU Nancy]
ccSAGNIÈRES, Luc
1042190 UFR Médecine [Santé] - Université Paris Cité [UFR Médecine UPCité]
ccPEQUIGNOT, Benjamin
479108 Service de Réanimation Médicale [CHRU Nancy]
267759 Faculté de Médecine [Nancy]
LEVY, Bruno
479108 Service de Réanimation Médicale [CHRU Nancy]
267759 Faculté de Médecine [Nancy]
ZUILY, Stephane
528328 Centre régional de compétence des Maladies systémiques et auto-immunes rares de l'adulte et Maladies vasculaires rares
267759 Faculté de Médecine [Nancy]
ccCHENUEL, Bruno
444382 Développement, Adaptation et Handicap [DevAH]
BIRNBAUM, Ron
552420 Clinique Saint Jean de Dieu
ccSANDOZ, Baptiste
1001017 Institut de Biomécanique Humaine Georges Charpak [IBHGC]
ccLESCROART, Mickaël
267759 Faculté de Médecine [Nancy]
479108 Service de Réanimation Médicale [CHRU Nancy]

URI
http://hdl.handle.net/10985/26202
DOI
10.1016/j.resuscitation.2024.110385
Date
2024-09
Journal
Resuscitation

Abstract

Introduction Cardiopulmonary resuscitation (CPR) in microgravity requires specific methods to counteract weightlessness. Automatic chest compression devices (ACCDs) could improve CPR in microgravity. We aimed to compare ACCDs versus manual CPR in microgravity simulated through parabolic flights. Methods This prospective, open, controlled study compared 3 ACCDs (LUCAS 3©, AUTOPULSE©, EASYPULSE©) to manual CPR during the 66th CNES (Centre National d’Etudes Spatiales) parabolic flights campaign onboard the Novespace Air Zero-G A310 aircraft. Chest compression depths and rates were monitored by a Laerdal© Resusci-Ann-QCPR manikin. Results The LUCAS 3© device had a median compression depth of 53.0 [53.0–54.0] mm, significantly higher than the EASYPULSE©, AUTOPULSE©, and Manual CPR (Handstand method), measured at 29.0 [26.0–32.0] mm, 29.0 [27.5–30.7] mm and 34.5 [29.6–43.3] mm, respectively (p value < 0.001). Compression rates were 101 [101–101], 100 [100–100] and 80 [80–80] compressions per minute (cpm) for the LUCAS 3©, EASYPULSE©, and AUTOPULSE©, respectively. Manual CPR provided a significantly higher compression rate with 115 [109–123] cpm (p value < 0.001). Conclusion Only LUCAS 3© provided effective CPR according to international guidelines. ACCDs should implement microgravity CPR algorithms.

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