LUCAS 2 ChestCompression System

Presented by:

Brooke Otterson

About the LUCAS 2What it does & how to use it:• Delivers mechanical chest compressions based on the 2010 AHA CPR

guidelines

• Video on how to use LUCAS 2: https://www.youtube.com/watch?v=HvNkWpZmdHA

Who can it be used on?Adult Patients who fit into the device:

• Sternum height of 6.7–11.9 inches (17 – 30.3 cm)

• Maximum chest width: 17.7 inches (45 cm)

The use of LUCAS is not restricted by patient weight.

*Patients with sternum height between 6.7 inches-7.3 inches will receive linearly increasing depth from 1.5 inches to 2.1 inches.

Who Operates

• First responders

• Ambulance personnel

• Nurses

• Physicians

• Other medical staff who have undertaken a CPR course and received training in how to use LUCAS 2

Implications for Use

Sudden Cardiac Arrest Victims

Pre-hospital

At scene

During transfer- ambulance, helicopter

In-hospital

Emergency Department/Trauma Center/ICU

On Units- code teams

Cath Labs

Sudden Cardiac Arrest Statistics

• Nearly 383,000 out-of hospital sudden cardiac arrests occur each year in the USo 147.7 out of every 100,000 adults

• 88% of all sudden cardiac arrests occur at home

• Survival from cardiac arrest is noted on national levels to be less than 8%.

• Survival from cardiac arrest without neurologic insult is around 1 %.

• Roughly 30 individuals are brought into Long Prairie by ambulance in sudden cardiac arrest.

AHA Guidelines for CPR and LUCAS

2010 AHA Guidelines:

• A compression rate of at least 100/min

• A compression depth of at least 2 inches (5 cm) in adults

• Allowing for complete chest recoil after each compression

• Minimizing interruptions in chest compressions

• Avoiding excessive ventilation

LUCAS 2:

• Compression Frequency: 102 ± 2 compressions per minute

• Compression Depth: 2.1 inches ± 0.1 inches

• Complete chest recoil between compressions

• Minimizes interruptions in chest compressions once initiated

• Avoiding excessive ventilation by letting the user know when to “give breaths”

Advantages Disadvantages• Increased perfusion to brain and

heart

• Controlled compression rate

• Controlled compression depth

• Complete recoil of chest between compressions

• Reduces number of CPR interruptions

• Compressions do not need to be stopped to deliver defibrillation

• Allow healthcare providers to focus on other life saving procedures and to provide for their own safety.

• Long interruption time needed to apply device

• Potential for incorrect application of the device

• One size does not fit all

ReferencesAmerican Heart Association, Inc. (2013). Heart disease and stroke statistics—2013 update. Retrieved from

http://circ.ahajournals.org/content/early/2012/12/12/CIR.0b013e31828124ad.full.pdf

American Heart Association, Inc. (2010). Highlights of the 2010 American Heart Association guidelines for CPR and ECC.Retrieved from http://www.heart.org/idc/groups/heart-public/@wcm/@ecc/documents/downloadable/ucm_317350.pdf

Park, C., Roffi, M., Bendjelid, K., & Bonvini, R. (2013). Percutaneous noncoronary interventions during continuous mechanical chest compression with the LUCAS-2 device. American Journal Of Emergency Medicine, 31(2), 456.e1-3. doi:10.1016/j.ajem.2012.07.022

Physio-Control, Inc. (2011). Lucas chest compression system: Your partner in in life support. Retrieved from http://www.lucas-cpr.com/

Physio-Control, Inc. (2013). LUCAS 2 chest compression system. Retrieved from http://www.physio-control.com/LUCAS/

Putzer, G., Braun, P., Zimmermann, A., Pedross, F., Strapazzon, G., Brugger, H., & Paal, P. (2013). LUCAS compared to manual cardiopulmonary resuscitation is more effective during helicopter rescue-a prospective, randomized, cross-over manikin study. The American Journal Of Emergency Medicine, 31(2), 384-389. doi:10.1016/j.ajem.2012.07.018

Trivedi, K., Borovnik-Lesjak, V., & Gazmuri, R. (2013). LUCAS 2(TM) device, compression depth, and the 2010 cardiopulmonary resuscitation guidelines. American Journal Of Emergency Medicine, 31(7), 1154.e1-2. doi:10.1016/j.ajem.2013.03.007

Yost, D., Phillips, R., Gonzales, L., Lick, C., Satterlee, P., Levy, M., & ... Niskanen, R. (2012). Assessment of CPR interruptions from transthoracic impedance during use of the LUCAS™ mechanical chest compression system. Resuscitation, 83(8), 961-965. doi:10.1016/j.resuscitation.2012.01.019