Mechanische CPR (AutoPulse) in Bauchlage, machbar? #MMPMID32968843
Pietsch U; Knapp J; Wenzel V; Lischke V; Albrecht R
Anaesthesist 2021[Mar]; 70 (3): 247-249 PMID32968843show ga
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.