Sep 11, 20 september 11, 20 the main results of the large randomized linc study, which compared the effectiveness of the lucas mechanical chest compression system to high quality manual chest compressions, were presented at the european society of cardiology congress in amsterdam, the netherlands. Stryker lucas 3 implementation manual pdf download. Mechanical chest compression with lucas device does not. Effective cardiopulmonary resuscitation cpr requires a high level of excellence in order to have an impact on the survival rate of a cardiac arrest victim. Context highquality cardiopulmonary resuscitation cpr may improve both cardiac and brain resuscitation following cardiac arrest. The lucas device assists rescuers by delivering effective, consistent and continuous chest compressions as recommended in the.
This manual is a part of the service education program that, together with handson technical training, will provide the service technician with the knowledge to examine. Lucas 2 chest compression system instructions for use 10066600e. Physiocontrol lucas 3 chest compression system hospital. Resusci anne qcpr is built with realistic anatomy and is fully compliant with the american heart association aha guidelines for cpr and ecc.
Context the lucas mechanical chest compression device may be better than manual chest compression during resuscitation attempts after cardiac arrest. The lucas device provides consistent and highquality chest compressions shown by research to increase the chances of good patient outcomes. This implementation guide provides a comprehensive step by step instruction on how to configure the lucas device. Oct 27, 2015 mechanical versus manual chest compressions for outofhospital cardiac arrest. The lucas chest compression system is distributed globally by stryker and physiocontrol, a part of stryker. Lucas 2 physiocontrol chest compression system for sale. Mechanical chest compression devices have the potential to help maintain highquality cardiopulmonary resuscitation cpr, but despite their increasing use, little evidence exists for their effectiveness. In the end of the 90s, the development of the lucas device was started. These replacement instructions for use are for the physio control lucas 2 chest compression system. On the contrary, the cardiopump and the lucas alternate compression with active decompression by a suction cup that forces the thorax back to its uncompressed volume. Fastreliablesafe lucas easy 3step user interface makes applying the lucas simple and quick. Lucas a ssists rescuers with 100 chest compressions per minute with a depth of 1.
Experimental data have shown improved perfusion pressures to the brain and heart, enhanced cerebral blood flow and higher end tidal co 2 as an indirect measure of cardiac output using the lucas device as compared with the effects of conventional manual cpr1, 2. Lucas 2 chest compression system is to be used for performing external cardiac compressions on adult patients who have acute circulatory arrest defined as absence of spontaneous breathing and pulse, and loss of consciousness. The advantages of the lucas system over traditional manual chest compressions are threefold. If so, would you please send to the medwrench admin for posting. Within the group of patients allocated to mechanical resuscitation, manual cpr was continued until the lucas was installed. Foundation donates new lucas chest compression system to communities.
Although other cpr devices provide consistent compression depth and rate, the lucas device, because of its integrated suction cup, is the only automated device that assists the decompression phase by drawing up on the chest and returning it to neutral. Lucas 2 chest compression system guideline the lucas 2 chest compression system will be used to perform external chest compressions on adult patients who have suffered sudden cardiac arrest. When it is not possible to position the patient safely or correctly on the elegard if the patient weighs more than 350 pounds. Lund university cardiopulmonary assist system, jolife, sweden, fig. Fatal pancreatic injury due to trauma after successful cardiopulmonary resuscitation with automatic mechanical chest compression. And 8501 subjects were involved to analyze the clinical outcomes of lucas and manual chest compression for patients with outhospital ca. Adams county ambulance introduces automatic cpr machines. View online or download stryker lucas 3 service manual, implementation manual. This manual details proper operation of the device and maintenance recommendations.
The lucas chest compression device, shown in the photo at right, is used by alcor to reestablish blood circulation and oxygenation in cryonics patients following cardiac arrest alcor also uses the michigan instruments thumper. Pdf the lucas 2 chest compression device is not always. Allowing lucas to provide constant, effective chest compressions allows you to get the patient to treatment sooner, with few injuries to responders. To summarise the evidence about the effectiveness of. The appropriate role for mechanical chest compression devices in prehospital care has been debated in recent years. Cardiopulmonary resuscitation using electrically driven. The outcome shows there is much more handsoff time with manual cpr. Edible arrangements founder donates automated cpr machine. The lucas device assists rescuers by delivering effective, consistent and continuous chest compressions as.
Both devices are powered by pressurized oxygen, and restore blood flow much better than manual cpr. This manual describes how to maintain, test, troubleshoot, and repair the lucas 3. Lucas chest compressor versus manual chest compression in out. Lucas is designed to deliver uninterrupted compressions at a consistent rate and depth 100 compressions per minute, depth 1. The research got global attention and showed that effective chest compressions were critical for outcomes. The elegard is designed to securely hold a lucas 3 series chest compression system standard back plate in place. The main results of the large randomized linc study, which compared the effectiveness of the lucas mechanical chest compression system to high quality manual chest compressions, were presented at the european society of cardiology congress in amsterdam, the netherlands. Complications of mechanical chest compression devices. Early evidence, including animal studies and observational studies in humans suggested that mechanical chest compression devices might be superior to conventional manual chest compressions during cardiac arrest.
However, it has still controversy whether manual chest compression or mechanical chest compression is better. Lucas 3 chest compression system instructions for use 10092500 rev f, valid from co 3021 2016 olife ab 6 2 introduction 2. In this manner, a patient can receive conventional manual cpr, acd cpr with the resqcpr system, or cpr with a lucas 2. The user control panel is the user interface with which the device can be controlled and monitored through seven button switches and a number of leds. Attach the other support leg to the back plate, so that the two support legs lock against the back plate. The lucas chest compression system is designed to deliver uninterrupted compressions at a consistent. Lucat trial lucat the safety and scientific validity of this study is the responsibility of the study sponsor and investigators. All the devices, but the cardiopump and the lucas, perform exclusively chest compression. Lucas 3 chest compression system instructions for use 10103400 rev f, valid from co3241 2018 olife ab 6 2 introduction 2. Lucas compared to manual chest compressions are more. Allows access to patients chest to place defibrillation pads. Physiocontrol, now part of stryker, announced its newest version of the lucas 3 chest compression system, version 3.
Lucas 3 is batterypowered or can also be plugged into ac power for prolonged use. In fact, many organizations have added extra staff to cardiac arrest calls to switch out rescuers performing compressions. Always follow local andor international guidelines for cpr when using lucas. A common problem during manual cpr is that the chest does not always recoil because of an increase in chest wall compliance softens. The latest version provides new capabilities for tailored device functionality, wireless reporting and device status notifications sent over email. Despite the emphasis on timely cpr at the correct rate and depth, delivery of compressions is suboptimal for many patients and mechanical devices may improve. Refer to operating instructions for complete device information including. Lucas compared to manual chest compressions were more frequently correct. Chest compressions were initiated by bystanders until the ambulance arrived. The instructions for use should always be easily accessible to the users of lucas. The prehospital randomised assessment of a mechanical compression device in cardiac arrest paramedic trial is a cluster randomised pragmatic trial of the clinical and cost effectiveness of the lucas2 device versus manual chest compression, for adult patients in whom resuscitation is attempted following nontraumatic outofhospital cardiac. Intended for use as an adjunct to manual cpr on adult patients who have cardiac arrest in cases when effective manual. Mechanical versus manual chest compressions for outof. Lucas chest compression system in the newly published guidelines for cardiopulmonary resuscitation by the american heart association and the european resuscitation council read this article along with other careers information, tips and advice on biospace.
Jul 27, 2012 the lucas chest compression system is designed to deliver uninterrupted compressions at a consistent rate and depth to facilitate rosc return of spontaneous circulation. The autopulse is an automated, portable, batterypowered cardiopulmonary resuscitation device created by revivant and subsequently purchased and currently manufactured by zoll medical corporation. Smart restart function allows for an immediate resumption of compression after change of battery as it remembers the patient settings during 60 seconds. Lucas 3 chest compression system service manual 3328798002, 2017 physiocontrol, inc. The study protocol for the linc lucas in cardiac arrest. Fatal pancreatic injury due to trauma after successful. Patients received lucas2 mechanical chest compression or manual chest compressions according to the first trial vehicle to arrive on scene. During normal use, the lucas 3 series back plate should be securely attached to elegard. Lucas versus manual chest compression during ambulance. The goal of this study is to show the superiority in survival at hospital admittance and in neurological outcome on hospital discharge of continuous mechanical chest compression using lucas device versus manual chest compressions in patients who suffered an outofhospital cardiac arrest. The lucas mechanical chest compression device may be better than manual chest compression during resuscitation attempts after cardiac arrest.
Lucas chest compression system is to be used for performing external cardiac compressions on patients who have acute cardiac arrest. Sep 21, 2018 the lucas 3 chest compression system can replace manual compressions through every stage of emergency response, from initial contact, through the transportation, and all the way to the hospital. It also frees up the rescuers from chest compressions, allowing them to attend to other critical issues. Elegard patient positioning system instructions for use. Lucas must only be used in cases where manual chest compression would be used. Lucas chest compression system the lucas chest compression system is a portable tool designed to overcome problems identified with manual chest compressions. Defibtech is proud to introduce the lifeline arm automated chest compression acc device for performing mechanical chest compressions when effective manual cpr is not possible. In the lucas compared to the manual group, handsofftime was considerably shorter, whereas time to the first defibrillation was longer.
Effectiveness of the lucas device for mechanical chest. With the help of the lucas 3 device, your cardiac arrest patients will receive effective, consistent and continuous chest compressions, as recommended in the. The lucas chest compression system is a portable tool designed to overcome problems identified with manual chest compressions. Manual mask ventilation was difficult to apply and. Foundation donates new lucas chest compression system to. The lucas is the only chest compression system approved for use by the tuolumne county ems agency. Community foundation of north central massachusetts cfncm, hosted by the townsend fire department, will.
The stryker lucas 2 instructions for use version 2. Lucas chest compressor versus manual chest compression in outofhospital sudden cardiac arrest. Lucas chest compression system training and development video. The primary outcome was survival at 30 days following cardiac arrest and was analysed by intention to treat. Physiocontrol launches newest version of lucas chest. Cypress creek ems demonstrates total handsoff time with lucas versus manual cpr in a variety of patient movement scenarios. Adams county ambulance captain kyle dixon and paramedic eric nielson demonstrate how to use a lucas 3 chest compression system at adams. The lucas device assists rescuers by delivering effective, consistent. Manual chest compression vs use of an automated chest. Another publication, the lucas3 chest compression system instruction for use ifu is for physicians, clinicians, and emergency care providers.
The use of the mechanical chest compression device lucas2 represents poor value for money when compared to standard manual chest compression in outofhospital cardiac arrest, according to a new study published in the journal resuscitation. The elegard can be used during manual cpr, manual active compression decompression cpr resqcpr system, and cpr with the lucas chest compression system. This implementation guide provides a comprehensive step by step instruction on how to configure the lucas device for wifi, assign setup options and define email. Nov 09, 20 chest compressions were initiated by bystanders until the ambulance arrived. The lucas chest compression system is a safe and efficient tool that. Iowa receives grant for mechanical cpr devices health. It is a chest compression device composed of a constricting band and half backboard that is intended to be used as an adjunct to cpr during advanced cardiac life support by professional health care. Also, chest compression depth, pressure point and pressure release were more often correct with lucas than with manual cpr. Lucas is driven by a rechargeable lithium ion polymer lipo battery. We aimed to study whether the introduction of lucas 2 mechanical cpr into frontline emergency response vehicles would improve survival from.
Jan 25, 20 the lucas chest compression system physiocontroljolife ab, lund, sweden has been in clinical use since 2003. Pull up once to make sure that the parts are correctly attached. Compared with manual chest compression, an automated loaddistributing band ldb chest compression device produces greater blood flow to vital organs and may improve. The lucas device has demonstrated to increase blood flow to the brain 4,5 and achieve higher etco 2 values compared to manual compressions. The lucas 3 chest compression system can replace manual compressions through every stage of emergency response, from initial contact, through.
Pulseless electrical activity pea was observed and a mechanical chest compression device lucas. The lucas device is developed and manufactured by jolife ab, lund, sweden, a wholly owned part of stryker. Lucas assists rescuers by delivering effective, consistent and continuous chest compressions as recommended in the american heart association guidelines1. When fully charged, the lithium polymer battery should allow 45 minutes of uninterrupted operation. Within the group of patients receiving only manual cpr, cpr was performed according to the 2005 erc guidelines. If disruption or malfunction of the lucas device occurs, immediately revert to manual cpr. Does use of the lucas device improve mortality in adult patients with outofhospital cardiac arrest. Lucas showed to significantly improve coronary perfusion pressures and cerebral blood flow compared to manual compressions in experimental pig studies. Lucastm chest compression system instructions for use. The ifu provides stepbystep instructions for use, as well as operatorlevel. Does use of the lucas device improve mortality in adult. Another publication, the lucas 3 chest compression system instruction for use ifu is for physicians, clinicians, and emergency care providers.
The lucas device assists rescuers by delivering effective. The linc study showed similar shortterm survival rates for lucas 23. Lucas 2 chest compression system instructions emergency. The lucas device is an easytouse mechanical chest compression device that helps lifesaving teams around the world deliver highquality, guidelinesconsistent chest compressions to sudden cardiac arrest patients. Mechanical versus manual chest compressions for cardiac. Potential chest compression injury mechanism from mechanical cpr systems. The user control panel is situated on the hood and is connected to the. Since performing manual chest compressions according to the american heart association guidelines is both difficult and physically demanding, jolife created the lucas chest compression system to assist. Lucas 3 chest compression system instructor guidebook. Both groups underwent manual chest compressions during the process of randomization. As a result, the learner will experience appropriate chest resistance, see chest rise during ventilation and need to perform head tilt, chin lift to. Mechanical chest compression with lucas device does not impr.
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