A remote-controlled automatic chest compression device capable of moving compression position during CPR: A pilot study in a mannequin and a swine model of cardiac arrest.
<h4>Background</h4>Recently, we developed a chest compression device that can move the chest compression position without interruption during CPR and be remotely controlled to minimize rescuer exposure to infectious diseases. The purpose of this study was to compare its performance with...
| Main Authors: | , , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2024-01-01
|
| Series: | PLoS ONE |
| Online Access: | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0297057&type=printable |
| _version_ | 1797347753655795712 |
|---|---|
| author | Gil Joon Suh Taegyun Kim Kyung Su Kim Woon Yong Kwon Hayoung Kim Heesu Park Gaonsorae Wang Jaeheung Park Sungmoon Hur Jaehoon Sim Kyunghwan Kim Jung Chan Lee Dong Ah Shin Woo Sang Cho Byung Jun Kim Soyoon Kwon Ye Ji Lee |
| author_facet | Gil Joon Suh Taegyun Kim Kyung Su Kim Woon Yong Kwon Hayoung Kim Heesu Park Gaonsorae Wang Jaeheung Park Sungmoon Hur Jaehoon Sim Kyunghwan Kim Jung Chan Lee Dong Ah Shin Woo Sang Cho Byung Jun Kim Soyoon Kwon Ye Ji Lee |
| author_sort | Gil Joon Suh |
| collection | DOAJ |
| description | <h4>Background</h4>Recently, we developed a chest compression device that can move the chest compression position without interruption during CPR and be remotely controlled to minimize rescuer exposure to infectious diseases. The purpose of this study was to compare its performance with conventional mechanical CPR device in a mannequin and a swine model of cardiac arrest.<h4>Materials and methods</h4>A prototype of a remote-controlled automatic chest compression device (ROSCER) that can change the chest compression position without interruption during CPR was developed, and its performance was compared with LUCAS 3 in a mannequin and a swine model of cardiac arrest. In a swine model of cardiac arrest, 16 male pigs were randomly assigned into the two groups, ROSCER CPR (n = 8) and LUCAS 3 CPR (n = 8), respectively. During 5 minutes of CPR, hemodynamic parameters including aortic pressure, right atrial pressure, coronary perfusion pressure, common carotid blood flow, and end-tidal carbon dioxide partial pressure were measured.<h4>Results</h4>In the compression performance test using a mannequin, compression depth, compression time, decompression time, and plateau time were almost equal between ROSCER and LUCAS 3. In a swine model of cardiac arrest, coronary perfusion pressure showed no difference between the two groups (p = 0.409). Systolic aortic pressure and carotid blood flow were higher in the LUCAS 3 group than in the ROSCER group during 5 minutes of CPR (p < 0.001, p = 0.008, respectively). End-tidal CO2 level of the ROSCER group was initially lower than that of the LUCAS 3 group, but was higher over time (p = 0.022). A Kaplan-Meier survival analysis for ROSC also showed no difference between the two groups (p = 0.46).<h4>Conclusion</h4>The prototype of a remote-controlled automated chest compression device can move the chest compression position without interruption during CPR. In a mannequin and a swine model of cardiac arrest, the device showed no inferior performance to a conventional mechanical CPR device. |
| first_indexed | 2024-03-08T11:52:23Z |
| format | Article |
| id | doaj.art-71a19802baa940bfb9c8324064cabac0 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-03-08T11:52:23Z |
| publishDate | 2024-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-71a19802baa940bfb9c8324064cabac02024-01-24T05:30:53ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-01191e029705710.1371/journal.pone.0297057A remote-controlled automatic chest compression device capable of moving compression position during CPR: A pilot study in a mannequin and a swine model of cardiac arrest.Gil Joon SuhTaegyun KimKyung Su KimWoon Yong KwonHayoung KimHeesu ParkGaonsorae WangJaeheung ParkSungmoon HurJaehoon SimKyunghwan KimJung Chan LeeDong Ah ShinWoo Sang ChoByung Jun KimSoyoon KwonYe Ji Lee<h4>Background</h4>Recently, we developed a chest compression device that can move the chest compression position without interruption during CPR and be remotely controlled to minimize rescuer exposure to infectious diseases. The purpose of this study was to compare its performance with conventional mechanical CPR device in a mannequin and a swine model of cardiac arrest.<h4>Materials and methods</h4>A prototype of a remote-controlled automatic chest compression device (ROSCER) that can change the chest compression position without interruption during CPR was developed, and its performance was compared with LUCAS 3 in a mannequin and a swine model of cardiac arrest. In a swine model of cardiac arrest, 16 male pigs were randomly assigned into the two groups, ROSCER CPR (n = 8) and LUCAS 3 CPR (n = 8), respectively. During 5 minutes of CPR, hemodynamic parameters including aortic pressure, right atrial pressure, coronary perfusion pressure, common carotid blood flow, and end-tidal carbon dioxide partial pressure were measured.<h4>Results</h4>In the compression performance test using a mannequin, compression depth, compression time, decompression time, and plateau time were almost equal between ROSCER and LUCAS 3. In a swine model of cardiac arrest, coronary perfusion pressure showed no difference between the two groups (p = 0.409). Systolic aortic pressure and carotid blood flow were higher in the LUCAS 3 group than in the ROSCER group during 5 minutes of CPR (p < 0.001, p = 0.008, respectively). End-tidal CO2 level of the ROSCER group was initially lower than that of the LUCAS 3 group, but was higher over time (p = 0.022). A Kaplan-Meier survival analysis for ROSC also showed no difference between the two groups (p = 0.46).<h4>Conclusion</h4>The prototype of a remote-controlled automated chest compression device can move the chest compression position without interruption during CPR. In a mannequin and a swine model of cardiac arrest, the device showed no inferior performance to a conventional mechanical CPR device.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0297057&type=printable |
| spellingShingle | Gil Joon Suh Taegyun Kim Kyung Su Kim Woon Yong Kwon Hayoung Kim Heesu Park Gaonsorae Wang Jaeheung Park Sungmoon Hur Jaehoon Sim Kyunghwan Kim Jung Chan Lee Dong Ah Shin Woo Sang Cho Byung Jun Kim Soyoon Kwon Ye Ji Lee A remote-controlled automatic chest compression device capable of moving compression position during CPR: A pilot study in a mannequin and a swine model of cardiac arrest. PLoS ONE |
| title | A remote-controlled automatic chest compression device capable of moving compression position during CPR: A pilot study in a mannequin and a swine model of cardiac arrest. |
| title_full | A remote-controlled automatic chest compression device capable of moving compression position during CPR: A pilot study in a mannequin and a swine model of cardiac arrest. |
| title_fullStr | A remote-controlled automatic chest compression device capable of moving compression position during CPR: A pilot study in a mannequin and a swine model of cardiac arrest. |
| title_full_unstemmed | A remote-controlled automatic chest compression device capable of moving compression position during CPR: A pilot study in a mannequin and a swine model of cardiac arrest. |
| title_short | A remote-controlled automatic chest compression device capable of moving compression position during CPR: A pilot study in a mannequin and a swine model of cardiac arrest. |
| title_sort | remote controlled automatic chest compression device capable of moving compression position during cpr a pilot study in a mannequin and a swine model of cardiac arrest |
| url | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0297057&type=printable |
| work_keys_str_mv | AT giljoonsuh aremotecontrolledautomaticchestcompressiondevicecapableofmovingcompressionpositionduringcprapilotstudyinamannequinandaswinemodelofcardiacarrest AT taegyunkim aremotecontrolledautomaticchestcompressiondevicecapableofmovingcompressionpositionduringcprapilotstudyinamannequinandaswinemodelofcardiacarrest AT kyungsukim aremotecontrolledautomaticchestcompressiondevicecapableofmovingcompressionpositionduringcprapilotstudyinamannequinandaswinemodelofcardiacarrest AT woonyongkwon aremotecontrolledautomaticchestcompressiondevicecapableofmovingcompressionpositionduringcprapilotstudyinamannequinandaswinemodelofcardiacarrest AT hayoungkim aremotecontrolledautomaticchestcompressiondevicecapableofmovingcompressionpositionduringcprapilotstudyinamannequinandaswinemodelofcardiacarrest AT heesupark aremotecontrolledautomaticchestcompressiondevicecapableofmovingcompressionpositionduringcprapilotstudyinamannequinandaswinemodelofcardiacarrest AT gaonsoraewang aremotecontrolledautomaticchestcompressiondevicecapableofmovingcompressionpositionduringcprapilotstudyinamannequinandaswinemodelofcardiacarrest AT jaeheungpark aremotecontrolledautomaticchestcompressiondevicecapableofmovingcompressionpositionduringcprapilotstudyinamannequinandaswinemodelofcardiacarrest AT sungmoonhur aremotecontrolledautomaticchestcompressiondevicecapableofmovingcompressionpositionduringcprapilotstudyinamannequinandaswinemodelofcardiacarrest AT jaehoonsim aremotecontrolledautomaticchestcompressiondevicecapableofmovingcompressionpositionduringcprapilotstudyinamannequinandaswinemodelofcardiacarrest AT kyunghwankim aremotecontrolledautomaticchestcompressiondevicecapableofmovingcompressionpositionduringcprapilotstudyinamannequinandaswinemodelofcardiacarrest AT jungchanlee aremotecontrolledautomaticchestcompressiondevicecapableofmovingcompressionpositionduringcprapilotstudyinamannequinandaswinemodelofcardiacarrest AT dongahshin aremotecontrolledautomaticchestcompressiondevicecapableofmovingcompressionpositionduringcprapilotstudyinamannequinandaswinemodelofcardiacarrest AT woosangcho aremotecontrolledautomaticchestcompressiondevicecapableofmovingcompressionpositionduringcprapilotstudyinamannequinandaswinemodelofcardiacarrest AT byungjunkim aremotecontrolledautomaticchestcompressiondevicecapableofmovingcompressionpositionduringcprapilotstudyinamannequinandaswinemodelofcardiacarrest AT soyoonkwon aremotecontrolledautomaticchestcompressiondevicecapableofmovingcompressionpositionduringcprapilotstudyinamannequinandaswinemodelofcardiacarrest AT yejilee aremotecontrolledautomaticchestcompressiondevicecapableofmovingcompressionpositionduringcprapilotstudyinamannequinandaswinemodelofcardiacarrest AT giljoonsuh remotecontrolledautomaticchestcompressiondevicecapableofmovingcompressionpositionduringcprapilotstudyinamannequinandaswinemodelofcardiacarrest AT taegyunkim remotecontrolledautomaticchestcompressiondevicecapableofmovingcompressionpositionduringcprapilotstudyinamannequinandaswinemodelofcardiacarrest AT kyungsukim remotecontrolledautomaticchestcompressiondevicecapableofmovingcompressionpositionduringcprapilotstudyinamannequinandaswinemodelofcardiacarrest AT woonyongkwon remotecontrolledautomaticchestcompressiondevicecapableofmovingcompressionpositionduringcprapilotstudyinamannequinandaswinemodelofcardiacarrest AT hayoungkim remotecontrolledautomaticchestcompressiondevicecapableofmovingcompressionpositionduringcprapilotstudyinamannequinandaswinemodelofcardiacarrest AT heesupark remotecontrolledautomaticchestcompressiondevicecapableofmovingcompressionpositionduringcprapilotstudyinamannequinandaswinemodelofcardiacarrest AT gaonsoraewang remotecontrolledautomaticchestcompressiondevicecapableofmovingcompressionpositionduringcprapilotstudyinamannequinandaswinemodelofcardiacarrest AT jaeheungpark remotecontrolledautomaticchestcompressiondevicecapableofmovingcompressionpositionduringcprapilotstudyinamannequinandaswinemodelofcardiacarrest AT sungmoonhur remotecontrolledautomaticchestcompressiondevicecapableofmovingcompressionpositionduringcprapilotstudyinamannequinandaswinemodelofcardiacarrest AT jaehoonsim remotecontrolledautomaticchestcompressiondevicecapableofmovingcompressionpositionduringcprapilotstudyinamannequinandaswinemodelofcardiacarrest AT kyunghwankim remotecontrolledautomaticchestcompressiondevicecapableofmovingcompressionpositionduringcprapilotstudyinamannequinandaswinemodelofcardiacarrest AT jungchanlee remotecontrolledautomaticchestcompressiondevicecapableofmovingcompressionpositionduringcprapilotstudyinamannequinandaswinemodelofcardiacarrest AT dongahshin remotecontrolledautomaticchestcompressiondevicecapableofmovingcompressionpositionduringcprapilotstudyinamannequinandaswinemodelofcardiacarrest AT woosangcho remotecontrolledautomaticchestcompressiondevicecapableofmovingcompressionpositionduringcprapilotstudyinamannequinandaswinemodelofcardiacarrest AT byungjunkim remotecontrolledautomaticchestcompressiondevicecapableofmovingcompressionpositionduringcprapilotstudyinamannequinandaswinemodelofcardiacarrest AT soyoonkwon remotecontrolledautomaticchestcompressiondevicecapableofmovingcompressionpositionduringcprapilotstudyinamannequinandaswinemodelofcardiacarrest AT yejilee remotecontrolledautomaticchestcompressiondevicecapableofmovingcompressionpositionduringcprapilotstudyinamannequinandaswinemodelofcardiacarrest |