Physio Control LUCAS 3, Инструкция для инструктора

Страница: 59 / 80

APPENDIX B / FREQUENTLY ASKED QUESTIONS
59
Frequently Asked Questions
The following are frequently asked questions related to the LUCAS device. For all pricing
or ordering-related questions, refer to Appendix A: Important Contacts and contact
your local Physio-Control representative. For product-related questions not addressed
below, please contact: http://www.physio-control.com. Select your country at the top
of the page and select ‘contact us’ or send an email to the LUCAS Product Manager at
LUCAS3@physio-control.com.
: Q Can the LUCAS device be used on paediatric patients?
: A The LUCAS device is not indicated for use on paediatric patients. It is indicated for
“performing external cardiac compressions on adult patients who have acute circulatory
arrest…” The LUCAS device fits a broad range of patients, including smaller patients.
Patients eligible for treatment with LUCAS device include adult patients who fit the
device, with a sternum height of 17.0 to 30.3 cm / 6.7 to 11.9 inches.
Always follow local protocols for definition of adult versus paediatric patients.
: Q Can the LUCAS device be used on a pregnant patient?
: A
In case of special circumstances such as pregnant women, there are no specific
LUCAS device recommendations but the rescuer should refer to the current Guidelines
(AHA or ERC).
The 2010
15
/2015
1
AHA Guidelines state:
§
Priorities for the pregnant woman in cardiac arrest are a provision of high-quality CPR
and relief of aortocaval compression. (2010)
§
If left-lateral tilt is used to improve maternal hemodynamics during cardiac arrest,
the degree of tilt should be maximised. However, at a tilt greater than or equal to 30°
the patient may slide or roll off the inclined plane, so this degree of tilt may not be
practical during resuscitation. (2010)
§
Two studies in pregnant women not in arrest found that manual left uterine
displacement, which is done with the patient supine, is as good as or better than
left-lateral tilt in relieving aortocaval compression. (2010)
§
Chest compressions should be performed slightly higher on the sternum than
normally recommended to adjust for the elevation of the diaphragm and abdominal
contents caused by the gravid uterus. (2010)
§
Therefore, the critical importance of high-quality CPR has been further supported.
Alternative strategies to relieve aortocaval compression do not seem to be compatible
with delivery of high-quality CPR, the recommendation to perform left uterine
displacement during CPR was strengthened. If the fundus height is at or above the
level of the umbilicus, manual left uterine displacement can be beneficial in relieving
aortocaval compression during chest compressions (2015, Class IIa, LOE C-LD).
Always follow local protocols and/or international guidelines for CPR when you use the
LUCAS device.