title: A comparison of autopsy detected injuries in a porcine model of cardiac arrest treated with either manual or mechanical chest compressions.
abstract: The objective of this study was to evaluate and compare the complications of cardiopulmonary resuscitation after manual or mechanical chest compressions in a swine model of ventricular fibrillation. In this retrospective study, 106 swine were treated with either manual (n=53) or mechanical chest compressions with the LUCAS device (n=53). All swine cadavers underwent necropsy. The animals with no autopsy findings were significantly fewer in the LUCAS group (P=0.004). Sternal fractures were identified in 18 animals in the manual and only two in the LUCAS group (P=0.003). Rib fractures were present in 16 animals in the manual and only four in the LUCAS group (P=0.001). Nine animals in the manual, and two in the LUCAS group had liver hematomas (P=0.026%). In the manual group, eight animals were detected with spleen hematomas whereas no such injury was identified in the LUCAS group (P=0.003). LUCAS devise minimized the resuscitation-related trauma compared with manual chest compressions in a swine model of cardiac arrest.
authors: Department of Anatomy, Medical School, University of Athens, 75 Mikras Asias Street, Athens, Greece. theodorosxanthos@yahoo.com
authors: Theodoros
authors: T
authors: Xanthos
authors: Ioannis
authors: I
authors: Pantazopoulos
authors: Hara
authors: H
authors: Roumelioti
authors: Pavlos
authors: P
authors: Lelovas
authors: Nicoletta
authors: N
authors: Iacovidou
authors: Ismene
authors: I
authors: Dontas
authors: Theano
authors: T
authors: Demestiha
authors: Hara
authors: H
authors: Spiliopoulou
mesh_terms: D000818:Animals; D001344:Autopsy; D016887:Cardiopulmonary Resuscitation / Q000009:adverse effects* / Q000295:instrumentation* / Q000379:methods; D004195:Disease Models, Animal; D050723:Fractures, Bone / Q000209:etiology* / Q000473:pathology; D006323:Heart Arrest / Q000628:therapy*; D006336:Heart Massage / Q000009:adverse effects / Q000379:methods; D008297:Male; D011897:Random Allocation; D012253:Rib Fractures / Q000209:etiology / Q000473:pathology; D018570:Risk Assessment; D013249:Sternum / Q000293:injuries / Q000473:pathology; D013552:Swine; D013898:Thoracic Injuries / Q000209:etiology / Q000473:pathology