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- U Pietsch, J Knapp, V Wenzel, V Lischke, and R Albrecht.
- Klinik für Anästhesie und Intensivmedizin, Kantonsspital, Rorschacher Str. 95, 9007, St. Gallen, Schweiz. urs.pietsch@kssg.ch.
- Anaesthesist. 2021 Mar 1; 70 (3): 247-249.
BackgroundDue 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 MethodsWe 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.ResultsIn 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.ConclusionWe found mCPR to be feasible in manikins in both prone and supine positions.
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