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The Instructions for Use provide a complete overview of how to use and apply LUCAS™2; indications, contraindications, warnings, precautions and potential adverse reactions. This procedure describes the appropriate methods to apply, operate, and discontinue the LUCAS device in patients > 12 years of age requiring mechanical chest compression related to cardiac arrest. • Too small patient: if the LUCAS device alerts with 3 fast signals when lowering the Suction Cup, and you cannot enter the PAUSE mode or ACTIVE mode. In the described patient, the combination of difficult ventilation causing gastric air insufflations and the vigorous LUCAS device compressions most probably led to blowout injury of the stomach. • Too large patient: The support legs of LUCAS® cannot be locked to the back LUCAS advant­ages. In unstable patients after CPR, physicians should be aware of rare complications such as abdominal injury of liver, spleen and stomach or injury to the great vessels.During the following days, however, progressive clinical deterioration ensued due to intestinal ischaemia and two more laparotomies were performed. 2015 American Heart Association Guidelines Update Previous. Manual compressions can alternatively be provided to the patient to support circulation. The most reported complications of this therapy are skin or skeletal injury, but more serious injuries and life-threatening complications are described. 1. LUCAS 3, v3.1 now includes Wi-Fi®..."If someone had told me about an eight hour long cardiac arrest I wouldn't have believed it."MD. Implementation of the LUCAS device, a team-focused strategy and video-reviewed CPR intervention for cardiac arrest patients significantly improved return of spontaneous circulation rates, going from 26% to 46%, in the ED.The LUCAS device is an easy-to-use mechanical chest compression device that helps lifesaving teams around the world deliver high-quality, guidelines-consistent chest compressions to sudden cardiac arrest patients; in the field, on the move and in the hospital.Sean was in the height of his marathon training when he collapsed.He was on the LUCAS machine for 2 hours and needed nine defibs over the two cardiac arrests to come back.”To be able to put LUCAS 2 on a patient and not worry about rotating my staff through the job of CPR buys me enormous cognitive space to think about all the other things I need to think about during a resuscitation in order to provide the optimum and most appropriate treatment for the patient.””It is unlikely that few, if any, of the patients would have survived without the use of mechanical chest compressions in the catheterisation laboratory.”The latest LUCAS 3, v3.1 allows professional users to tailor setup options for compression rate/depth, pauses, alerts, timer, and ventilation features to meet local emergency care protocols.
Refer to the LUCAS Instructions for Use for complete directions for use, indications, contraindications, warnings, precautions, and potential adverse events. We report a case in which a serious complication of a mechanical chest compression device led to clinical deterioration and eventually death, after an initially successful resuscitation.
LUCAS® is only intended for temporary use. Because of ongoing deterioration, further treatment was terminated after which she died.Mechanical chest compression devices are increasingly used during CPR. Physicians should be aware of these possible severe complications of mechanical chest compression devices if patients remain clinically unstable after CPR.Complications of mechanical chest compression devices

2.3 Contraindications Do NOT use the LUCAS Chest Compression System in these cases: • If it is not possible to position the LUCAS device safely or correctly on the patient’s chest.