LUKAS compressor/resuscitation device
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This is a discussion on LUKAS compressor/resuscitation device in General Nursing Discussion, part of General Nursing ... We just recently got a couple of those LUKAS compression thingies and the rapid response team is...
by CNL2B Jul 11, '10We just recently got a couple of those LUKAS compression thingies and the rapid response team is carrying them to respond to codes with and they are also on the shelf in the ICU to use. We have had really good success with them. I just heard from one of our residents today that they used it at another hospital they rotate to and the patient got liver and spleen lacerations from it's use and needed emergency surgery (the device migrated down?) Holy crap! Anybody else with really bad outcomes with this?
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- Jul 11, '10 by roser13I just saw these (if I'm understanding correctly) in use on Boston Medical and I was fascinated. I'm very curious about the responses here.6mostogo likes this.
- Jul 11, '10 by RaziRNMe too roser! I was like "What is that thingy?....it's so cool!" Of course my hospital is too poor to ever have one.
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Jul 11, '10 by fiveofpeepwe have one and never use it. it's supposed to float between our ICUs to test it out, but no one ever thinks to use it when stuff hits the fan
also, Id advice putting it on while wearing gloves. I was testing it out, and both me and the guy hawking the thing scraped our fingers on some sharp part of the plastic when trying to apply it to the patient. gross! - Jul 11, '10 by CNL2BQuote from fiveofpeepLittle green SICU RN,we have one and never use it. it's supposed to float between our ICUs to test it out, but no one ever thinks to use it when stuff hits the fan
also, Id advice putting it on while wearing gloves. I was testing it out, and both me and the guy hawking the thing scraped our fingers on some sharp part of the plastic when trying to apply it to the patient. gross!
I never participate in a code without gloves. Period.
You're so cute!apocatastasis likes this. -
Jul 11, '10 by EMSnut45The fire department that I volunteer with uses the Zoll Autopulse (after many years of the archaic thumper). I'm not familiar with the brand that you mentioned, but what I found in researching compression devices is that if not applied correctly (or the patient shifts), then yes, there is the potential for abdominal organ damage. I know that some brands will alert when it is not applied to the patient correctly.
Boy do I love that Autopulse!! Anything that saves me from doing compressions for an hour in the back of an ambulance gets high marks from me!! - Jul 12, '10 by Romero 73It's been awhile since I've worked ER, so I was curious about these devices. Zoll and Lukas both have websites with instructional videos. The Zoll Autopulse looks great-their site even has video taken in the cath lab showing increased perfusion with the Zoll versus manual compressions.With hospitals counting every bean, I doubt if too many will spring for equipment this expensive, at least in my part of the country.
- Jul 12, '10 by CNL2BHow expensive is it? I had no clue it was a lot of money. Several hospitals in my area have bought a few.
We as well have had notably better compression waveforms and B/Ps with the LUKAS device than with manual compressions.
The LUKAS comes with a strap that goes around the back of the patient's neck and connects to the device to make sure it doesn't migrate down. I wonder if in the situation in my OP at this other institution they used it.
