Доступ предоставлен для: Guest
Портал Begell Электронная Бибилиотека e-Книги Журналы Справочники и Сборники статей Коллекции
Critical Reviews™ in Biomedical Engineering
SJR: 0.207 SNIP: 0.376 CiteScore™: 0.79

ISSN Печать: 0278-940X
ISSN Онлайн: 1943-619X

Выпуски:
Том 47, 2019 Том 46, 2018 Том 45, 2017 Том 44, 2016 Том 43, 2015 Том 42, 2014 Том 41, 2013 Том 40, 2012 Том 39, 2011 Том 38, 2010 Том 37, 2009 Том 36, 2008 Том 35, 2007 Том 34, 2006 Том 33, 2005 Том 32, 2004 Том 31, 2003 Том 30, 2002 Том 29, 2001 Том 28, 2000 Том 27, 1999 Том 26, 1998 Том 25, 1997 Том 24, 1996 Том 23, 1995

Critical Reviews™ in Biomedical Engineering

DOI: 10.1615/CritRevBiomedEng.2019026286
pages 101-108

BODDEE BUDDEE: Evaluation of Different Foams and Thermoplastics to Develop a Biofidelic Manikin for Cardiopulmonary Resuscitation

Alex Walsh
School of Biological and Health Systems Engineering, Arizona State University, Tempe, Arizona
Kathryn Douglass
School of Biological and Health Systems Engineering, Arizona State University, Tempe, Arizona
Jeffrey T. La Belle
School of Biological and Health Systems Engineering, Arizona State University, Tempe, Arizona

Краткое описание

Cardiopulmonary resuscitation (CPR) is an emergency course of action developed to sustain oxygenated blood flow in persons suffering from cardiac arrest by manually compressing the heart in the chest and providing rescue ventilations. The best-selling CPR manikins, an integral part of training, are costly investments that lack biofidelic characteristics in appearance, feel, and response; as a result, the rescuer's learning experience suffers. The objective of the present study was to test the compressibility properties of different foams and thermoplastics in order to determine which material would most accurately imitate a human chest response. The results suggested that styrene-ethylene/butylene-styrene (SEBS) was the best choice, because its increasing stiffness under increasing compression was characteristic of a human chest cavity. Further testing must be done to determine the best composition of SEBS, analyze its response under cyclic compressions, and improve its durability.

Ключевые слова: CPR, manikin, CPR manikin, BLS, BLS training

ЛИТЕРАТУРА

  1. Smith, N. , Anoxic brain damage [Internet]. St. David’s HealthCare Surgery Centers. EBSCO Publishing; 2018 [updated 2012 Sep; cited 2018]. Available from: http:// www.stdavidssurgerycenters.com/connect-learn-interact/ health-library?chunkiid=96472.

  2. American Heart Association, Cardiac arrest statistics [Internet]. American Heart Association, c2018 [updated 2017; cited 2018]. Available from: https:// cpr.heart.org/AHAECC/CPRAndECC/Resuscitation- Science/UCM_477263_AHA-Cardiac-Arrest-Statistics. jsp%5BR=301,L,NC%5D.

  3. Geddes LA, Boland MK, Taleyarkhan PR, Vitter J. , Chest compression force of trained and untrained CPR rescuers. Cardiovasc Eng. 2007;7(2):47–50.

  4. Institute of Medicine. Strategies to improve cardiac arrest survival: a time to act Washington DC: National Academies Press; 2015.

  5. Vadeboncoeur T, Stolz U, Panchal A, Silver A, Venuti M, Tobin J, Smith G, Nunez M, Karamooz M, Spaite D, Bobrow, B. , Chest compression depth and survival in out-of-hospital cardiac arrest. Resuscitation. 2014;85(2):182–88.

  6. Al-Rasheed RS, Devine J, Dunbar-Viveiros JA, Jones MS, Dannecker M, Machan JT, Jay GD, Kobayashi L., Simulation intervention with manikin-based objective metrics improves CPR instructor chest compression performance skills without improvement in chest compression assessment skills. Simul Healthc. 2013; 8(4):242–52.

  7. Hellevuo H, Sainio M, Huhtala H, Olkkola KT, Tenhunen J, Hoppu S., The quality of manual chest compressions during transport—effect of the mattress assessed by dual accelerometers. Acta Anaesthesiol Scand. 2014; 58:323–8.

  8. Tomlinson AE, Nysaether J, Kramer-Johansen J, Steen PA, Dorph E. , Compression force–depth relationship during out-of-hospital cardiopulmonary resuscitation. Resuscitation. 2007;72(3):364–70.

  9. Stanley A, Healey SK, Maltese MR, Kuchenbecker KJ, Recreating the feel of the human chest in a CPR manikin via programmable pneumatic damping [Internet]. Philadelphia: University of Pennsylvania; 2012 [cited 2018]. https://repository.upenn.edu/cgi/viewcontent. cgi?article=1299&context=meam_papers.

  10. Bankman IN, Gruben KG, Halperin HR, Popel AS, Guerci AD, Tsitlik JE. , Identification of dynamic mechanical parameters of the human chest during manual cardiopulmonary resuscitation. IEEE Trans Biomed Eng. 1990;37(2):211–7.

  11. Baubin MA, Gilly H, Posch A, Schinnerl A, Kroesen GA. , Compression characteristics of CPR manikins. Resuscitation. 1995;30(2):117–26.

  12. Gruben KG, Guerci AD, Halperin HR, Popel AS, Tsitlik JE. , Sternal force-displacement relationship during cardiopulmonary resuscitation. J Biomech Eng. 1993;115(2):195–201.

  13. Martin PS, Kemp AM, Theobald PS, Maguire SA, Jones MD. , Does a more “physiological” infant manikin design affect chest compression quality and create a potential for thoracic over-compression during simulated infant CPR? Resuscitation. 2013;85(5):666–71.

  14. Nysaether JB, Dorph E, Rafoss I, Steen PA. , Manikins with human-like chest properties—a new tool for chest compression research. IEEE Trans Biomed Eng. 2008;55(11):2643–50.

  15. Roy E, Veres T, inventors; National Research Council of Canada, assignee. Microfluidic device, composition and method of forming. Canada patent CA2681897A1. 2009 Oct 8.

  16. ASTM. Standard test methods for flexible cellular materials— slab, bonded, and molded urethane foams. ASTM D3574-11. West Conshohocken, PA: ASTM International; 2011. p. 91–105.