In some scenarios, manual chest compressions may be logistically challenging (i.e. staffing). The Lucas device (see website) can provide external and automated closed chest compression, thus enabling even complex invasive procedures without interrupting CPR. However, no randomized trial has proved to date its benefit in comparison to standard manual chest compression, only observational studies and consensus opinion support its clinical use, and it may be inappropriate to use on patients at the extremes of size.
Manufacturer's website: http://www.lucas-cpr.com/en/lucas_cpr/lucas_cpr
Training video: https://www.youtube.com/watch?v=cRpJYT7M0Eo