Influence of chest compression rate guidance on the quality of cardiopulmonary resuscitation performed on manikins

Jäntti, Helena; Silfvast, Tom; Turpeinen, Anu; Kiviniemi, Vesa; Uusaro, Ari

doi:10.1016/j.resuscitation.2009.01.001

Cited by 60 publications

(57 citation statements)

References 24 publications

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“…In this study, all of the rescuers maintained the expected compression rate that started with 121/min and systematically increased to finally reach 128/min in the last minute of the observation. The analysis of the chest compression rate fluctuation in this study indicates that the chest compression values observed here are in accordance with the prescribed values and, therefore, potentially lead to a more efficient cardiac massage [2,5,12,13]. It should be pointed out that the prior experience of the professional group (the rescuers started in preselections for the Polish Medical Rescue Championships), has an influence on the correctness of the performed CCC-CPR.…”

Section: Discussionsupporting

confidence: 71%

“…Chest compression should be undertaken immediately in order to restore oxygen distribution to critical tissues and, in this way, to minimize the risk of progressive oxygen deficiency and raise the chances of survival [2,3,4]. The importance of the quality of maneuvers has been underlined, especially the quality of chest compression (with or without ventilator pauses) with a focus on its depth [5,6]. At the same time, it has been noted that effective chest compression during CPR is an activity requiring specific physical fitness.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Depth and rate of chest compression in CPR simulation during 10-minute continuous external cardiac compression

Bucki

Karpe

Michnik

et al. 2017

Ann. Acad. Med. Siles.

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Depth and rate of chest compression in CPR simulation during 10-minute continuous external cardiac compressionOcena głębokości i częstotliwości kompresji klatki piersiowej podczas symulacji resuscytacji krążeniowo-oddechowej, w trakcie 10-minutowego ciągłego zewnętrznego masażu serca AB ST R ACT I N T R O D U C T I O N:External cardiac massage has been a basic CPR maneuver for years. The aim of the study was to assess the quality of chest compression during a real-time continuous cardiac compression simulation on a cardiopulmonary resuscitation mannequin (considering medical rescuer experience and BMI). M A T E R I A L A N D M E T H O D S:This was a prospective study involving 17 medical rescuers, and 21 Medical Rescue students and university lecturers. During the simulation the participants performed continuous external cardiac compression for 15 minutes or until the refusal to continue. The depth and rate were analyzed at 60-second periods, leading to average values of cardiopulmonary resuscitation effectiveness. The analysis covered complete research data gathered in real time (10 minute periods). R E S U L T S:The average compression depth significantly decreased from the first (40.66 SE ± 0.80 mm) to the fourth minute of the study (38.21 SE ± 0.95 mm). The average compression rate was significantly different between the initial values (120.97 SE ± 2.83/min) and the sixth minute of the study (123.69 SE ± 2.55/min). The average compression depth amounted to n 36.03 SE ± 1.22 mm in non-professionals and 40.06 SE ± 1.37 mm in professionally active participants. In the participants with a BMI > 25, the only differentiating point in time was the beginning of the task when the average compression depth was 41.97 SE ± 1.12 mm. In the participants with a BMI < 25, there was a gradual decrease in the compression depth within the initial four minutes of the task.

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Section: Discussionsupporting

confidence: 71%

Section: Introductionmentioning

confidence: 99%

Depth and rate of chest compression in CPR simulation during 10-minute continuous external cardiac compression

Bucki

Karpe

Michnik

et al. 2017

Ann. Acad. Med. Siles.

View full text Add to dashboard Cite

show abstract

“…Though the new guidelines required a rate of at least 100 beats/min for chest compression, the operator always pressed too quickly because of tension in a critical situation. [13,14] In our study, the rate of chest compression was generally higher than an average compression rate of more than 130 beats/min, and the average fatigue time was about 1 minute, far less than 2 minutes as it is described in the new guidelines or other studies. [7] The above fi ndings revealed that fast compression would lead to premature fatigue, eventually shallow compression depth, inaccurate hands location, decreased compression rate, [15] and worse chest wall recoil.…”

Section: The Relationship Between the Quality Indexes Of Chest Compresupporting

confidence: 46%

Correlations between quality indexes of chest compression

Zhang¹,

Li²,

Huang³

et al. 2013

World Journal of Emergency Medicine

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“…21,22 Because the instructors are able to provide individualized feedback and instructions for participants at the appropriate times, to reinforce the effectiveness of self-learning, the quality of feedback devices should be improved. Consistent with the previous studies, 23,24 our study results suggest that it was more difficult to achieve an adequate chest compression depth compared to other indicators of quality chest compressions such as chest compression fractions, tempo, recoil, and hand position. Even if an adequate chest compression depth was acquired, it deteriorated rapidly.…”

Section: Discussionsupporting

confidence: 91%

Effectiveness of a One‐minute Self‐retraining for Chest Compression‐only Cardiopulmonary Resuscitation: Randomized Controlled Trial

Nishiyama

Shimamoto

Kiyohara

et al. 2017

AEM Education and Training

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Objectives: Although cardiopulmonary resuscitation (CPR) skills decay after training, little is known about appropriate retraining methods. Our aim was to evaluate the effectiveness of a 1-minute self-retraining (with automated assessment and feedback) at 3 months after the initial 45-minute chest compression-only CPR training in a simulated randomized controlled trial.Methods: After the initial 45-minute chest compression-only CPR training, participants were randomly assigned to either a 1-minute self-retraining group or a control group. Three months after the initial training, the selfretraining group individually attended the 1-minute self-retraining with a self-training device. The participants' resuscitation skills were evaluated by a 2-minute case-based scenario test 6 months after the initial training. The primary outcome was the number of correct chest compressions with appropriate depth.Results: A total of 109 subjects participated in this study. With regard to the primary outcome, the number of chest compressions performed at the appropriate depth, there was not a statistically significant difference between groups (136. Conclusions: The 1-minute self-retraining program with hands-on practice appears to help preserve certain chest compression skills. Further efforts to provide methods to maintain CPR skills should be considered.A lthough early cardiopulmonary resuscitation (CPR) and shocks by bystanders are the keys to increase survival after sudden cardiac arrests, 1 the proportions of bystander CPR and automated external

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Influence of chest compression rate guidance on the quality of cardiopulmonary resuscitation performed on manikins

Cited by 60 publications

References 24 publications

Depth and rate of chest compression in CPR simulation during 10-minute continuous external cardiac compression

Depth and rate of chest compression in CPR simulation during 10-minute continuous external cardiac compression

Correlations between quality indexes of chest compression

Effectiveness of a One‐minute Self‐retraining for Chest Compression‐only Cardiopulmonary Resuscitation: Randomized Controlled Trial

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