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Research on using CPR real-time feedback system to improve the quality of CPR |
Cao Shuang, Yang Min |
Intensive Care Unit, the Second Affiliated Hospital of Anhui Medical University, Hefei 230601, China |
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Abstract Objective To investigate the effect of using real-time feedback system of cardiopulmonary resuscitation (CPR) with air deflating. Methods A study was carried out on the manikin, 2 min of external cardiac compression was implemented by the medical and nursing staff in the intensive care department of our hospital. A hard board was located under the manikin and the air mattress was deflating in the control group; Additionally, the observation group used LinkCPR (feedback system) to correct the pressing depth and frequency. The results were compared. Results The mean compression depth of the observation group was (56.11±1.79) mm, which was higher than that of the control group namely (52.78±1.56) mm. And the mean accuracy rate and retention rate were 64.89% and 31.29% respectively, which were superior to those of control group namely 56.62% and 39.23%. The data had significant differences (P<0.05). The compression frequency of the observation group and the control group was (107.44±3.57) time/min, and (111.00±4.25) time/min, respectively. The data had no significant difference (P>0.05), which might because the time of compression is short. It was found that the pressure depth and frequency of the observation group were more stable, especially in the second half of compression, the control group had a significant reduction in the accuracy rate compared with the observation group. Conclusion The use of LinkCPR can ameliorate the problem of pressing too shallow, improve the accuracy of pressing and increase the stability of CPR with air deflating.
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Corresponding Authors:
Yang Min, E-mail: 512130761@qq.com
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[1]Sasson C, Rogers MA, Dahl J, et al. Predictors of survival from out-of-hospital cardiac arrest: a systematic review and meta-analysis[J]. Circ Cardiovasc Qual Outcomes, 2010, 3(1): 63-81.
[2]Morrison LJ, Gent LM, Lang E, et al. Part 2: Evidence Evaluation and Management of Conflicts of Interest: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care[J]. Circulation, 2015, 132(18 Suppl 2): S368-382.
[3]Atkins D L, de Caen A R, Berger S, et al. 2017 American Heart Association Focused Update on Pediatric Basic Life Support and Cardiopulmonary Resuscitation Quality: An Update to the American Heart Association Guidelines for Cardio pulmonary Resuscitation and Emergency Cardiovascular Care[J]. Circulation, 2018, 137(1): e1-e6.
[4]马林浩,管军,陈坤.胸外按压技术提高急诊科医生胸外按压质量的效果评价[J]. 中国急救医学, 2016, 36(5): 411-414.
[5]Sugerman NT, Edelson DP, Leary M, et al. Rescuer fatigue during actual in-hospital cardiopulmonary resuscitation with audiovisual feedback: A prospective multicenter study[J]. Resuscitation, 2009, 80(9): 981-984.
[6]Oh J, Kang H, Chee Y, et al. Use of backboard and deflation improve quality of chest compression when cardiopulmonary resuscitation is performed on a typical air inflated mattress configuration[J]. J Korean Med Sci, 2013, 28(2): 315-319.
[7]Kilaru AS, Leffer M, Perkner J, et al. Use of automated external defibrillators in us federal buildings: implementation of the Federal Occupational Health public access defibrillation program[J]. J Occupa Environ Med, 2014, 56(1): 86-91.
[8]Kramer-Johansen J, Myklebust H, Wik L, et al. Quality of out-of-hospital cardiopulmonary resuscitation with real time automated feedback: a prospective interventional study[J]. Resuscitation, 2006, 71(3): 283-292.
[9]Wee JC, Nandakumar M, Chan YH, et al. Effect of Using an Audiovisual CPR Feedback Device on Chest Compression Rate and Depth[J]. Ann Acad Med Singapore, 2014, 43(1): 33-38.
[10]Buléon C, Delaunay J, Parienti JJ, et al. Impact of a feedback device on chest compression quality during extended manikin CPR: a randomized crossover study[J]. Am J Emerg Med, 2016, 34(9): 1754-1760.
[11]Perkins GD, Kocierz L, Smith SC, et al. Compression feedback devices over estimate chest compression depth when performed on a bed[J]. Resuscitation, 2009, 80(1): 79-82. |
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