scholarly journals Effectiveness of chest compression feedback during cardiopulmonary resuscitation in lateral tilted and semirecumbent positions: a randomised controlled simulation study

Anaesthesia ◽  
2015 ◽  
Vol 70 (11) ◽  
pp. 1235-1241 ◽  
Author(s):  
Y. Song ◽  
J. Oh ◽  
Y. Chee ◽  
Y. Cho ◽  
S. Lee ◽  
...  
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Chest Compression ◽  
Simulation Study ◽  
Randomised Controlled

Role of Dominant Hand Position during Chest Compression by Novice Rescuers: An Observational Simulation Study

2014 ◽  
Vol 21 (6) ◽  
pp. 382-386 ◽  
Author(s):  
Ch Jo ◽  
Jh Ahn ◽  
Yd Shon ◽  
Gc Cho
Keyword(s):  
Hong Kong ◽  
Cardiopulmonary Resuscitation ◽  
Training Program ◽  
Chest Compression ◽  
Simulation Study ◽  
Hand Position ◽  
Dominant Hand ◽  
Cpr Training

Introduction The aim of this study was to determine the effect of hand positioning on the quality of external chest compression (ECC) by novice rescuers. Methods This observational simulation study was conducted for 117 included participants. After completion of an adult cardiopulmonary resuscitation (CPR) training program for 3-h, the participants selected which of their hands would be in contact with the mannequin during ECC and performed 5 cycles of single rescuer CPR on a recording mannequin. The participants were assigned to 2 groups: the dominant hand group (DH; n=40) and the non-dominant hand group (NH; n=29). The depth and rate of ECC were analysed to compare the effectiveness of ECC between 2 groups. Results The rate of ECC was significantly faster in the DH group (mean, 117.3 ±11.4/min) than in the NH group (mean, 110.9±12.2/min) (p=0.028). However, the depth of ECC in the dominant hand group (mean, 52.4±5.9 mm) was not significantly different from that in the non-dominant hand group (mean, 50.8±6.0 mm) (p=0.287). Similarly, the portion of ECC with inadequate depth in the dominant hand group (mean, 1.8±4.3%) was not significantly different from that in the non-dominant hand group (mean, 5.3±15.6%) (p=0.252). Conclusions ECC can be performed with an acceptably higher rate of compressions when the dominant hand of the novice rescuer is placed in contact with the sternum. However, the position of the dominant hand does not affect the depth of ECC. (Hong Kong j.emerg.med. 2014;21:382-386)

Chest compression with kneeling posture in hospital cardiopulmonary resuscitation: A randomised crossover simulation study

2014 ◽  
Vol 26 (6) ◽  
pp. 585-590 ◽  
Author(s):  
Jaehoon Oh ◽  
Youngjoon Chee ◽  
Taeho Lim ◽  
Youngsuk Cho ◽  
In Young Kim
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Chest Compression ◽  
Simulation Study

Bag-Valve-Mask versus Laryngeal Mask Airway Ventilation in Cardiopulmonary Resuscitation with Continuous Compressions: A Simulation Study

2021 ◽  
pp. 1-6
Author(s):  
Zerrin Defne Dundar ◽  
Mustafa Kursat Ayranci ◽  
Sedat Kocak ◽  
Abdullah Sadik Girisgin
Keyword(s):  
Cardiac Arrest ◽  
Laryngeal Mask Airway ◽  
Cardiopulmonary Resuscitation ◽  
Chest Compression ◽  
Simulation Study ◽  
Laryngeal Mask ◽  
Chest Compressions ◽  
Study Objective ◽  
Volume Limit ◽  
The Mean

Abstract Introduction: The 2017 International Liaison Committee on Resuscitation (ILCOR) guideline recommends that Emergency Medical Service (EMS) providers can perform cardiopulmonary resuscitation (CPR) with synchronous or asynchronous ventilation until an advanced airway has been placed. In the current literature, limited data on CPR performed with continuous compressions and asynchronous ventilation with bag-valve-mask (BVM) are available. Study Objective: In this study, researchers aimed to compare the effectiveness of asynchronous BVM and laryngeal mask airway (LMA) ventilation during CPR with continuous chest compressions. Methods: Emergency medicine residents and interns were included in the study. The participants were randomly assigned to resuscitation teams with two rescuers. The cross-over simulation study was conducted on two CPR scenarios: asynchronous ventilation via BVM during a continuous chest compression and asynchronous ventilation via LMA during a continuous chest compression in cardiac arrest patient with asystole. The primary endpoints were the ventilation-related measurements. Results: A total of 92 volunteers were included in the study and 46 CPRs were performed in each group. The mean rate of ventilations of the LMA group was significantly higher than that of the BVM group (13.7 [11.7-15.7] versus 8.9 [7.5-10.3] breaths/minute; P <.001). The mean volume of ventilations of the LMA group was significantly higher than that of the BVM group (358.4 [342.3-374.4] ml versus 321.5 [303.9-339.0] ml; P = .002). The mean minute ventilation volume of the LMA group was significantly higher than that of the BVM group (4.88 [4.15-5.61] versus 2.99 [2.41-3.57] L/minute; P <.001). Ventilations exceeding the maximum volume limit occurred in two (4.3%) CPRs in the BVM group and in 11 (23.9%) CPRs in the LMA group (P = .008). Conclusion: The results of this study show that asynchronous BVM ventilation with continuous chest compressions is a reliable and effective strategy during CPR under simulation conditions. The clinical impact of these findings in actual cardiac arrest patients should be evaluated with further studies at real-life scenes.

Sign in / Sign up

Export Citation Format

Share Document