Effect of a backboard on chest compression quality during in-hospital adult cardiopulmonary resuscitation: A randomised, single-blind, controlled trial using a manikin model

2021 ◽  
pp. 103164
Author(s):  
Zara Cuvelier ◽  
Ruben Houthoofdt ◽  
Brecht Serraes ◽  
Carl Haentjens ◽  
Stijn Blot ◽  
...  
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Chest Compression ◽  
Controlled Trial ◽  
Single Blind

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

2017 ◽  
Vol 1 (3) ◽  
pp. 200-207
Author(s):  
Chika Nishiyama ◽  
Tomonari Shimamoto ◽  
Kosuke Kiyohara ◽  
Takashi Kawamura ◽  
Tetsuhisa Kitamura ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Cardiopulmonary Resuscitation ◽  
Chest Compression ◽  
Controlled Trial ◽  
Randomized Controlled

scholarly journals Effect on Chest Compression Fraction of Continuous Manual Compressions with Asynchronous Ventilations Using an i-gel® versus 30:2 Approach during Simulated Out-of-Hospital Cardiac Arrest: Protocol for a Manikin Multicenter Randomized Controlled Trial

Healthcare ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. 354
Author(s):  
Loric Stuby ◽  
Laurent Jampen ◽  
Julien Sierro ◽  
Erik Paus ◽  
Thierry Spichiger ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Cardiopulmonary Resuscitation ◽  
Airway Management ◽  
Chest Compression ◽  
User Satisfaction ◽  
Controlled Trial ◽  
Face Mask ◽  
Spontaneous Circulation ◽  
Multicenter Randomized Controlled Trial ◽  
Hospital Cardiac Arrest

The optimal airway management strategy during cardiopulmonary resuscitation is uncertain. In the case of out-of-hospital cardiac arrest, a high chest compression fraction is paramount to obtain the return of spontaneous circulation and improve survival and neurological outcomes. To improve this fraction, providing continuous chest compressions should be more effective than using the conventional 30:2 ratio. Airway management should, however, be adapted, since face-mask ventilation can hardly be carried out while continuous compressions are administered. The early insertion of a supraglottic device could therefore improve the chest compression fraction by allowing ventilation while maintaining compressions. This is a protocol for a multicenter, parallel, randomized simulation study. Depending on randomization, each team made up of paramedics and emergency medical technicians will manage the 10-min scenario according either to the standard approach (30 compressions with two face-mask ventilations) or to the experimental approach (continuous manual compressions with early insertion of an i-gel® supraglottic device to deliver asynchronous ventilations). The primary outcome will be the chest compression fraction during the first two minutes of cardiopulmonary resuscitation. Secondary outcomes will be chest compression fraction (per cycle and overall), compressions and ventilations quality, time to first shock and to first ventilation, user satisfaction, and providers’ self-assessed cognitive load.

scholarly journals Effectiveness of hands-on cardiopulmonary resuscitation practice with self-debriefing for healthcare providers: A simulation-based controlled trial

2017 ◽  
Vol 24 (6) ◽  
pp. 268-274
Author(s):  
Hsuan-Jui Fan ◽  
Shih-Hao You ◽  
Chien-Hsiung Huang ◽  
Chen-June Seak ◽  
Chip-Jin Ng ◽  
...  
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Chest Compression ◽  
Controlled Trial ◽  
Healthcare Providers ◽  
Control Group ◽  
Resuscitation Training ◽  
Significant Difference ◽  
Hands On ◽  
Post Test ◽  
Adequate Rate

Introduction: The psychomotor skill of cardiopulmonary resuscitation emphasized the importance of high-quality chest compression. This investigation examined the effect of self-debriefing and the different materials of debriefing during hands-on cardiopulmonary resuscitation practice for healthcare providers. Methods: This was a randomized controlled trial of a cardiopulmonary resuscitation training program involving emergency medical technicians in northern Taiwan. Participants were blinded to the study purpose and were allocated randomly using the black envelope method. All participants completed a 2-min pre-test of hands-only cardiopulmonary resuscitation using a manikin. Those who were allocated to the control group received self-debriefing with knowledge of pre-test result. Those who were allocated to the experimental group received self-debriefing with an additional biomechanical information of performance of chest compression. A post-test was performed 30 min after the pre-test. Results: A total of 88 participants were enrolled with 44 in each group. There was significant difference of cardiopulmonary resuscitation quality after self-debriefing among all participants (pre- vs post-test adequate rate, 54.7% vs 67.5%, p = 0.028; adequate depth, 41.2% vs 69.5%, p < 0.001; full recoil, 35.9% vs 54.5%, p = 0.001). The analysis of effects of self-debriefing with additional knowledge of performance revealed no significant difference in any of the measurements (improvement in adequate rate, 11.3% vs 14.2%, p = 0.767; adequate depth, 29.6% vs 27.0%, p = 0.784; full recoil, 23.0% vs 14.1%, p = 0.275). Conclusion: Self-debriefing improved hands-only cardiopulmonary resuscitation quality whether or not biomechanical information of performance of chest compression was given.

scholarly journals Can a Glove-Coach Technology Significantly Increase the Efficacy of Cardiopulmonary Resuscitation on Non-healthcare Professionals? A Controlled Trial

2021 ◽  
Vol 8 ◽  
Author(s):  
Michele Musiari ◽  
Andrea Saporito ◽  
Samuele Ceruti ◽  
Maira Biggiogero ◽  
Martina Iattoni ◽  
...  
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Primary Outcome ◽  
Healthcare Professionals ◽  
Controlled Trial ◽  
Control Group ◽  
Chest Compressions ◽  
Compression Depth ◽  
The Mean ◽  
Secondary Outcomes ◽  
Single Blind

Introduction: Cardiovascular accidents are the world's leading cause of death. A good quality cardiopulmonary resuscitation (CPR) can reduce cardiac arrest-associated mortality. This study aims to test the coaching system of a wearable glove, providing instructions during out-of-hospital CPR.Materials and Methods: We performed a single-blind, controlled trial to test non-healthcare professionals during a simulated CPR performed on an electronic mannequin. The no-glove group was the control. The primary outcome was to compare the accuracy of depth and frequency of two simulated CPR sessions. Secondary outcomes were to compare the decay of CPR performance and the percentage of the duration of accurate CPR.Results: About 130 volunteers were allocated to 1:1 ratio in both groups; mean age was 36 ± 15 years (min–max 21–64) and 62 (48%) were men; 600 chest compressions were performed, and 571 chest compressions were analyzed. The mean frequency in the glove group was 117.67 vs. 103.02 rpm in the control group (p &lt; 0.001). The appropriate rate cycle was 92.4% in the glove group vs. 71% in the control group, with a difference of 21.4% (p &lt; 0.001). Mean compression depth in the glove group was 52.11 vs. 55.17 mm in the control group (p &lt; 0.001). A mean reduction of compression depth over time of 5.3 mm/min was observed in the control group vs. 0.83 mm/min of reduction in the glove group.Conclusion: Visual and acoustic feedbacks provided through the utilization of the glove's coaching system were useful for non-healthcare professionals' CPR performance.

Sign in / Sign up

Export Citation Format

Share Document