A randomised study of dispatcher instructions for correct hand placement for chest compressions: A pilot study

Resuscitation ◽  
2010 ◽  
Vol 81 (2) ◽  
pp. S8
Author(s):  
T.S. Birkenes ◽  
H. Myklebust ◽  
P. Westnes ◽  
J. Kramer-Johansen
Keyword(s):  
Pilot Study ◽  
Chest Compressions ◽  
Randomised Study

Does the use of BariBoard™ improve adequacy of chest compressions in morbid obesity? A pilot study using a simulation model

2021 ◽  
Author(s):  
Kate Goulding ◽  
Rosa Marchetti ◽  
Rushan Perera ◽  
Richard Johnson ◽  
Michael Bailey ◽  
...  
Keyword(s):  
Morbid Obesity ◽  
Pilot Study ◽  
Simulation Model ◽  
Chest Compressions

Helicopter-based in-water resuscitation with chest compressions: a pilot study

2014 ◽  
Vol 32 (7) ◽  
pp. 553-558 ◽  
Author(s):  
Bernd E Winkler ◽  
Frank Hartig ◽  
James DuCanto ◽  
Andreas Koch ◽  
Michael Georgieff ◽  
...  
Keyword(s):  
Pilot Study ◽  
Chest Compressions

scholarly journals Keep pushing! Limiting interruptions to CPR; bag-valve mask versus i-gel® airway ventilation

2016 ◽  
Vol 21 ◽  
pp. 21-32
Author(s):  
Craig Vincent-Lambert ◽  
Andrew Makkink ◽  
Fredrick Kloppers
Keyword(s):  
Cardiac Arrest ◽  
Pilot Study ◽  
Airway Device ◽  
Supraglottic Airway ◽  
Supraglottic Airway Device ◽  
Chest Compressions ◽  
Considerable Decrease ◽  
Advanced Airway ◽  
Off Time

Background: Recent recommendations made by ILCOR have de-emphasised the role of advanced airway management such as “endotracheal intubation” (ETI) during cardiac arrest in favour of maximising the number of chest compressions performed by rescuers. Maximising time available for compressions is achieved by minimising hands-off time (HOT). This has led to first responders and paramedics performing single rescuer CPR using a bag-valve-mask (BVM) device as opposed to the historical practice of intubating and ventilating via an endotracheal tube. Bag-valve-mask ventilations, especially during single rescuer CPR, are however associated with complications potentially resulting in increased ventilation times. More time spent on ventilations in the single rescuer scenario naturally leads to an increase in HOT and less time being available for compressions. It is postulated that the use of an appropriate supraglottic airway device (SAD) may decrease the time spent on the ventilation component of CPR and result in a decrease in HOT.Objectives: This pilot study evaluated how interruptions to chest compressions or hands-off time (HOT) are affected by the placement of an i-gel® airway vs. simple BVM ventilation during single rescuer CPR.Method: 16 participants performed two, ten-minute single rescuer CPR simulations, firstly using the BVM and later the i-gel® airway for ventilation. Data pertaining to ventilations and HOT in each scenario was statistically analysed and compared.Results: The i-gel® airway demonstrated a superior ease of ventilation compared to BVM alone and resulted in a reduction of time spent on ventilations overall. The i-gel® however took a mean of 29 s, ± 10 s, to secure which contributes considerably to HOT.Conclusion: The use of the i-gel® airway resulted in a considerable decrease in the amount of time spent on ventilations and in more compressions being performed. The overall reduction in HOT was, however, offset by the time it took to secure the device. Further investigation into the use and securing of the i-gel® airway in single rescuer CPR is recommended.

A pilot study of mechanical chest compressions with the LUCAS™ device in cardiopulmonary resuscitation

Resuscitation ◽  
2011 ◽  
Vol 82 (6) ◽  
pp. 702-706 ◽  
Author(s):  
David Smekal ◽  
Jakob Johansson ◽  
Tibor Huzevka ◽  
Sten Rubertsson
Keyword(s):  
Pilot Study ◽  
Cardiopulmonary Resuscitation ◽  
Chest Compressions

Clinical pilot study of different hand positions during manual chest compressions monitored with capnography

Resuscitation ◽  
2013 ◽  
Vol 84 (9) ◽  
pp. 1203-1207 ◽  
Author(s):  
Eric Qvigstad ◽  
Jo Kramer-Johansen ◽  
Øystein Tømte ◽  
Tore Skålhegg ◽  
Øyvar Sørensen ◽  
...  
Keyword(s):  
Pilot Study ◽  
Chest Compressions

scholarly journals Meditation involving people with cancer, medical staff and witnesses: a pilot study exploring improvement in wellness and connectedness

BMJ Open ◽  
2021 ◽  
Vol 11 (11) ◽  
pp. e048164
Author(s):  
V Prevost ◽  
Bénédicte Clarisse ◽  
Alexandra Leconte ◽  
Claire Delorme ◽  
Sandrine Benoit ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Pilot Study ◽  
Medical Staff ◽  
Mindfulness Meditation ◽  
Target Population ◽  
Added Value ◽  
Randomised Study ◽  
Registration Number ◽  
Bridge Building

IntroductionMindfulness meditation is likely to promote better management of stress, pain and negative emotions. We propose to address the benefit of meditation in an open setting associating people with cancer (target population), medical staff and witnesses (neither patient nor medical staff). This study aims (1) to evaluate the effects of meditation on wellness improvement and (2) to identify criteria and modalities for a subsequent randomised study.Methods and analysisWe propose a longitudinal pilot study consisting of a non-randomised experimental preintervention/postintervention survey. The intervention consists in delivering a meditation programme (12 weekly meditation sessions of 1.5 hours each), specifically adapted to our target population and addressing our research hypothesis in an open setting involving people with cancer, medical staff and witnesses (equally distributed in two groups of 15 participants). The main objective is to evaluate participants’ adherence to the programme. The effects of meditation will be evaluated on stress, quality of life, feeling of personal effectiveness, on the development of mindfulness and empathy, and on satisfaction and perception of a change in quality of life. We will also measure the putative added value of ‘meditating together’. This study is expected to allow validating the evaluation tools and refining the modalities of the workshops. We expect to demonstrate the evolution that this meditation-based intervention induces in the participants. We aim to promote bridge-building, between patients, medical staff but also others. In this way, one’s own suffering may be understood in the light of others’ suffering, thereby promoting the sense of otherness and giving insights into ‘living better with’. This exploratory study will investigate the relevance of this hypothesis, which could then be explored by a randomised study.Ethics and disseminationThe protocol was approved by the local ethics committee (Comité de Protection des Personnes Est II). Trial findings will be published in peer-reviewed journals.Trial registration numberNCT04410185.

scholarly journals Impact of bed height on the biomechanics of healthcare professionals during chest compressions on the neonate: a descriptive pilot study

BMJ Open ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. e047666
Author(s):  
Jennifer Parent-Nichols ◽  
Julia Perez ◽  
Brittany Witherell ◽  
Paula McWilliam ◽  
Louis P Halamek ◽  
...  
Keyword(s):  
Pilot Study ◽  
Healthcare Professionals ◽  
Postural Sway ◽  
Body Position ◽  
Research Centre ◽  
Joint Angles ◽  
Chest Compressions ◽  
Postural Adjustments ◽  
Bed Height ◽  
Significant Difference

ObjectivesThe biomechanics of the healthcare professionals (HCPs) performing the life-saving intervention of chest compressions in the neonatal population is poorly understood. The aim of this pilot study was to describe the variations in body position at a self-selected and a predetermined bed height during neonatal chest compressions. Measures of joint angles, time to postural sway and number of postural adjustments were chosen as indices for the stability of the HCP’s position.SettingData were collected at a simulation-based research centre in which the patient care environment was replicated.ParticipantsHCPs with varying roles working in the neonatal intensive care unit and holding a current Neonatal Resuscitation Program Provider certification were recruited for this study.InterventionsFifteen HCPs performed two trials of chest compressions, each lasting 2 min, at a predetermined bed height and a self-selected bed height. Trials were video recorded, capturing upper and lower body movements. Videos were analysed for time to postural sway and number of postural adjustments. Joint angles were measured at the start and end of each trial.ResultsA statistically significant difference was found between the two bed height conditions for number of postural adjustments (p=0.02). While not statistically significant, time postural sway was increased in the choice bed height condition (85 s) compared with the predetermined bed height (45 s). After 30 s of chest compressions, mean shoulder and knee angles were smaller for choice bed height (p=0.03, 95% CI Lower=−12.14, Upper=−0.68 and p=0.05, 95% CI Lower=3.43, Upper=0.01, respectively). After 1 min and 45 s of chest compressions, mean wrist angles were smaller in the choice bed height condition (p=0.01, 95% CI Lower=−9.20, Upper=−1.22), stride length decreased between the 30 s and 1 min 45 s marks of the chest compressions in the predetermined height condition (p=0.02).

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