Does the use of cardiopulmonary resuscitation feedback devices improve the quality of chest compressions performed by doctors? A prospective, randomized, cross-over simulation study.
cardiopulmonary resuscitation
chest compressions
doctor
medical simulation
quality
Journal
Cardiology journal
ISSN: 1898-018X
Titre abrégé: Cardiol J
Pays: Poland
ID NLM: 101392712
Informations de publication
Date de publication:
2019
2019
Historique:
received:
16
07
2018
accepted:
22
07
2018
revised:
24
08
2018
pubmed:
30
8
2018
medline:
29
7
2020
entrez:
30
8
2018
Statut:
ppublish
Résumé
The aim of the study was to compare the quality of chest compressions (CCs) carried out with and without the use of the TrueCPR device during simulated cardiopulmonary resuscitations conducted by trainee doctors. The study was a prospective, randomized, cross-over simulation study. The study involved 65 trainee doctors who were tasked with performing a 2-min cycle of uninterrupted CCs under conditions of a simulated cardiopulmonary resuscitation of adults. CC were carried out in two scenarios: with and without TrueCPR chest compression support. Participants did not have experience in the use of CCs prior to this study. The depth of compressions in regard to CC techniques were varied by 45 mm (IQR 43-48) for manual CC and 53 mm (IQR 51-55) for the TrueCPR device (p < 0.001). The incidence of CCs with and without TrueCPR was: 112 (IQR 103-113) vs. 129 (IQR 122-135) compressions (p = 0.002). The degree of complete chest relaxation with the TrueCPR device was 95% (IQR 76-99) and without the device, 33% (IQR 29-38) (p < 0.001). In the simulation study performed, the use of the TrueCPR device resulted in a significant improvement in the quality of CCs in relation to frequency and depth of CCs and correctness of chest relaxation.
Sections du résumé
BACKGROUND
The aim of the study was to compare the quality of chest compressions (CCs) carried out with and without the use of the TrueCPR device during simulated cardiopulmonary resuscitations conducted by trainee doctors.
METHODS
The study was a prospective, randomized, cross-over simulation study. The study involved 65 trainee doctors who were tasked with performing a 2-min cycle of uninterrupted CCs under conditions of a simulated cardiopulmonary resuscitation of adults. CC were carried out in two scenarios: with and without TrueCPR chest compression support. Participants did not have experience in the use of CCs prior to this study.
RESULTS
The depth of compressions in regard to CC techniques were varied by 45 mm (IQR 43-48) for manual CC and 53 mm (IQR 51-55) for the TrueCPR device (p < 0.001). The incidence of CCs with and without TrueCPR was: 112 (IQR 103-113) vs. 129 (IQR 122-135) compressions (p = 0.002). The degree of complete chest relaxation with the TrueCPR device was 95% (IQR 76-99) and without the device, 33% (IQR 29-38) (p < 0.001).
CONCLUSIONS
In the simulation study performed, the use of the TrueCPR device resulted in a significant improvement in the quality of CCs in relation to frequency and depth of CCs and correctness of chest relaxation.
Identifiants
pubmed: 30155865
pii: VM/OJS/J/59295
doi: 10.5603/CJ.a2018.0091
pmc: PMC8084395
doi:
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
529-535Références
Resuscitation. 2012 Mar;83(3):360-4
pubmed: 21771570
Am J Emerg Med. 2016 Aug;34(8):1338-41
pubmed: 26712571
Am J Emerg Med. 2015 Mar;33(3):391-5
pubmed: 25662205
Kardiol Pol. 2018;76(3):574-579
pubmed: 29297195
Resuscitation. 2007 Jan;72(1):100-7
pubmed: 17079067
Resuscitation. 2014 Apr;85(4):460-71
pubmed: 24361457
Am J Emerg Med. 2018 Jul;36(7):1318-1319
pubmed: 29196113
Cardiol J. 2017;24(3):324-333
pubmed: 28150290
Cardiol J. 2016;23(5):532-538
pubmed: 27387062
Resuscitation. 2015 Oct;95:278-87
pubmed: 26477417
Physiol Meas. 2011 Jun;32(6):687-99
pubmed: 21606561
Am J Emerg Med. 2017 Oct;35(10):1420-1425
pubmed: 28433454
Am J Emerg Med. 2016 Sep;34(9):1754-60
pubmed: 27349359
Ann Acad Med Singap. 2014 Jan;43(1):33-8
pubmed: 24557463
Resuscitation. 2015 Oct;95:1-80
pubmed: 26477410
Cardiol J. 2016;23(6):620-622
pubmed: 27976792
Resuscitation. 2010 Sep;81(9):1152-5
pubmed: 20732607
Kardiol Pol. 2017;75(6):589-595
pubmed: 28150278
Circulation. 2015 Nov 3;132(18 Suppl 2):S414-35
pubmed: 26472993
Kardiol Pol. 2016;74(12):1499-1504
pubmed: 27391911
Circulation. 2015 Nov 3;132(18 Suppl 2):S315-67
pubmed: 26472989
Biomed Eng Online. 2015 Nov 04;14:102
pubmed: 26537881
Am J Emerg Med. 2015 Jan;33(1):114-5
pubmed: 25455057
Am J Emerg Med. 2016 Mar;34(3):381-5
pubmed: 26612703
Am J Emerg Med. 2017 Apr;35(4):604-609
pubmed: 28040386
Circulation. 2015 Nov 3;132(18 Suppl 2):S444-64
pubmed: 26472995
Emerg Med J. 2014 Aug;31(8):645-8
pubmed: 23704754
Kardiol Pol. 2015;73(10):924-30
pubmed: 25985725
Circulation. 2007 Nov 27;116(22):2525-30
pubmed: 17998457
Kardiol Pol. 2017;75(1):21-27
pubmed: 27878801
Resuscitation. 2013 Mar;84(3):361-4
pubmed: 22819881
Resuscitation. 2000 May;44(3):219-30
pubmed: 10825624
Am J Emerg Med. 2016 Oct;34(10):2044-2045
pubmed: 27528048
PLoS One. 2016 Mar 01;11(3):e0150139
pubmed: 26930061
Am J Emerg Med. 2014 Jun;32(6):686.e1-2
pubmed: 24418444
Am J Emerg Med. 2015 Apr;33(4):535-8
pubmed: 25662803