Transthoracic impedance variability to assess quality of chest compression in out-of-hospital cardiac arrest.
cardiopulmonary resuscitation
chest compression fraction
outcome
transthoracic impedance
variability
Journal
Acta anaesthesiologica Scandinavica
ISSN: 1399-6576
Titre abrégé: Acta Anaesthesiol Scand
Pays: England
ID NLM: 0370270
Informations de publication
Date de publication:
Apr 2024
Apr 2024
Historique:
revised:
20
11
2023
received:
01
09
2023
accepted:
21
12
2023
pubmed:
15
1
2024
medline:
15
1
2024
entrez:
14
1
2024
Statut:
ppublish
Résumé
Chest compression is a lifesaving intervention in out-of-hospital cardiac arrest (OHCA), but the optimal metrics to assess its quality have yet to be identified. The objective of this study was to investigate whether a new parameter, that is, the variability of the chest compression-generated transthoracic impedance (TTI), namely Imp This multicenter observational, retrospective study included OHCAs with shockable rhythm. Imp Among 835 treated OHCAs, 680 met inclusion criteria and 565 matched long-term outcomes. Imp In this population, consistency of chest compression maneuver, measured by variability in TTI, was an independent predictor of defibrillation outcome. Imp
Sections du résumé
BACKGROUND
BACKGROUND
Chest compression is a lifesaving intervention in out-of-hospital cardiac arrest (OHCA), but the optimal metrics to assess its quality have yet to be identified. The objective of this study was to investigate whether a new parameter, that is, the variability of the chest compression-generated transthoracic impedance (TTI), namely Imp
METHODS
METHODS
This multicenter observational, retrospective study included OHCAs with shockable rhythm. Imp
RESULTS
RESULTS
Among 835 treated OHCAs, 680 met inclusion criteria and 565 matched long-term outcomes. Imp
CONCLUSIONS
CONCLUSIONS
In this population, consistency of chest compression maneuver, measured by variability in TTI, was an independent predictor of defibrillation outcome. Imp
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
556-566Subventions
Organisme : Thelma Zoéga Foundation
Organisme : Region Skåne
Organisme : Stig Ragna Gorthon's Foundation
Organisme : Horizon 2020 Framework Programme
ID : 733381
Informations de copyright
© 2024 Acta Anaesthesiologica Scandinavica Foundation.
Références
Olasveengen TM, Semeraro F, Ristagno G, et al. European resuscitation council guidelines 2021: basic life support. Resuscitation. 2021;161:98-114.
Hellevuo H, Sainio M, Huhtala H, et al. The quality of manual chest compressions during transport - effect of the mattress assessed by dual accelerometers. Acta Anaesthesiol Scand. 2014;58:323-328.
Scapigliati A, Zace D, Matsuyama T, et al. Community initiatives to promote basic life support implementation-a scoping review. J Clin Med. 2021;10:5719.
Wyckoff MH, Greif R, Morley PT, et al. 2022 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations: summary from the basic life support; advanced life support; pediatric life support; neonatal life support; education, implementation, and teams; and first aid task forces. Resuscitation. 2022;181:208-288.
Christenson J, Andrusiek D, Everson-Stewart S, et al. Chest compression fraction determines survival in patients with out-of-hospital ventricular fibrillation. Circulation. 2009;120:1241-1247.
Vaillancourt C, Everson-Stewart S, Christenson J, et al. The impact of increased chest compression fraction on return of spontaneous circulation for out-of-hospital cardiac arrest patients not in ventricular fibrillation. Resuscitation. 2011;82:1501-1507.
Magliocca A, Olivari D, De Giorgio D, et al. LUCAS versus manual chest compression during ambulance transport: a hemodynamic study in a porcine model of cardiac arrest. J Am Heart Assoc. 2019;8:e011189.
Ristagno G, Mauri T, Cesana G, et al. Amplitude spectrum area to guide defibrillation: a validation on 1617 patients with ventricular fibrillation. Circulation. 2015;131:478-487.
Stirparo G, Fagoni N, Bellini L, et al. Cardiopulmonary resuscitation missed by bystanders: collateral damage of coronavirus disease 2019. Acta Anaesthesiol Scand. 2022;66:1124-1129.
Mantovani LG, Fornari C, Madotto F, et al. Burden of acute myocardial infarction. Int J Cardiol. 2011;150:111-112.
Newcombe HB. Handbook of Record Linkage, Methods for Health and Statistical Studies, Administration and Business. Oxford University Press; 1988.
Stecher FS, Olsen JA, Stickney RE, Wik L. Transthoracic impedance used to evaluate performance of cardiopulmonary resuscitation during out of hospital cardiac arrest. Resuscitation. 2008;79:432-437.
Ristagno G, Li Y, Fumagalli F, Finzi A, Quan W. Amplitude spectrum area to guide resuscitation-a retrospective analysis during out-of-hospital cardiopulmonary resuscitation in 609 patients with ventricular fibrillation cardiac arrest. Resuscitation. 2013;84:1697-1703.
Wik L, Olsen JA, Persse D, et al. Why do some studies find that CPR fraction is not a predictor of survival? Resuscitation. 2016;104:59-62.
Grunau B, Kawano T, Dick W, et al. Trends in care processes and survival following prehospital resuscitation improvement initiatives for out-of-hospital cardiac arrest in British Columbia, 2006-2016. Resuscitation. 2018;125:118-125.
Beesems SG, Berdowski J, Hulleman M, Blom MT, Tijssen JGP, Koster RW. Minimizing pre- and post-shock pauses during the use of an automatic external defibrillator by two different voice prompt protocols: a randomized controlled trial of a bundle of measures. Resuscitation. 2016;106:1-6.
Nichol G, Leroux B, Wang H, et al. Trial of continuous or interrupted chest compressions during CPR. N Engl J Med. 2015;373:2203-2214.
Rea T, Olsufka M, Yin L, Maynard C, Cobb L. The relationship between chest compression fraction and outcome from ventricular fibrillation arrests in prolonged resuscitations. Resuscitation. 2014;85:879-884.
Talikowska M, Tohira H, Inoue M, Bailey P, Brink D, Finn J. Lower chest compression fraction associated with ROSC in OHCA patients with longer downtimes. Resuscitation. 2017;116:60-65.
Bleijenberg E, Koster RW, de Vries H, Beesems SG. The impact of post-resuscitation feedback for paramedics on the quality of cardiopulmonary resuscitation. Resuscitation. 2017;110:1-5.
Cheskes S, Schmicker RH, Rea T, et al. The association between AHA CPR quality guideline compliance and clinical outcomes from out-of-hospital cardiac arrest. Resuscitation. 2017;116:39-45.
Berg RA, Sanders AB, Kern KB, et al. Adverse hemodynamic effects of interrupting chest compressions for rescue breathing during cardiopulmonary resuscitation for ventricular fibrillation cardiac arrest. Circulation. 2001;104:2465-2470.
Olasveengen TM, Wik L, Steen PA. Standard basic life support vs. continuous chest compressions only in out-of-hospital cardiac arrest. Acta Anaesthesiol Scand. 2008;52:914-919.
Nebsbjerg MA, Rasmussen SE, Bomholt KB, et al. Skills among young and elderly laypersons during simulated dispatcher assisted CPR and after CPR training. Acta Anaesthesiol Scand. 2018;62:125-133.