Using real-time feedback and debriefing to improve CPR quality and performance
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文摘
An investigational monitor/defibrillator with CPR-sensing and feedback capabilities was used during in-hospital cardiac arrests from December 2004 to December 2005. Chest compression and ventilation characteristics were recorded and quantified for the first 5 min of resuscitation and compared to a baseline cohort of arrest episodes without feedback, from December 2002 to April 2004.

Results

Data from 55 resuscitation episodes in the baseline pre-intervention group were compared to 101 resuscitations in the feedback intervention group. There was a trend toward improvement in the mean values of CPR variables in the feedback group with a statistically significant narrowing of CPR variable distributions including chest compression rate (104 ± 18 to 100 ± 13 min−1; test of means, p = 0.16; test of variance, p = 0.003) and ventilation rate (20 ± 10 to 18 ± 8 min−1; test of means, p = 0.12; test of variance, p = 0.04). There were no statistically significant differences between the groups in either return of spontaneous circulation or survival to hospital discharge.

Conclusions

Real-time CPR-sensing and feedback technology modestly improved the quality of CPR during in-hospital cardiac arrest, and may serve as a useful adjunct for rescuers during resuscitation efforts. However, feedback specifics should be optimized for maximal benefit and additional studies will be required to assess whether gains in CPR quality translate to improvements in survival.


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Uniform reporting of measured quality of cardiopulmonar...
Resuscitation
Uniform reporting of measured quality of cardiopulmonary resuscitation (CPR)
Resuscitation, Volume 74, Issue 3, September 2007, Pages 406-417
Jo Kramer-Johansen, Dana P. Edelson, Heidrun Losert, Klemens Köhler, Benjamin S. Abella

Abstract

Summary

Background

CPR quality is an important determinant of cardiac arrest outcome. Recent investigations have demonstrated that quality of clinical CPR is variable and often not in compliance with international consensus guidelines. The 2005 update of these guidelines included new recommendations for the measurement of resuscitation and CPR performance and the institution of measures to improve resuscitation care. Common definitions and reporting templates need to be established for the variables of CPR quality. This will allow for meaningful comparisons between treatment groups in clinical trials as well as a common system for quality improvement and documentation of this improvement.

Methods/results

In this report, we present the results from an international consensus working group to propose common definitions and criteria for reporting variables of CPR quality, based on the best available data for the importance of various CPR variables. The recommendations are discussed in light of the different purposes outlined above.


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Quality of prehospital CPR based on AED records
Resuscitation
Quality of prehospital CPR based on AED records
Resuscitation, Volume 66, Issue 2, August 2005, Pages 246-247
Frédéric Lapostolle, Jean Catineau, Vanessa Surget, Thierry Houssaye, Jean Marc Agostinucci, Frédéric Adnet

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doi:10.1016/j.resuscitation.2008.03.077
Copyright © 2008 Published by Elsevier Ireland Ltd.

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Using real-time feedback and debriefing to improve CPR quality and performance

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