@2024 Afarand., IRAN
ISSN: 2252-0805 The Horizon of Medical Sciences 2019;25(1):1-7
ISSN: 2252-0805 The Horizon of Medical Sciences 2019;25(1):1-7
Effect of Capnography Feedback During CPR on Promotion of Psychomotor Skills of Rescuers
ARTICLE INFO
Article Type
Original ResearchAuthors
Chamanzari H. (1)Ahmadi Maymodi S.K (*)
Behnam H. (2)
Malekzadeh J. (2)
Abdollahi H. (3)
Robati P. (4)
Eftekhar S. (5)
(*) CPR Unit , Quem Hospital, Mashhad University of Medical Sciences,, Mashhad, Iran
(1) School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
(2) School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
(3) School of Nursing and Midwifery, Azad University, Mashhad, Iran
(4) Quality Improvement Office, Quem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
(5) Quem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
Correspondence
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Article History
Received: December 31, 2017Accepted: October 27, 2018
ePublished: January 27, 2019
ABSTRACT
Aims
The performance of psychomotors is very important for handling the cardiac arrests.
The purpose of this study is to investigate the effects of capnography’s feedback during
cardiopulmonary resuscitation on the psychomotor’s performance of Rescuers.
Materials & Methods This is a semi-experimental study with the aim of pre/post evaluation of the Ghaem hospital’s resuscitation team in Mashhad-Iran during 2014-2015. The functional data was collected via the skill resuscitation checklist. First of all, chest compression and ventilation rate were studied for normal resuscitation method and then, the method of using capnography based on its feedback taught to team members. Resuscitation team used it for 1 month in resuscitation cases. Finally, the psychomotor performance of rescuers evaluated.
Findings There was a significant difference between the mean number of chest compression and ventilation rate of rescuers before and after the intervention (p<0.001) and the number of chest compression and ventilations were improved after using capnography feedback and get closer to the standards.
Conclusion Capnography feedback improves performance of rescuers. Therefore, it is recommended to use it in resuscitation
Materials & Methods This is a semi-experimental study with the aim of pre/post evaluation of the Ghaem hospital’s resuscitation team in Mashhad-Iran during 2014-2015. The functional data was collected via the skill resuscitation checklist. First of all, chest compression and ventilation rate were studied for normal resuscitation method and then, the method of using capnography based on its feedback taught to team members. Resuscitation team used it for 1 month in resuscitation cases. Finally, the psychomotor performance of rescuers evaluated.
Findings There was a significant difference between the mean number of chest compression and ventilation rate of rescuers before and after the intervention (p<0.001) and the number of chest compression and ventilations were improved after using capnography feedback and get closer to the standards.
Conclusion Capnography feedback improves performance of rescuers. Therefore, it is recommended to use it in resuscitation
CITATION LINKS
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[2]Sell RE, Sarno R, Lawrence B, Castillo EM, Fisher R, Brainard C, et al. Minimizing pre- and post-defibrillation pauses increases the likelihood of return of spontaneous circulation (ROSC). Resuscitation. 2010;81(7):822-5.
[3]Pantazopoulos C, Xanthos T, Pantazopoulos I, Papalois A, Kouskouni E, Iacovidou N. A review of carbon dioxide monitoring during adult cardiopulmonary resuscitation. Heart Lung Circ. 2015;24(11):1053-61.
[4]Salari A, Mohammadnejad E, Vanaki Z, Ahmadi F. Survival rate and outcomes of cardiopulmonary resuscitation. Iranian J Crit Care Nurs. 2010;3(2):45-9.
[5]Guo ZJ, Li CS, Yin WP, Hou XM, Gu W, Zhang D. Comparison of shock-first strategy and cardiopulmonary resuscitation-first strategy in a porcine model of prolonged cardiac arrest. Resuscitation. 2013;84(2):233-8.
[6]Montazar SH, Amooei M, Sheyoei M, Bahari M. Results of CPR and contributing factor in emergency department of Sari Imam Khomeini Hospital, 2011-2013. J Mazandaran Univ Med Sci. 2014;24(111):53-8.
[7]Seethala RR, Esposito EC, Abella BS. Approaches to improving cardiac arrest resuscitation performance. Curr Opin Crit Care. 2010;16(3):196-202.
[8]Oermann MH, Kardong-Edgren SE, Odom-Maryon T. Effects of monthly practice on nursing students’ CPR psychomotor skill performance. Resuscitation. 2011;82(4):447-53.
[9]Morley PT. Monitoring the quality of cardiopulmonary resuscitation. Curr Opin Crit Care. 2007;13(3):261-7.
[10]Losert H, Sterz F, Köhler K, Sodeck G, Fleischhackl R, Eisenburger P, et al. Quality of cardiopulmonary resuscitation among highly trained staff in an emergency department setting. Arch Intern Med. 2006;166(21):2375-80.
[11]Sutton RM, Maltese MR, Niles D, French B, Nishisaki A, Arbogast KB, et al. Quantitative analysis of chest compression interruptions during in-hospital resuscitation of older children and adolescents. Resuscitation. 2009;80(11):1259-63.
[12]Madden C. Undergraduate nursing students’ acquisition and retention of CPR knowledge and skills. Nurse Educ Today. 2006;26(3):218-27.
[13]Wik L, Kramer-Johansen J, Myklebust H, Sørebø H, Svensson L, Fellows B, et al. Quality of cardiopulmonary resuscitation during out-of-hospital cardiac arrest. JAMA. 2005;293(3):299-304.
[14]Sugerman NT, Edelson DP, Leary M, Weidman EK, Herzberg DL, Hoek TLV, et al. Rescuer fatigue during actual in-hospital cardiopulmonary resuscitation with audiovisual feedback: A prospective multicenter study. Resuscitation. 2009;80(9):981-4.
[15]Hazinski MF, Nadkarni VM, Hickey RW, O’Connor R, Becker LB, Zaritsky A. Major changes in the 2005 AHA Guidelines for CPR and ECC: Reaching the tipping point for change. Circulation. 2005;112(24):IV206-11.
[16]Hamilton R. Nurses’ knowledge and skill retention following cardiopulmonary resuscitation training: A review of the literature. J Adv Nurs. 2005;51(3):288-97.
[17]Wyckoff MH, Salhab WA, Heyne RJ, Kendrick DE, Stoll BJ, Laptook AR, et al. Outcome of extremely low birth weight infants who received delivery room cardiopulmonary resuscitation. J Pediatr. 2012;160(2):239-44.e2.
[18]Meaney PA, Bobrow BJ, Mancini ME, Christenson J, de Caen AR, Bhanji F, et al. Cardiopulmonary resuscitation quality: Improving cardiac resuscitation outcomes both inside and outside the hospital: A consensus statement from the American Heart Association. Circulation. 2013;128(4):417-35.
[19]Perkins GD, Davies RP, Quinton S, Woolley S, Gao F, Abella B, et al. The effect of real-time CPR feedback and post event debriefing on patient and processes focused outcomes: A cohort study: Trial protocol. Scand J Trauma Resusc Emerg Med. 2011;19:58.
[20]Chan PS, Spertus JA, Krumholz HM, Berg RA, Li Y, Sasson C, et al. A validated prediction tool for initial survivors of in-hospital cardiac arrest. Arch Intern Med. 2012;172(12):947-53.
[21]Scarth E, Cook T. Capnography during cardiopulmonary resuscitation. Resuscitation. 2012;83(7):789-90.
[22]Neumar RW, Otto CW, Link MS, Kronick SL, Shuster M, Callaway CW, et al. Part 8: Adult advanced cardiovascular life support: 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2010;122(18 Suppl 3):S729-67.
[23]Idris AH, Guffey D, Pepe PE, Brown SP, Brooks SC, Callaway CW, et al. Chest compression rates and survival following out-of-hospital cardiac arrest. Crit Care Med. 2015;43(4):840-8.
[24]Vaillancourt C, Midzic I, Taljaard M, Chisamore B. Performer fatigue and CPR quality comparing 30: 2 to 15: 2 compression to ventilation ratios in older bystanders: A randomized crossover trial. Resuscitation. 2011;82(1):51-6.
[25]Pozner CN, Almozlino A, Elmer J, Poole S, McNamara D, Barash D. Cardiopulmonary resuscitation feedback improves the quality of chest compression provided by hospital health care professionals. Am J Emerg Med. 2011;29(6):618-25.
[26]Peberdy MA, Silver A, Ornato JP. Effect of caregiver gender, age, and feedback prompts on chest compression rate and depth. Resuscitation. 2009;80(10):1169-74.
[27]Hess D, Baran C. Ventilatory volumes using mouth-to-mouth, mouth-to-mask, and bag-valve-mask techniques. Am J Emerg Med. 1985;3(4):292-6.
[28]O’Neill JF, Deakin CD. Do we hyperventilate cardiac arrest patients?. Resuscitation. 2007;73(1):82-5.
[29]Soar J, Callaway CW, Aibiki M, Böttiger BW, Brooks SC, Deakin CD, et al. Part 4: Advanced life support: 2015 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations. Resuscitation. 2015;95:e71-120.
[30]Miller VJ, Flaherty EE. Comparing no-flow time during endotracheal intubation versus placement of a laryngeal mask airway during a simulated cardiac arrest scenario. Simul Healthc. 2014;9(3):156-60.
[31]Wang HE, Simeone SJ, Weaver MD, Callaway CW. Interruptions in cardiopulmonary resuscitation from paramedic endotracheal intubation. Ann Emerg Med. 2009;54(5):645-52.e1.
[2]Sell RE, Sarno R, Lawrence B, Castillo EM, Fisher R, Brainard C, et al. Minimizing pre- and post-defibrillation pauses increases the likelihood of return of spontaneous circulation (ROSC). Resuscitation. 2010;81(7):822-5.
[3]Pantazopoulos C, Xanthos T, Pantazopoulos I, Papalois A, Kouskouni E, Iacovidou N. A review of carbon dioxide monitoring during adult cardiopulmonary resuscitation. Heart Lung Circ. 2015;24(11):1053-61.
[4]Salari A, Mohammadnejad E, Vanaki Z, Ahmadi F. Survival rate and outcomes of cardiopulmonary resuscitation. Iranian J Crit Care Nurs. 2010;3(2):45-9.
[5]Guo ZJ, Li CS, Yin WP, Hou XM, Gu W, Zhang D. Comparison of shock-first strategy and cardiopulmonary resuscitation-first strategy in a porcine model of prolonged cardiac arrest. Resuscitation. 2013;84(2):233-8.
[6]Montazar SH, Amooei M, Sheyoei M, Bahari M. Results of CPR and contributing factor in emergency department of Sari Imam Khomeini Hospital, 2011-2013. J Mazandaran Univ Med Sci. 2014;24(111):53-8.
[7]Seethala RR, Esposito EC, Abella BS. Approaches to improving cardiac arrest resuscitation performance. Curr Opin Crit Care. 2010;16(3):196-202.
[8]Oermann MH, Kardong-Edgren SE, Odom-Maryon T. Effects of monthly practice on nursing students’ CPR psychomotor skill performance. Resuscitation. 2011;82(4):447-53.
[9]Morley PT. Monitoring the quality of cardiopulmonary resuscitation. Curr Opin Crit Care. 2007;13(3):261-7.
[10]Losert H, Sterz F, Köhler K, Sodeck G, Fleischhackl R, Eisenburger P, et al. Quality of cardiopulmonary resuscitation among highly trained staff in an emergency department setting. Arch Intern Med. 2006;166(21):2375-80.
[11]Sutton RM, Maltese MR, Niles D, French B, Nishisaki A, Arbogast KB, et al. Quantitative analysis of chest compression interruptions during in-hospital resuscitation of older children and adolescents. Resuscitation. 2009;80(11):1259-63.
[12]Madden C. Undergraduate nursing students’ acquisition and retention of CPR knowledge and skills. Nurse Educ Today. 2006;26(3):218-27.
[13]Wik L, Kramer-Johansen J, Myklebust H, Sørebø H, Svensson L, Fellows B, et al. Quality of cardiopulmonary resuscitation during out-of-hospital cardiac arrest. JAMA. 2005;293(3):299-304.
[14]Sugerman NT, Edelson DP, Leary M, Weidman EK, Herzberg DL, Hoek TLV, et al. Rescuer fatigue during actual in-hospital cardiopulmonary resuscitation with audiovisual feedback: A prospective multicenter study. Resuscitation. 2009;80(9):981-4.
[15]Hazinski MF, Nadkarni VM, Hickey RW, O’Connor R, Becker LB, Zaritsky A. Major changes in the 2005 AHA Guidelines for CPR and ECC: Reaching the tipping point for change. Circulation. 2005;112(24):IV206-11.
[16]Hamilton R. Nurses’ knowledge and skill retention following cardiopulmonary resuscitation training: A review of the literature. J Adv Nurs. 2005;51(3):288-97.
[17]Wyckoff MH, Salhab WA, Heyne RJ, Kendrick DE, Stoll BJ, Laptook AR, et al. Outcome of extremely low birth weight infants who received delivery room cardiopulmonary resuscitation. J Pediatr. 2012;160(2):239-44.e2.
[18]Meaney PA, Bobrow BJ, Mancini ME, Christenson J, de Caen AR, Bhanji F, et al. Cardiopulmonary resuscitation quality: Improving cardiac resuscitation outcomes both inside and outside the hospital: A consensus statement from the American Heart Association. Circulation. 2013;128(4):417-35.
[19]Perkins GD, Davies RP, Quinton S, Woolley S, Gao F, Abella B, et al. The effect of real-time CPR feedback and post event debriefing on patient and processes focused outcomes: A cohort study: Trial protocol. Scand J Trauma Resusc Emerg Med. 2011;19:58.
[20]Chan PS, Spertus JA, Krumholz HM, Berg RA, Li Y, Sasson C, et al. A validated prediction tool for initial survivors of in-hospital cardiac arrest. Arch Intern Med. 2012;172(12):947-53.
[21]Scarth E, Cook T. Capnography during cardiopulmonary resuscitation. Resuscitation. 2012;83(7):789-90.
[22]Neumar RW, Otto CW, Link MS, Kronick SL, Shuster M, Callaway CW, et al. Part 8: Adult advanced cardiovascular life support: 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2010;122(18 Suppl 3):S729-67.
[23]Idris AH, Guffey D, Pepe PE, Brown SP, Brooks SC, Callaway CW, et al. Chest compression rates and survival following out-of-hospital cardiac arrest. Crit Care Med. 2015;43(4):840-8.
[24]Vaillancourt C, Midzic I, Taljaard M, Chisamore B. Performer fatigue and CPR quality comparing 30: 2 to 15: 2 compression to ventilation ratios in older bystanders: A randomized crossover trial. Resuscitation. 2011;82(1):51-6.
[25]Pozner CN, Almozlino A, Elmer J, Poole S, McNamara D, Barash D. Cardiopulmonary resuscitation feedback improves the quality of chest compression provided by hospital health care professionals. Am J Emerg Med. 2011;29(6):618-25.
[26]Peberdy MA, Silver A, Ornato JP. Effect of caregiver gender, age, and feedback prompts on chest compression rate and depth. Resuscitation. 2009;80(10):1169-74.
[27]Hess D, Baran C. Ventilatory volumes using mouth-to-mouth, mouth-to-mask, and bag-valve-mask techniques. Am J Emerg Med. 1985;3(4):292-6.
[28]O’Neill JF, Deakin CD. Do we hyperventilate cardiac arrest patients?. Resuscitation. 2007;73(1):82-5.
[29]Soar J, Callaway CW, Aibiki M, Böttiger BW, Brooks SC, Deakin CD, et al. Part 4: Advanced life support: 2015 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations. Resuscitation. 2015;95:e71-120.
[30]Miller VJ, Flaherty EE. Comparing no-flow time during endotracheal intubation versus placement of a laryngeal mask airway during a simulated cardiac arrest scenario. Simul Healthc. 2014;9(3):156-60.
[31]Wang HE, Simeone SJ, Weaver MD, Callaway CW. Interruptions in cardiopulmonary resuscitation from paramedic endotracheal intubation. Ann Emerg Med. 2009;54(5):645-52.e1.