Jan 30, 2007

CPR quality improvement during in-hospital cardiac arrest using a real-time audiovisual feedback system

Resuscitation
Benjamin S AbellaLance B Becker

Abstract

Cardiopulmonary resuscitation (CPR) quality during actual cardiac arrest has been found to be deficient in several recent investigations. We hypothesized that real-time feedback during CPR would improve the performance of chest compressions and ventilations during in-hospital cardiac arrest. 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. 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 ...Continue Reading

  • References28
  • Citations173

Mentioned in this Paper

Acrocallosal Syndrome
In-Hospital Cardiac Arrest
Hospitalization
Basic Cardiac Life Support
Feedback - System Communication
GLI3 gene
Anterior Thoracic Region
Chest
Cardiopulmonary
Ventilation, Function (Observable Entity)

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