Improving CPR Performance

Chest
Boulos S Nassar, Richard Kerber

Abstract

Cardiac arrest continues to represent a public health burden with most patients having dismal outcomes. CPR is a complex set of interventions requiring leadership, coordination, and best practices. Despite the widespread adoption of new evidence in various guidelines, the provision of CPR remains variable with poor adherence to published recommendations. Key steps health-care systems can take to enhance the quality of CPR and, potentially, to improve outcomes, include optimizing chest compressions, avoiding hyperventilation, encouraging intraosseous access, and monitoring capnography. Feedback devices provide instantaneous guidance to the rescuer, improve rescuer technique, and could impact patient outcomes. New technologies promise to improve the resuscitation process: mechanical devices standardize chest compressions, capnography guides resuscitation efforts and signals the return of spontaneous circulation, and intraosseous devices minimize interruptions to gain vascular access. This review aims at identifying a discreet group of interventions that health-care systems can use to raise their standard of cardiac resuscitation.

References

Jan 1, 1990·American Journal of Diseases of Children·J P OrlowskiF VanLente
Feb 23, 1990·JAMA : the Journal of the American Medical Association·N A ParadisR M Nowak
Nov 1, 1985·Critical Care Medicine·M H WeilE C Rackow
Jan 1, 1985·The American Journal of Emergency Medicine·A B SandersG A Ewy
Feb 1, 1980·Circulation·M T RudikoffM L Weisfeldt
Nov 1, 1994·Anesthesia and Analgesia·K ShibutaniP Gupte
Dec 1, 1994·Circulation·N C ChandraS Permutt
Aug 26, 1998·Resuscitation·F J OchoaI Saralegui
Dec 1, 2000·Critical Care Medicine·K B Kern
Apr 7, 2004·Circulation·Tom P AufderheideKeith G Lurie
Jul 28, 2004·Lancet·Stephen Pitts, Arthur L Kellermann
Oct 29, 2004·Critical Care Medicine·Tom P Aufderheide, Keith G Lurie
Jan 20, 2005·JAMA : the Journal of the American Medical Association·Lars WikPetter Andreas Steen
Jan 20, 2005·JAMA : the Journal of the American Medical Association·Benjamin S AbellaLance B Becker
Aug 19, 2007·The Annals of Pharmacotherapy·Marcia L BuckJefferson M Sesler
Dec 6, 2007·The Canadian Journal of Cardiology·John G Kingma, Jacques R Rouleau
Dec 18, 2007·The American Journal of Emergency Medicine·Daniel D Von HoffLarry J Miller
Mar 11, 2008·Resuscitation·Charles F BabbsGary Freeman
Sep 13, 2008·Critical Care : the Official Journal of the Critical Care Forum·Miran KolarStefek Grmec
Sep 25, 2008·JAMA : the Journal of the American Medical Association·Graham NicholUNKNOWN Resuscitation Outcomes Consortium Investigators
Dec 2, 2008·The American Journal of Emergency Medicine·Marcus Eng Hock OngAdeline Su-Yin Ngo
Jul 4, 2009·Annals of Emergency Medicine·Henry E WangClifton W Callaway
Sep 11, 2009·The Journal of Trauma·James H PaxtonHoward A Klausner
Sep 16, 2009·Circulation·Jim ChristensonUNKNOWN Resuscitation Outcomes Consortium Investigators
Dec 2, 2009·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Joshua C ReynoldsJames J Menegazzi
Sep 8, 2010·The New England Journal of Medicine·Thomas D ReaMickey S Eisenberg
Sep 8, 2010·The New England Journal of Medicine·Leif SvenssonMårten Rosenqvist
Sep 15, 2010·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Jonathan R StudnekTom Blackwell

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Citations

Mar 14, 2020·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Sara I JonesJordan M Duval-Arnould
Aug 12, 2020·Journal of Clinical Monitoring and Computing·Yangyang FuXuezhong Yu
Sep 2, 2020·Pediatric Emergency Care·Tara L NeubrandRakesh D Mistry
Oct 19, 2020·Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses·Francisco José Cereceda-Sánchez, Jesús Molina-Mula
Jul 27, 2021·Intensive Care Medicine Experimental·Yosef LevenbrownThomas H Shaffer
Aug 4, 2021·Critical Care Nursing Clinics of North America·Laura A De VauxKevin Sigovitch

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