Jan 20, 2005

Quality of cardiopulmonary resuscitation during in-hospital cardiac arrest

JAMA : the Journal of the American Medical Association
Benjamin S AbellaLance B Becker

Abstract

The survival benefit of well-performed cardiopulmonary resuscitation (CPR) is well-documented, but little objective data exist regarding actual CPR quality during cardiac arrest. Recent studies have challenged the notion that CPR is uniformly performed according to established international guidelines. To measure multiple parameters of in-hospital CPR quality and to determine compliance with published American Heart Association and international guidelines. A prospective observational study of 67 patients who experienced in-hospital cardiac arrest at the University of Chicago Hospitals, Chicago, Ill, between December 11, 2002, and April 5, 2004. Using a monitor/defibrillator with novel additional sensing capabilities, the parameters of CPR quality including chest compression rate, compression depth, ventilation rate, and the fraction of arrest time without chest compressions (no-flow fraction) were recorded. Adherence to American Heart Association and international CPR guidelines. Analysis of the first 5 minutes of each resuscitation by 30-second segments revealed that chest compression rates were less than 90/min in 28.1% of segments. Compression depth was too shallow (defined as <38 mm) for 37.4% of compressions. Ventilation ...Continue Reading

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Mentioned in this Paper

Electric Impedance
In-Hospital Cardiac Arrest
Fibrillation
Hospitalization
Basic Cardiac Life Support
Cardiac Catheterization Procedures
Radiology Studies
Anterior Thoracic Region
Chest
Observation - Diagnostic Procedure

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