Sep 3, 2010

Safety and efficacy of defibrillator charging during ongoing chest compressions: a multi-center study

Resuscitation
Dana P EdelsonBenjamin S Abella

Abstract

Pauses in chest compressions during cardiopulmonary resuscitation have been shown to correlate with poor outcomes. In an attempt to minimize these pauses, the American Heart Association recommends charging the defibrillator during chest compressions. While simulation work suggests decreased pause times using this technique, little is known about its use in clinical practice. We conducted a multi-center, retrospective study of defibrillator charging at three US academic teaching hospitals between April 2006 and April 2009. Data were abstracted from CPR-sensing defibrillator transcripts. Pre-shock pauses and total hands-off time preceding the defibrillation attempts were compared among techniques. A total of 680 charge-cycles from 244 cardiac arrests were analyzed. The defibrillator was charged during ongoing chest compressions in 448 (65.9%) instances with wide variability across the three sites. Charging during compressions correlated with a decrease in median pre-shock pause [2.6s (IQR 1.9-3.8) vs 13.3s (IQR 8.6-19.5); p < 0.001] and total hands-off time in the 30s preceding defibrillation [10.3s (IQR 6.4-13.8) vs 14.8s (IQR 11.0-19.6); p < 0.001]. The improvement in hands-off time was most pronounced when rescuers charged the...Continue Reading

  • References21
  • Citations34

Citations

Mentioned in this Paper

Acrocallosal Syndrome
Extravasation
Basic Cardiac Life Support
Shock
GLI3 gene
Safety of Devices
Anterior Thoracic Region
Chest
First Aid Pharmaceutical
Cardiopulmonary

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