Basismaßnahmen zur Wiederbelebung Erwachsener und Verwendung automatisierter externer Defibrillatoren

Perkins, Gavin D.; Handley, Anthony J.; Koster, Rudolph W.; Castrèn, Maaret; Smyth, Michael B.; Olasveengen, Theresa M.; Monsieurs, Koenraad G.; Raffay, Violetta; Graesner, Jan-Thorsten; Wenzel, Volker; Ristagno, Giuseppe; Soar, Jasmeet

doi:10.1007/s10049-015-0081-1

Cited by 38 publications

(43 citation statements)

References 272 publications

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“…The subject of numerous studies related to CPR has been the length of interruptions between chest compressions. Perkins et al [5] claimed that effective treatment of patients with out-of-hospital cardiac arrest is dependent on the length of time between chest compressions necessary for the other resuscitation actions. Other authors [17,19], including those conducting studies on an animal model [15], are of the same opinion, and indicate that any interruptions in chest compression, including those for artificial ventilation, have a significant negative effect on a patient's chances of survival.…”

Section: Discussionmentioning

confidence: 99%

“…The quality of CPR is affected by the rate with which chest compressions are made. Perkins et al [5] recommend conducting chest compressions on adults at a rate of 100-120 compressions per minute.…”

Section: Discussionmentioning

confidence: 99%

“…High quality chest compression and artificial ventilation improves the effectiveness of CPR resuscitation and increases survival rates in patients with sudden cardiac arrest (SCA) [1][2][3][4]. The European Resuscitation Council (ERC) defines in its guidelines how CPR should be conducted [5].…”

Section: Introductionmentioning

confidence: 99%

“…Chest compressions from behind the patient's head can be used, for example, during CPR in confined spaces. [5]. The authors of a few studies have presented various CPR methods conducted by one person and assessed their effectiveness.…”

Section: Introductionmentioning

confidence: 99%

“…Scientific research has shown that minimizing the interruptions between chest compressions during CPR has a direct influence on decreasing hemodynamic disorders, limiting the occurrence of complications, as well as increasing the effectiveness of CPR [15][16][17][18][19]. Interruptions during CPR can result from two ventilations, defibrillation or other resuscitation actions [5,17,18,20].…”

Section: Introductionmentioning

confidence: 99%

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Comparison of standard and over-the-head method of chest compressions during cardiopulmonary resuscitation - a simulation study

Ćwiertnia

Kawecki

Ilczak

et al. 2019

Preprint

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Background: Maintaining highly effective cardiopulmonary resuscitation (CPR) can be particularly difficult when artificial ventilation using a bag-valve-mask device, combined with chest compression have to be carried out by one person. The aim of the study is to compare the quality of CPR conducted by one paramedic using chest compression from the patient’s side with compression conducted from the ‘over-the-head’ position. Methods: The subject of the study were two methods of CPR – ‘standard’ (STD) and ‘over-the-head’ (OTH). The STD method consisted of cycles of 30 chest compressions from the patient’s side, and two attempts at artificial ventilation after moving round to behind the patient’s head. In the OTH method, both compressions and ventilations were conducted from behind the patient’s head. Results: Both CPR methods were conducted by 38 paramedics working in medical response teams. Statistical analysis was conducted on the data collected, giving the following results: the average time of the interruptions between compression cycles (STD 9.184 s, OTH 7.316 s, p < 0.001); the depth of compression 50–60 mm (STD 50.65%, OTH 60.22%, p < 0.001); the rate of compression 100–120/min. (STD 46.39%, OTH 53.78%, p < 0.001); complete chest wall recoil (STD 84.54%, OTH 91.46%, p < 0.001); correct hand position (STD 99.32%, OTH method 99.66%, p < 0.001). A statistically significant difference was demonstrated in the results to the benefit of the OTH method in the above parameters. The remaining parameters showed no significant differences in comparison to reference values. Conclusions: The higher quality of CPR in the simulated research using the OTH method by a single person justifies the use of this method in a wider range of emergency interventions.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Comparison of standard and over-the-head method of chest compressions during cardiopulmonary resuscitation - a simulation study

Ćwiertnia

Kawecki

Ilczak

et al. 2019

Preprint

View full text Add to dashboard Cite

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Kardiopulmonale Reanimation

Wenzel¹,

Fries²,

Böttiger³

et al. 2017

Die Anästhesiologie

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Kardiopulmonale Reanimation

Larsen¹

2016

Anästhesie Und Intensivmedizin Für Die Fachpflege

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Ein plötzlicher Herzstillstand ist ein Zustand, bei dem keine mechanisch wirksame Herzaktion mehr vorhanden ist und somit auch kein Blut mehr ausgeworfen wird. Er führt sofort zum Kreislaufstillstand, innerhalb kürzester Zeit auch zum Atemstillstand. Zwei Arten von Herz-Kreislauf-Stillstand werden unterschieden: Der primäre, kardial bedingte und der sekundäre, nicht kardial bedingte Herzstillstand, meist ausgelöst durch eine Störungen der Atemfunktion. Am häufigsten besteht bei der Erstableitung eines EKGs ein Kammerflimmern, das mit elektrischer Defibrillation beseitigt werden muss. Ein Kreislaufstillstand – gleich welcher Ursache - muss sofort behandelt werden, um schwerste hypoxische Hirnschäden zu verhindern.

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Basismaßnahmen zur Wiederbelebung Erwachsener und Verwendung automatisierter externer Defibrillatoren

Abstract: Einleitung

Cited by 38 publications

References 272 publications

Comparison of standard and over-the-head method of chest compressions during cardiopulmonary resuscitation - a simulation study

Comparison of standard and over-the-head method of chest compressions during cardiopulmonary resuscitation - a simulation study

Kardiopulmonale Reanimation

Kardiopulmonale Reanimation

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