Effect of chest compression with kneeling on the bed in clinical situations

Abstract

Aim Cardiopulmonary resuscitation is vital for survival after cardiac arrest, and chest compressions are an important aspect of this. When performing chest compression in a hospital setting, the rescuer often has to kneel on the bed to overcome inconvenient differences in height between the rescuer and the bed. However, as yet no study has evaluated the quality of chest compressions in this position. The aim of this study was to examine the impact on the quality of chest compressions while kneeling on the bed. Methods Fifteen female students performed 2‐min chest compressions on a manikin placed on the floor and a bed. Measurement parameters included compression depth, heart rate, integrated electromyogram, and a visual analog scale. The parameters were measured every 30 s and were statistically compared between the conditions. Results Compression depth at 30, 60, 90, and 120 s differed significantly between the conditions. Heart rate values at 150 and 210 s of recovery significantly differed between the conditions. Integrated electromyogram values for the trapezius, rectus femoris, and biceps femoris differed between the floor and bed conditions during 2‐min chest compressions, whereas the external oblique muscle significantly differed at 60 and 120 s. Visual analog scales for fatigue, effectiveness, and stability significantly differed between the conditions. Conclusion Kneeling on the bed does not enable grounding of the toe, causing the upper body to be unstable and limiting generation of the power required for chest compression. Our results suggest that rotation every minute is necessary to maintain effective cardiopulmonary resuscitation while kneeling on the bed.

Pengaruh Musik “Stayin Alive” Terhadap Kualitas Kompresi Resusitasi Jantung Paru Oleh Mahasiswa Perawat

“…dekompresi, kekuatan spinae erector dan ini mungkin akan menyebabkan peningkatan kelelahan fisik pada kelompok ringan dibandingkan dengan kelompok yang memiliki berat badan lebih berat. Alasan inilah yang menyebabkan penyelamat yang lebih ringan akan cepat mengalami kelelahan secara obyektif saat melakukan kompresi RJP, sehingga kualitas kompresi dada menjadi buruk (Hasegawa et al, 2020).…”

The Impact of CPR Position (Kneeling, Footstool and Standing Beside Bed) on Cardiopulmonary Resuscitation Quality: A Literature Review

“…http://jurnal.unpad.ac.id/pacnj © 2020 Padjadjaran Acute Care Nursing Journal ISSN 2715 -6060 3 Effect of Chest Compression with kneeling on the bed in cinical situation. (Hasegawa et al, 2019) To see the effect of compression quality with the knee position on the bed.…”

Effectiveness of innovative chest compression on the emergency department stretcher by an alternative method: a randomized controlled crossover trial

“…Stand-on-a-stool is an effective method that shows non-inferiority to kneeling beside the patient; the principle is that the rescuer's knees are equally close to the patient's bed 7 – 9 . Standing on a stool has some disadvantages; this method can cause low back pain and imbalance 10 , 11 , and kneeling is impossible in the ED.…”