Feedback during cardiopulmonary resuscitation

Böhn, Andreas; Gude, Philipp

doi:10.1097/aco.0b013e3282f63f12

Cited by 13 publications

(4 citation statements)

References 23 publications

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“…Thus, the real-time feedback device must not be extremely complex. [24] Notably, current scientific evidence alone is insufficient to support the complete abolition of the real-time feedback device. In a crowded setting of a cardiac arrest incident, the screen may be out of sight of the chest compression providers.…”

Section: Discussionmentioning

confidence: 99%

Effect of real-time feedback on patient’s outcomes and survival after cardiac arrest: A systematic review and meta-analysis

Zhang

et al. 2022

Medicine

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Purpose: This study investigated the effect of real-time feedback on the restoration of spontaneous circulation, survival to hospital discharge, and favorable functional outcomes after hospital discharge. Methods: PubMed, ScienceDirect, and China National Knowledge Infrastructure databases were searched to screen the relevant studies up to June 2020. Fixed-effects or random-effects model were used to calculate the pooled estimates of relative ratios (RRs) with 95% confidence intervals (CIs). Results: Ten relevant articles on 4281 cardiac arrest cases were identified. The pooled analyses indicated that real-time feedback did not improve restoration of spontaneous circulation (RR: 1.13, 95% CI: 0.92–1.37, and P = .24; I 2 = 81%; P < .001), survival to hospital discharge (RR: 1.27, 95% CI: 0.90–1.79, and P = .18; I 2 = 74%; P < .001), and favorable neurological outcomes after hospital discharge (RR: 1.09, 95% CI: 0.87–1.38; P = .45; I 2 = 16%; P = .31). The predefined subgroup analysis showed that the sample size and arrest location may be the origin of heterogeneity. Begg’s and Egger’s tests showed no publication bias, and sensitivity analysis indicated that the results were stable. Conclusion: The meta-analysis had shown that the implementation of real-time audiovisual feedback was not associated with improved restoration of spontaneous circulation, increased survival, and favorable functional outcomes after hospital discharge.

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Section: Discussionmentioning

confidence: 99%

Effect of real-time feedback on patient’s outcomes and survival after cardiac arrest: A systematic review and meta-analysis

Zhang

et al. 2022

Medicine

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“…The quality of CPR, as assessed by effective cardiac output, is often low and less than desirable . The cardiac output derived following optimally performed CPR is >30% of the normal cardiac output, and coronary blood flow during CPR is often less than 35% of the normal coronary blood flow .…”

Section: Research Hypothesesmentioning

confidence: 99%

A Comparison of the Effect of Interposed Abdominal Compression Cardiopulmonary Resuscitation and Standard Cardiopulmonary Resuscitation Methods on End‐tidal CO₂ and the Return of Spontaneous Circulation Following Cardiac Arrest: A Clinical Trial

Movahedi

Mirhafez

Behnam-Voshani

et al. 2016

Academic Emergency Medicine

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Objectives: Sudden cardiac arrest is a major cause of death in the adult population of developed countries, with only 10%-15% of cardiopulmonary resuscitations (CPRs) being successful. We aimed to compare the effects of interposed abdominal compression CPR (IAC-CPR) with standard CPR (STD-CPR) methods on end-tidal CO 2 (ETCO 2 ) and the return of spontaneous circulation (ROSC) following cardiac arrest in a hospital setting.Methods: After cardiac arrest was confirmed in a patient at Mashhad Ghaem Hospital, 80 cases were randomly assigned to one of the two methods of resuscitation, either IAC-CPR or STD-CPR, respectively. The inclusion criteria for the study were nontraumatic cardiac arrest, in patients between the age of 18 and 85 years, and the presence of endotracheal tube. Exclusion criteria were abdominal surgery in the past 2 weeks, active gastrointestinal bleeding, pulmonary embolism, and suspected pregnancy.Results: There was a significant difference between the two groups in ETCO 2 (p < 0.003), but there was no significant difference as far as the ROSC (p > 0.50). Conclusion:The increase in the ETCO 2 during IAC-CPR is an indicator of the increase in cardiac output following the use of this method of CPR.ACADEMIC EMERGENCY MEDICINE 2016;23:448-454

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“…Zudem wurden Echtzeit-Feedback-Geräte entwickelt, die eine kontinuierliche Überwachung bei der Durchführung der Reanimationsmaßnahmen und somit eine unmittelbare Korrektur insuffizienter Thoraxkompressionen ermöglichen [3,14,22,31,38,62]. Sie wurden bereits im Rahmen der Laienreanimation getestet und konnten ebenfalls die Qualität der Herzdruckmassage teilweise verbessern [56,63].…”

Section: Zusätzlich Kam Es Zum Aufbau Von First Responder-systemen MIunclassified

Herzdruckmassage im Rahmen der Laienreanimation

Grassl

Leidel

Stegmaier

et al. 2009

Notfall Rettungsmed

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Feedback during cardiopulmonary resuscitation

Cited by 13 publications

References 23 publications

Effect of real-time feedback on patient’s outcomes and survival after cardiac arrest: A systematic review and meta-analysis

Effect of real-time feedback on patient’s outcomes and survival after cardiac arrest: A systematic review and meta-analysis

A Comparison of the Effect of Interposed Abdominal Compression Cardiopulmonary Resuscitation and Standard Cardiopulmonary Resuscitation Methods on End‐tidal CO₂ and the Return of Spontaneous Circulation Following Cardiac Arrest: A Clinical Trial

Herzdruckmassage im Rahmen der Laienreanimation

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Feedback during cardiopulmonary resuscitation

Cited by 13 publications

References 23 publications

Effect of real-time feedback on patient’s outcomes and survival after cardiac arrest: A systematic review and meta-analysis

Effect of real-time feedback on patient’s outcomes and survival after cardiac arrest: A systematic review and meta-analysis

A Comparison of the Effect of Interposed Abdominal Compression Cardiopulmonary Resuscitation and Standard Cardiopulmonary Resuscitation Methods on End‐tidal CO2 and the Return of Spontaneous Circulation Following Cardiac Arrest: A Clinical Trial

Herzdruckmassage im Rahmen der Laienreanimation

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A Comparison of the Effect of Interposed Abdominal Compression Cardiopulmonary Resuscitation and Standard Cardiopulmonary Resuscitation Methods on End‐tidal CO₂ and the Return of Spontaneous Circulation Following Cardiac Arrest: A Clinical Trial