In-hospital sudden cardiac arrest protocol analysis

Jagosz, Adrianna; Bursy, Dominika; Sobon, Aneta; Kiczmer, Paweł; Copik, Maja; Białka, Szymon; Smereka, Jacek; Misiołek, Hanna; Szarpak, Łukasz

doi:10.5603/kp.a2017.0209

Cited by 7 publications

(6 citation statements)

References 20 publications

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“…13 However, in Poland, reported outcomes of patients with OHCA have been related to small subgroups, and the larger ones include only patients with in -hospital cardiac arrest. 26,27 Furthermore, according to the recommended reporting of OHCA, patients with adequate ICD interventions should be regarded as patients with OHCA. These were not included in our study if the ICD intervention was successful.…”

Section: Discussionmentioning

confidence: 99%

Analysis of out-of-hospital cardiac arrest in Poland in a 1-year period: data from the POL-OHCA registry

Nadolny¹,

Zyśko²,

Obremska³

et al. 2020

Kardiol Pol

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Section: Discussionmentioning

confidence: 99%

Analysis of out-of-hospital cardiac arrest in Poland in a 1-year period: data from the POL-OHCA registry

Nadolny¹,

Zyśko²,

Obremska³

et al. 2020

Kardiol Pol

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“…In this study, compared with balloon masks, tracheal intubation has no positive effect on the success rate of cardiopulmonary resuscitation. Previous study [27] has pointed out that compared with balloon mask-assisted ventilation, the establishment of advanced airway will increase the adverse effect on the long-term prognosis. This may be because cardiac arrest patients are usually accompanied by irritability, vomiting, di cult tracheal intubation, longer length of intubation process [28][29][30].…”

Section: Discussionmentioning

confidence: 99%

Emergency Cardiopulmonary Resuscitation of Out-of Hospital Cardiac Arrest: Why Should we Care

Huang

Chen²,

Yu³

et al. 2021

Preprint

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Background: Cardiopulmonary resuscitation (CPR) plays an essential role in the treatment of sudden cardiac arrest (SCA), we aimed to evaluate the influencing factors on the effects of CPR in patients with SCA, to provide insights into the management of SCA.Methods: Patients who underwent CPR in the emergency department of our hospital from January 1, 2019 to June 30, 2021 were selected. We collected and analyzed the clinical characteristics of CPR patients. Logistic regression analyses were conducted to identify the risk factors of CPR failure.Results: A total of 308 CPR patients were included, the incidence of CPR success was 35.71%. There were significant differences in the age, time to the start of CPR, the type of heart rhythm in the first monitoring, duration of CPR and cumulative adrenaline dosage between CPR success and failure group (all P<0.05). No significant differences in the gender, cause of cardiac arrest and ventilation methods were found (all P>0.05). Logistic regression analyses indicated that age≥65y(OR2.132, 95CI%1.127~4.334), time to the start of CPR≥12min(OR2.503, 95CI%1.015~3.583), unable to defibrillation(OR1.856, 95CI%1.107~3.031), duration of CPR≥40min(OR2.162, 95CI%1.242~4.178), cumulative adrenaline dosage≥6mg(OR1.627, 95CI%1.151~2.472) were the independent risk factors of CPR failure(all P<0.05).Conclusions: The success and failure of CPR are affected by many factors. Early and effective interventions should be taken for these influencing factors in clinical practice. Due to the limitation of sample size, future large-sample and multi-center studies need to further explore the relevant influencing factors of CPR.

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“…Depending how SCA is defined, 55-113 per 100,000 inhabitants per year or 350,000-700,000 individuals each year are affected in Europe [1,2]. On initial heartrhythm analysis, 25-50% of SCA victims have ventricular fibrillation (VF), a percentage that has declined over the last 20 years [3,4]. However, regardless of the rhythm initiating cardiac arrest, the key is to implement resuscitation procedures as soon as possible [5].…”

Section: Introductionmentioning

confidence: 99%

How should we teach cardiopulmonary resuscitation? Randomized multi-center study

et al. 2021

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Background: A 2017 update of the resuscitation guideline indicated the use of cardiopulmonary resuscitation (CPR) feedback devices as a resuscitation teaching method. The aim of the study was to compare the influence of two techniques of CPR teaching on the quality of resuscitation performed by medical students. Methods: The study was designed as a prospective, randomized, simulation study and involved 115 first year students of medicine. The participants underwent a basic life support (BLS) course based on the American Heart Association guidelines, with the first group (experimental group) performing chest compressions to observe, in real-time, chest compression parameters indicated by software included in the simulator, and the second group (control group) performing compressions without this possibility. After a 10-minute resuscitation, the participants had a 30-minute break and then a 2-minute cycle of CPR. One month after the training, study participants performed CPR, without the possibility of observing real-time measurements regarding quality of chest compression. Results: One month after the training, depth of chest compressions in the experimental and control group was 50 mm (IQR 46-54) vs. 39 mm (IQR 35-42; p = 0.001), compression rate 116 CPM (IQR 102-125) vs. 124 CPM (IQR 116-134; p = 0.034), chest relaxation 86% (IQR 68-89) vs. 74% (IQR 47-80; p = 0.031) respectively. Conclusions: Observing real-time chest compression quality parameters during BLS training may improve the quality of chest compression one month after the training including correct hand positioning, compressions depth and rate compliance.

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In-hospital sudden cardiac arrest protocol analysis

Cited by 7 publications

References 20 publications

Analysis of out-of-hospital cardiac arrest in Poland in a 1-year period: data from the POL-OHCA registry

Analysis of out-of-hospital cardiac arrest in Poland in a 1-year period: data from the POL-OHCA registry

Emergency Cardiopulmonary Resuscitation of Out-of Hospital Cardiac Arrest: Why Should we Care

How should we teach cardiopulmonary resuscitation? Randomized multi-center study

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