Part 2. Adult basic life support: 2015 Korean Guidelines for Cardiopulmonary Resuscitation

Song, Keun Jeong; Kim, Jae-Bum; Kim, Jinhee; Kim, Chan Woong; Park, Sun Young; Lee, Changhee; Jang, Yong Soo; Cho, Gyu Chong; Cho, Youngsuk; Hwang, Sung Oh

doi:10.15441/ceem.16.129

Cited by 19 publications

(18 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…During cardiopulmonary resuscitation (CPR) on a patient experiencing out-of-hospital cardiac arrest (OHCA), it is recommended that healthcare providers maintain bag-valve-mask (BVM) ventilation before performing advanced airway management. 1 BVM ventilation has the disadvantage of producing complications such as aspiration and pneumonia due to gastric expansion or regurgitation. 2,3 After the return of spontaneous circulation (ROSC), performing endotracheal intubation (ETI) elicits controlled and effective ventilation that is necessary while transporting the patient with OHCA to the emergency department.…”

Section: Introductionmentioning

confidence: 99%

Comparing the neurologic outcomes of patients with out-of-hospital cardiac arrest according to prehospital advanced airway management method and transport time interval

et al. 2020

View full text Add to dashboard Cite

Objective The incidences of prehospital advanced airway management by emergency medical technicians in South Korea are increasing; however, whether this procedure improves the survival outcomes of patients experiencing out-of-hospital cardiac arrest remains unclear. The present study aimed to investigate the association between prehospital advanced airway management and neurologic outcomes according to a transport time interval (TTI) using the Korean Cardiac Arrest Research Consortium database. Methods We retrospectively analyzed the favorable database entries that were prospectively collected between October 2015 and December 2016. Patients aged 18 years or older who experienced cardiac arrest that was presumed to be of a medical etiology and that occurred prior to the arrival of emergency medical service personnel were included. The exposure variable was the type of prehospital airway management provided by emergency medical technicians. The primary endpoint was a favorable neurologic outcome. Results Of 1,871 patients who experienced out-of-hospital cardiac arrest, 785 (42.0%), 121 (6.5%), and 965 (51.6%) were managed with bag-valve-mask ventilation, endotracheal intubation (ETI), and supraglottic airway (SGA) devices, respectively. SGAs and ETI provided no advantage in terms of favorable neurologic outcome in patients with TTIs ≥ 12 minutes (odds ratio [OR], 1.37; confidence interval [CI], 0.65-2.87 for SGAs; OR, 1.31; CI, 0.30-5.81 for ETI) or in patients with TTI < 12 minutes (OR, 0.57; CI, 0.31-1.07 for SGAs; OR, 0.63; CI, 0.12-3.26 for ETI). Conclusion Neither the prehospital use of SGA nor administration of ETI was associated with superior neurologic outcomes compared with bag-valve-mask ventilation.

show abstract

Section: Introductionmentioning

confidence: 99%

Comparing the neurologic outcomes of patients with out-of-hospital cardiac arrest according to prehospital advanced airway management method and transport time interval

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Adequate chest compression depth (CCD) is one of the key components for improving survival rate of out-of-hospital cardiac arrest [1][2][3]. Recommended CCD for adult cardiac arrest patients had been adjusted from "at least 5 cm" to "approximately 5 cm" in the 2015 international consensus of International Liaison Committee on Resuscitation because Stiell et al reported that maximum survival was expected in the depth interval from 40.3 to 55.3 mm (peak, 45.6 mm) [4][5][6].…”

Section: Introductionmentioning

confidence: 99%

“…Recommended CCD for adult cardiac arrest patients had been adjusted from "at least 5 cm" to "approximately 5 cm" in the 2015 international consensus of International Liaison Committee on Resuscitation because Stiell et al reported that maximum survival was expected in the depth interval from 40.3 to 55.3 mm (peak, 45.6 mm) [4][5][6]. These changes had influenced international guidelines [1][2][3]7]. Although the 2015 American Heart Association and European Resuscitation Council guidelines maintained the recommended CCD as "at least 5 cm", the 2015 Resuscitation Council of Asia and Korean guidelines for CPR changed the recommended CCD to "approximately 5 cm" according to the 2015 international consensus [3,4,7].…”

Section: Introductionmentioning

confidence: 99%

“…These changes had influenced international guidelines [1][2][3]7]. Although the 2015 American Heart Association and European Resuscitation Council guidelines maintained the recommended CCD as "at least 5 cm", the 2015 Resuscitation Council of Asia and Korean guidelines for CPR changed the recommended CCD to "approximately 5 cm" according to the 2015 international consensus [3,4,7]. This discrepancy among the CPR guidelines confused both the instructors and trainees of CPR.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Differences in the performance of resuscitation according to the resuscitation guideline terminology during infant cardiopulmonary resuscitation: “Approximately 4 cm” versus “at least one-third the anterior-posterior diameter of the chest”

Lee

Yang

2020

PLoS ONE

View full text Add to dashboard Cite

This study was conducted to investigate the effect of resuscitation guideline terminology on the performance of infant cardiopulmonary resuscitation (CPR). Methods A total of 40 intern or resident physicians conducted 2-min CPR with the two-finger technique (TFT) and two-thumb technique (TT) on a simulated infant cardiac arrest model with a 1-day interval. They were randomly assigned to Group A or B. The participants of Group A conducted CPR with the chest compression depth (CCD) target of "approximately 4 cm" and those of Group B conducted CPR with the CCD target of "at least one-third the anteriorposterior diameter of the chest". Single rescuer CPR was performed with a 15:2 compression to ventilation ratio on the floor. Results In both chest compression techniques, the average CCD of Group B was significantly deeper than that of Group A

show abstract

“…Recent cardiopulmonary resuscitation (CPR) guidelines recommend two methods of ventilation: no ventilation (chest compression-only CPR, CC) or two ventilations (30:2 chest compression-to-ventilation ratio, CV2). 1 2 3 No ventilation is recommended for inexperienced bystanders unable to perform proper ventilation or unwilling to perform mouth-to-mouth ventilation during basic life support (BLS). 4 5 Meanwhile, however, several reports have emphasized the need for ventilation during CPR in order to promote resuscitation outcomes.…”

Section: Introductionmentioning

confidence: 99%

Single Ventilation during Cardiopulmonary Resuscitation Results in Better Neurological Outcomes in a Porcine Model of Cardiac Arrest

Kim

Hwang

et al. 2018

Yonsei Med J

Self Cite

View full text Add to dashboard Cite

PurposeRecent basic life support (BLS) guidelines recommend a 30:2 compression-to-ventilation ratio (CV2) or chest compression-only cardiopulmonary resuscitation (CC); however, there are inevitable risks of interruption of high-quality cardiopulmonary resuscitation (CPR) in CV2 and hypoxemia in CC. In this study, we compared the short-term outcomes among CC, CV2, and 30:1 CV ratio (CV1).Materials and MethodsIn total, 42 pigs were randomly assigned to CC, CV1, or CV2 groups. After induction of ventricular fibrillation (VF), we observed pigs for 2 minutes without any intervention. Thereafter, BLS was started according to the assigned method and performed for 8 minutes. Defibrillation was performed after BLS and repeated every 2 minutes, followed by rhythm analysis. Advanced cardiac life support, including continuous chest compression with ventilation every 6 seconds and intravenous injection of 1 mg epinephrine every 4 minutes, was performed until the return of spontaneous circulation (ROSC) or 22 minutes after VF induction. Hemodynamic parameters and arterial blood gas profiles were compared among groups. ROSC, 24-hour survival, and neurologic outcomes were evaluated at 24 hours.ResultsThe hemodynamic parameters during CPR did not differ among the study groups. Partial pressure of oxygen in arterial blood and arterial oxygen saturation were lowest in the CC group, compared to those in the other groups, during the BLS period (p=0.002 and p<0.001, respectively). The CV1 groups showed a significantly higher rate of favorable neurologic outcome (swine CPC 1 or 2) than the other groups (p=0.044).ConclusionCPR with CV1 could promote better neurologic outcome than CV2 and CC.

show abstract

Part 2. Adult basic life support: 2015 Korean Guidelines for Cardiopulmonary Resuscitation

Cited by 19 publications

References 41 publications

Comparing the neurologic outcomes of patients with out-of-hospital cardiac arrest according to prehospital advanced airway management method and transport time interval

Comparing the neurologic outcomes of patients with out-of-hospital cardiac arrest according to prehospital advanced airway management method and transport time interval

Differences in the performance of resuscitation according to the resuscitation guideline terminology during infant cardiopulmonary resuscitation: “Approximately 4 cm” versus “at least one-third the anterior-posterior diameter of the chest”

Single Ventilation during Cardiopulmonary Resuscitation Results in Better Neurological Outcomes in a Porcine Model of Cardiac Arrest

Contact Info

Product

Resources

About