The place of TrueCPR feedback device in cardiopulmonary resuscitation. Should we use it? A randomized pilot study

Abstract

inTroducTion: Sudden cardiac arrest is a challenge for medical personnel as well as a high socioeconomic burden. Many authors indicate that the quality of cardiopulmonary resuscitation, including chest compressions performed without an assisted device, may raise doubts due to failure to achieve the value of chest compressions recommended by the guidelines of the American Cardiac Society. All kinds of devices supporting cardiopulmonary resuscitation, including CPR feedback devices, may be helpful in this regard. MeThods: The study involved 38 nurses who were tasked with conducting a 2-minute cardiopulmonary resuscitation cycle based on continuous chest compression. chest compressions were carried out in two scenarios: with and without the use of a TrueCPR feedback device. Both the order of the participants as well as the research methods were random. For this purpose, the coin-toss technique was used. Statistical analysis was conducted using the Statistica 12EN system. resulTs: The average chest compression rate in the case of non-instrumental compression was 131 ± 12 compressions per minute and was statistically significantly higher than in the case of using the TrueCPR device (P = 0.022). Mean chest compression depth with and without the TrueCPR device showed significant variation, 38 ± 11 mm for manual chest compression, and 52 ± 6 mm for TrueCPR (P < 0.001). Full chest recoil for manual chest compression and compression using the TrueCPR device was 46 ± 19%, respectively. 75 ± 18% (P < 0.001). conclusions: The use of the TrueCPR device in simulated resuscitation conditions has a statistically significant effect on the improvement of chest compression parameters, including the frequency and depth of chest compressions as well as the degree of correctness of chest relaxation.

The TrueCPR device in the process of teaching cardiopulmonary resuscitation

“…However, it is a standard for CPR studies, and the manikins applied in our study are widely used in CPR simulation and research, allowing repetition of resuscitation activities with equal conditions for all cases. [40,41] These seccond limitation is the study group. The results in fact refer to nursing students and not to other medical professions.…”

Real-time audio-visual feedback with handheld nonautomated external defibrillator devices during cardiopulmonary resuscitation for in-hospital cardiac arrest: A meta-analysis

“…[ 3 , 30 31 32 33 34 35 , 74 ] Real-time AVF is one strategy identified by the AHA and ILCOR as a strategy that may improve guideline adherence and IHCA outcomes. [ 27 33 35 ] Simulated studies show improved CPR quality with feedback devices [Tables 2 and 3 ];[ 42 44 45 ], 48 ,, 52 ,[ 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 ] however, the evidence for improvement in clinical outcomes is still very limited [Tables 4 and 5 ]. [ 3 51 73 74 ] That said, these devices have also been shown to be easy to use by both medical professionals and lay persons[ 45 ] and remain an understudied opportunity to improve IHCA outcomes.…”

“…Stand-alone AVF devices provide benefits in cost and simplicity, making them potentially useful for applications both in-and outside of hospital settings. Despite an abundance of non-randomized and simulation studies [Tables 2 and 3 42 44 45 48 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 ] data from clinical randomized controlled trials (RCT) are sparse [ Table 4 ]. [ 3 51 73 74 ] To date, there have been no < 15 non-AED compression AVF devices have been released to market [ Table 1 ].…”

Design and Evaluation of CPR Emergency Equipment for Non-Professionals

“…Independent AVF devices are typically user-friendly, with low technical complexity and production costs, making them suitable for personal or household use. Iskrzycki's experiment demonstrated that the use of visual real-time feedback devices significantly improved the quality of CPR [29], while Majer's study showed that the utilization of TrueCPR devices improved the chest compression parameters in simulated resuscitation scenarios [30].…”