Which chest compression technique is more fatiguing for rescuer?

Blanco, Jesus; Madziała, Marcin; Szalast, Patrycja

doi:10.5603/demj.2018.0031

Cited by 3 publications

(2 citation statements)

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“…Changes in the guidelines and recommendations for resuscitation must be based on further scientific evidence based on high quality randomized clinical trials conducted in both hospital and out-of-hospital settings [35]. Although achieving ROSC is a key task of the…”

Section: Discussionmentioning

confidence: 99%

Systematic review and meta-analysis appraising efficacy and safety of adrenaline for adult cardiopulmonary resuscitation

Ludwin¹,

Safiejko²,

Smereka

et al. 2021

Cardiol J.

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Background: There is a beneficial effect of adrenaline during adult cardiopulmonary resuscitation (CPR) from cardiac arrest but there is also uncertainty about its safety and effectiveness. The aim of this study was to evaluate the use of adrenaline versus nonadrenaline CPR. Methods: PubMed, ScienceDirect, Embase, CENTRAL (Cochrane Central Register of Controlled Trials) and Google Scholar databases were searched from their inception up to 1 st July 2020. Two reviewers independently assessed eligibility and risk of bias, with conflicts resolved by a third reviewer. Risk ratio (RR) or mean difference of groups were calculated using fixed or random-effect models. Results: Nineteen trials were identified. The use of adrenaline during CPR was associated with a significantly higher percentage of return of spontaneous circulation (ROSC) compared to non-adrenaline treatment (20.9% vs. 5.9%; RR = 1.87; 95% confidence interval [CI] 1.37-2.55; p < 0.001). The use of adrenaline in CPR was associated with ROSC at 19.4% and for non-adrenaline treatment-4.3% (RR = 3.23; 95% CI 1.89-5.53; p < 0.001). Survival to discharge (or 30-day survival) when using adrenaline was 6.8% compared to non-adrenaline treatment (5.5%; RR = 0.99; 95% CI 0.76-1.30; p = 0.97). However, the use of adrenaline was associated with a worse neurological outcome (1.6% vs. 2.2%; RR = 0.57; 95% CI 0.42-0.78; p < 0.001). Conclusions: This review suggests that resuscitation with adrenaline is associated with the return of spontaneous circulation and survival to hospital discharge, but no higher effectiveness was observed at discharge with favorable neurological outcome. The analysis showed higher effectiveness of ROSC and survival to hospital discharge in non-shockable rhythms. But more multicenter randomized controlled trials are needed in the future.

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Section: Discussionmentioning

confidence: 99%

Systematic review and meta-analysis appraising efficacy and safety of adrenaline for adult cardiopulmonary resuscitation

Ludwin¹,

Safiejko²,

Smereka

et al. 2021

Cardiol J.

View full text Add to dashboard Cite

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“…The high quality of performed resuscitation not only focuses on activities related to chest compressions and, when needed, defibrillation, but also the proper protection of airways and adequate ventilation. Emphasis is placed on tracheal intubation or supraglottic device incorporation without interrupting chest compressions [3,4].…”

mentioning

confidence: 99%