Advertisement

Impact of a CPRMeter feedback device on chest compression quality performer by nurses: A randomized crossover study

Published:April 12, 2018DOI:https://doi.org/10.1016/j.ajem.2018.04.022
      Firefighters-paramedics who arrive at the incident scene often first provide help to the victims even before the Emergency Medical Service teams arrive. Trauma patients who have impaired awareness often have difficulty maintaining airway patency, therefore firefighters are the ones who must protect the patency and when it is necessary support breathing [
      • Bielski K.
      • Smereka J.
      • Ladny J.R.
      • Szarpak L.
      A comparison of the Macintosh laryngoscope and blind intubation via I-gel in intubating an entrapped patient: a randomized crossover manikin study.
      ]. Cardiopulmonary resuscitation is the example of another situation when it is required to use devices which maintain the airway patency [
      • Kurowski A.
      • Hryniewicki T.
      • Czyżewski L.
      • Karczewska K.
      • Evrin T.
      • Szarpak Ł.
      Simulation of blind tracheal intubation during pediatric cardiopulmonary resuscitation.
      ,
      • Kurowski A.
      • Szarpak Ł.
      • Zaśko P.
      • Bogdański Ł.
      • Truszewski Z.
      Comparison of direct intubation and Supraglottic airway laryngopharyngeal tube (S.A.L.T.) for endotracheal intubation during cardiopulmonary resuscitation. Randomized manikin study.
      ]. The American Society of Cardiology guidelines indicate the need to minimize pauses during the chest compressions which is achieved by the use of endotracheal intubation or supraglottic airway devices (SAD) [
      • Atkins D.L.
      • de Caen A.R.
      • Berger S.
      • Samson R.A.
      • Schexnayder S.M.
      • Joyner Jr., B.L.
      • et al.
      2017 American Heart Association focused update on pediatric basic life support and cardiopulmonary resuscitation quality: an update to the American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care.
      ]. Various studies indicate that both medical professionals and non-medical personnel, after completing just a short training, are able to secure the airways with SADs achieving high efficiency [
      • Kurowski A.
      • Szarpak Ł.
      • Zaśko P.
      • Bogdański Ł.
      • Truszewski Z.
      Comparison of direct intubation and Supraglottic airway laryngopharyngeal tube (S.A.L.T.) for endotracheal intubation during cardiopulmonary resuscitation. Randomized manikin study.
      ,
      • Ladny J.R.
      • Bielski K.
      • Szarpak L.
      • Cieciel M.
      • Konski R.
      • Smereka J.
      Are nurses able to perform blind intubation? Randomized comparison of I-gel and laryngeal mask airway.
      ,
      • Smereka J.
      • Szarpak L.
      • Ladny J.R.
      The LMA Fastrach® as a conduit for endotracheal intubation during simulated cardiopulmonary resuscitation.
      ,
      • Szarpak Ł.
      • Kurowski A.
      • Truszewski Z.
      • Robak O.
      • Frass M.
      Comparison of 4 supraglotttic devices used by paramedics during simulated CPR: a randomized controlled crossover trial.
      ]. Thanks to SADs, it is possible to perform continuous chest compressions and monitor respiratory parameters with capnometry [
      • Sip M.
      • Dabrowska A.
      • Prucnal K.
      • Puslecki M.
      • Klosiewicz T.
      Supraglottic devices — future or everyday life? Disaster.
      ].
      To read this article in full you will need to make a payment
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to The American Journal of Emergency Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Bielski K.
        • Smereka J.
        • Ladny J.R.
        • Szarpak L.
        A comparison of the Macintosh laryngoscope and blind intubation via I-gel in intubating an entrapped patient: a randomized crossover manikin study.
        Am J Emerg Med. 2017 May; 35: 787-789https://doi.org/10.1016/j.ajem.2016.11.048
        • Kurowski A.
        • Hryniewicki T.
        • Czyżewski L.
        • Karczewska K.
        • Evrin T.
        • Szarpak Ł.
        Simulation of blind tracheal intubation during pediatric cardiopulmonary resuscitation.
        Am J Respir Crit Care Med. 2014 Dec 1; 190: 1315https://doi.org/10.1164/rccm.201409-1635LE
        • Kurowski A.
        • Szarpak Ł.
        • Zaśko P.
        • Bogdański Ł.
        • Truszewski Z.
        Comparison of direct intubation and Supraglottic airway laryngopharyngeal tube (S.A.L.T.) for endotracheal intubation during cardiopulmonary resuscitation. Randomized manikin study.
        Anaesthesiol Intensive Ther. 2015; 47: 195-199https://doi.org/10.5603/AIT.2015.0031
        • Atkins D.L.
        • de Caen A.R.
        • Berger S.
        • Samson R.A.
        • Schexnayder S.M.
        • Joyner Jr., B.L.
        • et al.
        2017 American Heart Association focused update on pediatric basic life support and cardiopulmonary resuscitation quality: an update to the American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care.
        Circulation. 2018 Jan 2; 137: e1-e6https://doi.org/10.1161/CIR.0000000000000540
        • Ladny J.R.
        • Bielski K.
        • Szarpak L.
        • Cieciel M.
        • Konski R.
        • Smereka J.
        Are nurses able to perform blind intubation? Randomized comparison of I-gel and laryngeal mask airway.
        Am J Emerg Med. 2017 May; 35: 786-787https://doi.org/10.1016/j.ajem.2016.11.046
        • Smereka J.
        • Szarpak L.
        • Ladny J.R.
        The LMA Fastrach® as a conduit for endotracheal intubation during simulated cardiopulmonary resuscitation.
        Am J Emerg Med. 2017 Jul; 35: 1020-1021https://doi.org/10.1016/j.ajem.2017.01.013
        • Szarpak Ł.
        • Kurowski A.
        • Truszewski Z.
        • Robak O.
        • Frass M.
        Comparison of 4 supraglotttic devices used by paramedics during simulated CPR: a randomized controlled crossover trial.
        Am J Emerg Med. 2015 Aug; 33: 1084-1088https://doi.org/10.1016/j.ajem.2015.04.050
        • Sip M.
        • Dabrowska A.
        • Prucnal K.
        • Puslecki M.
        • Klosiewicz T.
        Supraglottic devices — future or everyday life? Disaster.
        Emerg Med J. 2017; 2: 74-83https://doi.org/10.5603/DEMJ.2017.0015