The Korean Journal of Emergency Medical Services (한국응급구조학회지)

The Korea Society of Emergency Medical Services (한국응급구조학회)
권호 표지
DOI QR코드

DOI QR Code

Comparison of compression pause time between different rescue ventilation maneuvers in two-rescuer cardiopulmonary resuscitation

2인구조자 심폐소생술 시 환기방법에 따른 가슴압박 중단시간의 비교: 일개 대학병원 간호사를 대상으로

  • Hyun, Kwang-Rok (Emergency Medical Center, Pusan National University Yangsan Hospital) ;
  • Moon, Jun-Dong (Department of Emergency Medical Service, Kongju National University)
  • 현광록 (양산 부산대학교병원 응급의료센터) ;
  • 문준동 (공주대학교 응급구조학과)
  • Received : 2015.06.18
  • Accepted : 2015.08.19
  • Published : 2015.08.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study aimed to compare the effects of rescue ventilation maneuvers on the quality of two-rescuer cardiopulmonary resuscitation (CPR). Methods: We implemented mouth to mouth (MMV), mouth to pocket mask (MPV) and bag-valve mask ventilation (BMV) maneuvers. Each team of two-nurses was randomized to perform three consecutive sessions of two-rescuer CPR by using three artificial ventilation maneuvers. Results: The subjects were 26 teams of nurses (female: 96.2%, male: 3.8%, age: 26.6 years). Failed ventilation was more frequent in BMV ($2.23{\pm}2.21$, p <.001) than MMV ($0.31{\pm}0.74$) and MPV ($0.38{\pm}0.64$). BMV had more compressions per minute ($93.7{\pm}5.7$) than MMV ($87.0{\pm}7.2$, p = .001) and shorter total compression pause time ($46.1{\pm}5.8sec$) and compression pause fraction ($23.3{\pm}2.2%$) than MMV ($54.8{\pm}10.3sec$, p = .001, $25.5{\pm}3.5%$, p = .001, respectively) and MPV ($53.1{\pm}7.1sec$, p =. 006 and $25.8{\pm}2.6%$, p = .006, respectively). Conclusion: In our simulation study, BMV reduced the compression pause time and increased the number of compressions per minute, thus indicating CPR provided to patients was effective. However, considering the high rate of ventilation failure, we recommend periodic training.

Keywords

References

  1. Berg RA, Hemphill R, Abella BS, Aufderheide TP, Cave DM, Hazinski MF et al. Part 5: Adult basic life support: 2010 American heart association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation 2010; 122:S685-705. https://doi.org/10.1161/CIRCULATIONAHA.110.970939
  2. von Goedecke A, Bowden K, Wenzel V, Keller C, Gabrielli A. Effects of decreasing inspiratory times during simulated bagvalve- mask ventilation. Resuscitation 2005; 64(3):321-5. http://dx.doi.org/10.1016/j.resuscitation.2004.09.003
  3. Berg RA, Sanders AB, Kern KB, Hilwig RW, Heidenreich JW, Porter ME et al. Adverse hemodynamic effects of interrupting chest compressions for rescue breathing during cardiopulmonary resuscitation for ventricular fibrillation cardiac arrest. Circulation 2001;104(20):2465-70. https://doi.org/10.1161/hc4501.098926
  4. Moon JD, Choi SH. Analysis of measured quality variables in basic life support training for first responder. J Korean Soc Emerg Med 2013;24(2):209-15.
  5. Adelborg K, Dalgas C, Grove EL, Jorgensen C, Al-Mashhadi RH, Lofgren B. Mouthto- mouth ventilation is superior to mouthto-pocket mask and bag-valve-mask ventilation during lifeguard CPR: A randomized study. Resuscitation 2011;82(5):618-22. http://dx.doi.org/10.1016/j.resuscitation. 2011.01.009
  6. Kim SS, Kim BJ. Outcomes of in-hospital cardiopulmonary resuscitation according to the in-hospital Utstein style in a general hospital. Journal of Korean Clinical Nursing Research 2006;11(2):177-92.
  7. Kim EJ, Lee KR, Lee MH, Kim JY. Nurses' cardiopulmonary resuscitation performance during the first 5 minutes in In-situ simulated cardiac arrest. J Korean Acad Nurs 2012;42(3):361-8. https://doi.org/10.4040/jkan.2012.42.3.361
  8. Yoo KN. Cardiopulmonary resuscitation (CPR) performance of first responding nurse and associated factors for recovery of spontaneous circulation(ROSC) in a general hospital. Unpublished master's thesis, Korea University 2014, Seoul, Korea.
  9. Park JB, Jo YI, Cho YS, Choi HJ, Kang BS, Lim TH et al. Factors affecting cardiopulmonary resuscitation hands-off time in an emergency room. J Korean Soc Emerg Med 2012;23(2):221-8.
  10. Edelson DP, Abella BS, Kramer-Johansen J, Wik L, Myklebust H, Barry AM et al. Effects of compression depth and pre-shock pauses predict defibrillation failure during cardiac arrest. Resuscitation 2006;71(2):137-45. http://dx.doi.org/10.1016/j.resuscitation.2006.04.008
  11. Neumar RW, Otto CW, Link MS, Kronick SL, Shuster M, Callaway CW et al. Part 8: Adult advanced cardiovascular life support: 2010 American heart association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation 2010; 122:S729-67. https://doi.org/10.1161/CIRCULATIONAHA.110.970988
  12. de Latorre F, Nolan J, Robertson C, Chamberlain D, Baskett P; European Resuscitation Council. European resuscitation council guidelines 2000 for adult advanced life support. A statement from the Advanced Life Support Working Group(1) and approved by the Executive Committee of the European Resuscitation Council. Resuscitation 2001;48(3):211-21. https://doi.org/10.1016/S0300-9572(00)00379-8
  13. Paal P, Falk M, Sumann G, Demetz F, Beikircher W, Gruber E et al. Comparison of mouth-to-mouth, mouth-to-mask and mouth-to-face-shield ventilation by lay persons. Resuscitation 2006;70(1):117-23. http://dx.doi.org/10.1016/j.resuscitation.2005.03.024
  14. Arshid M, Lo TY, Reynolds F. Quality of cardio-pulmonary resuscitation(CPR) during paediatric resuscitation training: Time to stop the blind leading the blind. Resuscitation 2009;80(5):558-60. http://dx.doi.org/10.1016/j.resuscitation.2009.02.017
  15. Perkins GD, Boyle W, Bridgestock H, Davies S, Oliver Z, Bradburn S et al. Quality of CPR during advanced resuscitation training. Resuscitation 2008;77(1):69-74. http://dx.doi.org/10.1016/j.resuscitation.2007.10.012
  16. Wik L, Kramer-Johansen J, Myklebust H, Sorebo H, Svensson L, Fellows B et al. Quality of cardiopulmonary resuscitation during out-of-hospital cardiac arrest. JAMA 2005;293(3):299-304. http://dx.doi.org/10.1001/jama.293.3.299