Browse > Article
http://dx.doi.org/10.14408/KJEMS.2015.19.2.007

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

Hyun, Kwang-Rok (Emergency Medical Center, Pusan National University Yangsan Hospital)
Moon, Jun-Dong (Department of Emergency Medical Service, Kongju National University)
Publication Information
The Korean Journal of Emergency Medical Services / v.19, no.2, 2015 , pp. 7-17 More about this Journal
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
Cardiopulmonary resuscitation; Cardiac arrest; Artificial respiration;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
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.   DOI   ScienceOn
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   DOI
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.   DOI
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   DOI
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.   DOI   ScienceOn
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   DOI
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.   DOI
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.   DOI
13 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   DOI
14 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   DOI
15 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   DOI
16 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   DOI