• 성인간호학회지
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• 제25권1호
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• pp.41-52
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• 2013

Purpose: The purpose of this study was to compare the attitude of physicians and nurses toward family presence during cardiopulmonary resuscitation (CPR). Methods: 100 physicians and 100 nurses from five hospitals with than 500 beds in B city were surveyed using a Family Presence During Resuscitation (FPDR) Inventory. The data were analyzed by t-test, ANOVA and Duncan's multiple range test using SPSS/WIN 19.0 version. Results: Nurses showed more positive attitudes toward family presence during CPR but reported more concerns about the problem of confidentiality, arguing with family members, and emotional distress of family members than physicians did. Conclusion: On the basis of results from this study, we recommend that educational program be developed within the hospitals to change the negative perception of health care providers for the family presence during CPR.

• 대한간호
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• 제20권5호통권113호
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• pp.55-59
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• 1981

• Journal of Chest Surgery
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• 제49권3호
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• pp.151-156
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• 2016

Background: Survival of children experiencing cardiac arrest refractory to conventional cardiopulmonary resuscitation (CPR) is very poor. We sought to examine current era outcomes of extracorporeal CPR (ECPR) support for refractory arrest. Methods: Patients who were <18 years and underwent ECPR between November 2013 and January 2016 were including in this study. We retrospectively investigated patient medical records. Results: Twelve children, median age 6.6 months (range, 1 day to 11.7 years), required ECPR. patients' diseases spanned several categories: congenital heart disease (n=5), myocarditis (n=2), respiratory failure (n=2), septic shock (n=1), trauma (n=1), and post-cardiotomy arrest (n=1). Cannulation sites included the neck (n=8), chest (n=3), and neck to chest conversion (n=1). Median duration of extracorporeal membrane oxygenation was five days (range, 0 to 14 days). Extracorporeal membrane oxygenation was successfully discontinued in 10 (83.3%) patients. Nine patients (75%) survived more than seven days after support discontinuation and four patients (33.3%) survived and were discharged. Causes of death included ischemic brain injury (n=4), sepsis (n=3), and gastrointestinal bleeding (n=1). Conclusion: ECPR plays a valuable role in children experiencing refractory cardiac arrest. The weaning rate is acceptable; however, survival is related to other organ dysfunction and the severity of ischemic brain injury. ECPR prior to the emergence of end-organ injury and prevention of neurologic injury might enhance survival.

• 한국융합학회논문지
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• 제8권3호
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• pp.91-100
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• 2017

본 연구의 목적은 간호대학생의 영아심폐소생술에 대한 지식과 태도 및 수행자신감의 정도를 확인하고 그 관계를 분석하기 위한 융합연구이다. 연구대상은 3개 대학의 3학년 간호대학생 151명으로 하였으며, 자료 수집은 자가보고식 설문지 작성을 통해 이루어졌다 수집된 자료는 SPSS 21.0 Win을 이용하여 t-test, ANOVA, peason's correlation coefficients으로 분석하였다. 연구결과는 지식과 수행자신감(r=0.45, p=<.001), 태도와 수행자신감(r=0.35, p=<.001)의 관계가 긍정적 상관관계가 있는 것으로 나타났다. 따라서 간호대학생이 심폐소생술이 필요한 기도폐쇄나 심정시 상황에서 정확하고 신속하게 심폐소생술을 수행 할 수 있도록 정확한 지식, 긍정적인 태도, 수행자신감을 향상시킬 수 있는 반복적이고 체계적인 영아심폐소생술 교육과정 개발이 필요하다.

• 한국융합학회논문지
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• 제9권3호
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• pp.307-317
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• 2018

본 연구목적은 간호사를 위한 모바일 웹기반 심폐소생술(cardiopulmonary resuscitation:CPR) 융합교육의 효과를 확인하기 위함이다. 비동등성 대조군 시차설계에 따라 간호사 46명을 연구대상으로 실험군에게는 모바일 웹기반 온라인 CPR학습과 자기주도적 오프라인 CPR실습을 적용하고 대조군에게는 전통적 CPR강의교육과 CPR실습이 진행되었다. 설문지와 실기평가로 자료수집 후 SPSS 21.0 program을 이용하여 분석하였다. 연구결과 CPR지식과 CPR자기효능감은 실험군이 대조군 보다 더 증가하였으나 집단 간 유의한 차이는 없었다(p=.741; p=.162). CPR 수행능력은 실험군이 대조군보다 유의한 차이를 보이며 증가하였다(p=.001). 따라서 모바일 웹기반 심폐소생술 융합교육은 간호사의 CPR실무역량 강화에 효과적이며 향후 다양한 융합교육중재개발에 확대 적용 가능할 것이다.

• 대한임상독성학회지
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• 제12권2호
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• pp.97-101
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• 2014

Aconitine, found in the Aconitum species, is highly extremely toxic, and has been known to cause fatal cardiac arrhythmias and cardiovascular collapse. Although several reports have described treatment of aconitine intoxication, management strategy for the patient in a hemodynamically compromised state who experienced cardiopulmonary collapse is unknown. We report here on a case of a successful cardiopulmonary resuscitation and therapeutic hypothermia in an aconitine-induced cardiovascular collapsed patient. A 73-year-old male who presented with nausea, vomiting, chest discomfort, and drowsy mental state after eating an herbal decoction made from aconite roots was admitted to the emergency department. He showed hemodynamic compromise with monomorphic ventricular tachycardia resistant to amiodarone and lidocaine. After 3 minutes on admission, he collapsed, and cardiopulmonary resuscitation was initiated. We treated him with repeated cardioversion/defibrillation of 51 times, 10,150 joules and cardiopulmonary resuscitation of 12 times, 69 minutes for 14 hours and therapeutic hypothermia for 36 hours. He recovered fully in 7 days.

• 한국컴퓨터정보학회논문지
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• 제26권11호
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• pp.165-172
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• 2021

이 연구의 목적은 가슴압박소생술(cardiopulmonary resuscitation, CPR)의 숙련도에 따른 목근육에 근긴장도와 근경직 차이를 확인하기 위해 실시되었다. 연구대상자는 20대 여학생 30명으로 숙련자군과 비숙련자군 각각 15명이었다. 연구결과, 숙련자군은 가슴압박 수행 후 손잡기(hand grip)의 위손쪽 아랫목근육의 근경직과 위등세모근의 근긴장도가 유의하게 감소되었다(p<.05). 비숙련자군은 가슴압박 후 양쪽 위등세모근의 근긴장도와 근경직이 모두 유의하게 감소되었지만(p<.05) 연구군 간에 유의한 차이는 없었다. 그리고, 비숙련자군은 숙련자군과 비교하여 가슴압박 수행 후 평균압박속도, 총압박횟수, 가슴압박 정확도, 가슴이완 정확도가 유의하게 낮았다(p<.05). 이 연구를 통해 가슴압박은 수행자의 목근육에 근생리학적 영향을 미치지만, CPR 숙련도에 따른 차이는 없으며, 숙련도는 CPR 정확성에 중요한 요소인 것을 확인하였다.

• 근관절건강학회지
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• 제31권1호
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• pp.22-30
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• 2024

Purpose: In-hospital cardiac arrest is rare, but often results in high mortality rates. Early and effective cardiopulmonary resuscitation (CPR) is crucial for survival and nurses are often the first responders. This study aimed to investigate how inter-professional attitudes and educational burdens affect self-efficacy related to CPR performance following team-based CPR simulation training. Methods: This retrospective observational study analyzed data from a satisfaction survey conducted after team-based CPR training sessions between January and November 2022. Of the 454 nurses surveyed, 238 were included in the study after excluding those with ambiguous responses. Multiple regression analysis was performed to assess factors influencing CPR self-efficacy. The factors examined included inter-professional attitudes and educational burden. Results: Higher levels of inter-professional attitudes, particularly regarding teamwork roles and responsibilities, lower educational burden, and a positive perception of CPR competence were all associated with improved CPR-related self-efficacy. Participants who reported higher engagement in teamwork, lower task load, and greater confidence in their CPR abilities demonstrated higher self-efficacy in performing CPR. Conclusion: Enhancing the competencies of nurses who may act as initial responders in CPR situations within or outside hospital settings can help save lives and support public health.

• Journal of Chest Surgery
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• 제57권3호
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• pp.281-288
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• 2024

Background: Venoarterial extracorporeal membrane oxygenation (ECMO) is a key treatment method used with patients in cardiac arrest who do not respond to medical treatment. A critical step in initiating therapy is the insertion of ECMO cannulas. Peripheral ECMO cannulation methods have been preferred for extracorporeal cardiopulmonary resuscitation (ECPR). Methods: Patients who underwent ECPR at Daegu Catholic University Medical Center between January 2017 and May 2023 were included in this study. We analyzed the impact of 2 different peripheral cannulation strategies (surgical cutdown vs. percutaneous cannulation) on various factors, including survival rate. Results: Among the 99 patients included in this study, 66 underwent surgical cutdown, and 33 underwent percutaneous insertion. The survival to discharge rates were 36.4% for the surgical cutdown group and 30.3% for the percutaneous group (p=0.708). The ECMO insertion times were 21.3 minutes for the surgical cutdown group and 10.3 minutes for the percutaneous group (p<0.001). The factors associated with overall mortality included a shorter low-flow time (hazard ratio [HR], 1.045; 95% confidence interval [CI], 1.019-1.071; p=0.001) and whether return of spontaneous circulation was achieved (HR, 0.317; 95% CI, 0.127-0.787; p=0.013). Low-flow time was defined as the time from the start of cardiopulmonary resuscitation to the completion of ECMO cannula insertion. Conclusion: No statistically significant difference in in-hospital mortality was observed between the surgical and percutaneous groups. However, regardless of the chosen cannulation strategy, reducing ECMO cannulation time was beneficial, as a shorter low-flow time was associated with significant benefits in terms of survival.

• 한국응급구조학회지
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• 제17권1호
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• pp.9-19
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• 2013

Purpose : The purpose of this study was to investigate the variation of elapsed time in the cardiopulmonary resuscitation (CPR) quality and the fatigue in continuous CPR by single rescuer. This study will provide basic data about the time for the alternation of the CPR providers. Methods : The volunteer students having healthcare provider certification were recruited from the department of emergency medical service. The students performed 30:2 CPR for 20 minutes, and the data were recorded and analyzed. Metrics were based on the 2010 American Heart Association (AHA) Guidelines, and the CPR continued without any feedback. Results : Among the indicators of CPR, the accuracy and the depth of chest compressions decreased after about 5.3 minutes, and the rate increased approximately after 6.8 minutes. Changes in clinical indicators appeared, and fatigue increased after about 3 minutes. According to the increase in fatigue level, the changes in the CPR indicators and clinical indicators showed up, and these results proved to be statistically significant. However, there were no associations among the time, fatigue, and gender. Conclusion : Even though the times of changes in the indicators appeared differently, the times of changes in fatigue and CPR quality were able to be confirmed.