• Title/Summary/Keyword: cardiopulmonary

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Cardiopulmonary bypass preparation is mandatory in cardiac exploration for blunt cardiac injury patients: two case reports

  • Son, Shin-Ah;Cho, Joon Yong;Kim, Gun-Jik;Lee, Young Ok;Jung, Hanna;Oh, Tak-Hyuk
    • Journal of Yeungnam Medical Science
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    • v.38 no.4
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    • pp.356-360
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    • 2021
  • Treating cardiac injuries following blunt trauma to the chest requires thorough examination, accurate diagnosis, and therapeutic plan. We present two cases; pulmonary vein rupture and left atrial appendage laceration, both as a result of blunt chest trauma. Through these cases, our team learned the importance of maintaining hemodynamic stability during the examination of injured cardiac structures. And based on the comprehensive cardiac examination, a decision to surgically intervene with median sternotomy via cardiopulmonary bypass was made, saving lives of the patient. This report introduces how such decision was made based on what supporting evidence and the diagnostic process leading to the initiation of surgical intervention. This report may help with decision-making process when confronted by blunt cardiac injury patients who need cardiac exploration.

Cardiopulmonary Bypass Strategies to Maintain Brain Perfusion during Lung Transplantation in a Patient with Severe Hypercapnia

  • Sohn, Bongyeon;Park, Samina;Lee, Hyun Joo;Jeong, Jin Hee;Choi, Sun Mi;Lee, Sang-Min;Seo, Jeong-Hwa;Kim, Young Tae
    • Journal of Chest Surgery
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    • v.52 no.1
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    • pp.58-60
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    • 2019
  • Herein, we report a case of lung transplantation in a patient with profound preoperative hypercapnia, focusing on the cardiopulmonary bypass strategy used for brain perfusion during the operation. We applied the pH-stat method for acid-base regulation, and thereby achieved the desired outcome without any neurologic deficit.

The Differences Verification of Cardiopulmonary Resuscitation According to Characteristics of Child Care Teachers (보육교사의 특성에 따른 심폐소생술의 차이)

  • Bae, Sung-Ju;Lee, Byung-Joo
    • Journal of Korean Clinical Health Science
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    • v.6 no.2
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    • pp.1189-1198
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    • 2018
  • Purpose. The study was basic materials are provided to identify differences in the knowledge, attitude and performance of cardiopulmonary resuscitation(CPR) depending on the characteristics of child care teachers, and to develop an education program that will enable you to improve your future CPR performance. Methods. This study was conducted on 147 child care teachers. The questionnaire of the previous study was corrected and 48 total questions were used. Using spss 22.0 frequency analysis, T-test, ANOVA and Duncan-test were performed. Results. The knowledge level of 50s was higher those in their 20s. The higher the satisfaction level with education, the more positive was about CPR(p<.001). The more CPR training, the higher the performance(p<.01). The was a positive correlation between CPR attitude and performance ability(r=.355, p<.001). Conclusion. In order to have a positive influence on the CPR of child care teachers, the number of education should be increased and the level of education satisfaction should be managed to increase.

Factors Influencing for Intention to Perform Cardiopulmonary Resuscitation in Nursing Students (간호대학생의 심폐소생술 수행의지에 미치는 영향요인)

  • Park, Ju Young;Kim, Hyun Jin;Song, Kyeong Jin
    • Journal of muscle and joint health
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    • v.26 no.2
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    • pp.131-140
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    • 2019
  • Purpose: The purpose of this study was to explore factors influencing for intention to perform cardiopulmonary resuscitation (CPR) in undergraduate nursing students. Methods: A total of 146 students at G University participated in this descriptive study. With a self-administered questionnaire, the data were collected from November 26 to November 30, 2018. Results: In this study, intention to perform CPR had significant positive correlations with attitude of CPR (r=60, p<.001), self-efficiency of CPR (r=.53, p<.001), and confidence in automated external defibrillator (AED) utilization (r=.47, p<.001). Stepwise multiple regression analysis showed that factors influencing for intention to perform CPR were attitude of CPR (${\beta}=.60$, p<.001) and confidence in AED utilization (${\beta}=.26$, p<.001). Overall, approximately 41% of the variability in intention to perform CPR was explained by these variables ($R^2=.41$, F=50.04, p<.001). Conclusion: In order to promote the intention to carry out CPR among nursing college students, it will be necessary to develop strategies to strengthen a positive attitude toward CPR in fundamental nursing and clinical nursing practices in addition to improve confidence in AED utilization.

The Effects of the 5-step Method for Infant Cardiopulmonary Resuscitation Training on Nursing Students' Knowledge, Attitude, and Performance Ability

  • Kim, Jin Young;Ahn, Hye Young
    • Child Health Nursing Research
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    • v.25 no.1
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    • pp.17-27
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    • 2019
  • Purpose: The purpose of this study was to examine the effects of an infant cardiopulmonary resuscitation (CPR) training program that applied the 5-step method on the knowledge, attitudes, and performance ability of nursing students in terms of enhancement and sustainability. Methods: Sixty-one nursing students (28 in the experimental group and 33 in the control group) from D city participated in this study. Data were collected from April 25 to December 15, 2016. The experimental group and control group received infant CPR education using the 5-step method and the traditional method, respectively. The outcome variables were measured 3 times (pretest and posttest at 1 week and 6 months after training) Results: There were significant differences in attitude (t=2.68, p=.009) and performance ability (t=4.56, p<.001) between the groups at 1 week after training, as well as in sustained performance ability at 6 months after training (F=6.76, p=.012). Conclusion: The 5-step method of infant CPR training was effective for improving performance ability in a sustained manner and promoting a positive attitude. Therefore, it is recommended that nursing students, as infant CPR novices, receive training using this effective method.

Comparison of New Infant Chest Compression Methods: Simulation Study on Randomization Using Manikin

  • Yun, Seong-Woo
    • Journal of the Korea Society of Computer and Information
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    • v.24 no.4
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    • pp.153-159
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    • 2019
  • In this paper, we propose a the effects of new chest compressions in the implementation of chest compressions during infant cardiopulmonary resuscitation, and to provide basic data for high-quality CPR. On March 12, 2019, the research target used the SPSS 22.0 Version as an experimental study using randomized cross-design of 30 emergency medical services students who completed BLS Health Care-provider. The study also showed significant differences in chest depth and average rate of pressure($34.61{\pm}1.29$, $39.40{\pm}1.08$, <0.001, $105.46{\pm}4.23$, $107{\pm}3.84$, <0.001) depending on chest compressions. There was also a significant difference in the convenience and degree of pain of chest compressions(<0.001). In addition, new chest compressions appeared close to vertical and showed statistically significant differences(p<.001). Based on the results of this study, we can see that the accuracy of the new chest compressions during infant cardiopulmonary resuscitation is increased, and the depth of chest compressions is improved, improving the quality index of chest compressions. However, it will be necessary to further study the use of the new chest compressions to identify the potential for clinical use.

Influences of hands-only cardiopulmonary resuscitation on lumbar muscle tone, stiffness, and fatigue in emergency medical technicians (가슴압박소생술이 구조자의 허리근육의 근긴장도, 경직, 피로에 미치는 영향)

  • Wang, Joong-San;Shin, Sang-Yol
    • The Korean Journal of Emergency Medical Services
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    • v.24 no.3
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    • pp.79-87
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    • 2020
  • Purpose: This study sought to determine how the act of performing cardiopulmonary resuscitation (CPR) affects the rescuer's muscle tone, stiffness, and fatigue in the lumbar region. Methods: The research subjects were 30 healthy men in their twenties in possession of a Basic Life Support (BLS) provider certificate. In this study, the CPR rescuer's muscle tone and stiffness in the upper and lower lumbar regions were measured in the resting position, starting position, and position after 10 min. Their level of fatigue was measured before and after performing CPR. Results: Muscle tone and stiffness in the upper and lower lumbar regions of the research subjects significantly increased throughout the CPR process and lasted up to 10 min after the process (p<.001). The subjects' fatigue also significantly increased post-CPR (p<.001). Conclusion: This study suggests that performing CPR creates muscular and physiological stress, fatigue, and ultimately, lower back pain.

Development and validation of a three-person cardiopulmonary resuscitation protocol (3인 CPR 프로토콜 개발 및 타당도 검증)

  • Han, Seung-Woo;Kang, Min-Ju;Park, Ju-Ho
    • The Korean Journal of Emergency Medical Services
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    • v.26 no.1
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    • pp.139-150
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    • 2022
  • Purpose: This protocol aims to improve the simplicity of the existing two-person cardiopulmonary resuscitation (CPR) by focusing on chest compressions and artificial respiration, and classifying the roles within the scope that can be observed. Methods: In this study, the protocol was developed by forming an expert group consisting of a professor from the emergency and rescue department, a professor from the nursing department, and a first aid officer from the fire department. In addition, if the number of panels is 15 and the derived content validity ratio (CVR) value exceeds 0.49, a reference point that satisfies content validity at 95% reliability is presented. Results: All 11 performance items exceeded the CVR value of 0.49 to meet the reference point, and the CVR range of this protocol is 0.625 to 1.000. Conclusion: In order to improve the quality of three-person CPR, verification of simulation models and continuous protocol revision should be conducted by individuals specializing in various fields.

Effects of Taekwondo training on physical fitness factors in Korean elementary students: A systematic review and meta-analysis

  • Nam, Sang-Seok;Lim, Kiwon
    • Korean Journal of Exercise Nutrition
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    • v.23 no.1
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    • pp.36-47
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    • 2019
  • [Purpose] We conducted a meta-analysis to evaluate the effects of Taekwondo training on the physical fitness factors in Korean elementary students comprehensively and quantitatively. [Methods] We classified research studies published until November 2018 according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and selected a total of 17 research items; a meta-analysis of these items was then conducted. We used the Comprehensive Meta-Analysis 3.0 and Review Manager 5.3 to analyze the mean effect size, study quality, and publication bias. [Results] Taekwondo training improved the cardiopulmonary endurance, muscle endurance, and power of the elementary students, but was not practical or less useful on other physical fitness factors. The meta-regression analysis of the cardiopulmonary endurance and power items showed that the effect size was large when the sample size was small. Therefore, it is necessary to consider the sample size in interpreting the effect size for these two items. Further, during correction of the publication bias for the power items, the improvement effect by Taekwondo training was eliminated. [Conclusion] Taekwondo training is helpful for improving the cardiopulmonary endurance and muscle endurance of Korean elementary students but is not useful for other physical fitness factors.

The relationship between physical fitness factors and academic achievement of high school students in Korea (한국고등학생의 체력요인과 국가수준의 학업성취도의 관계)

  • Mun, Dal Ju;Choi, Seok Joo;Oh, Hyun Ju
    • Korean Educational Research Journal
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    • v.41 no.2
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    • pp.1-23
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    • 2020
  • The purpose of this study is to investigate the relationship between physical fitness factors and academic achievement among high school students. As a research method, cardiopulmonary endurance, flexibility, muscular strength, muscular endurance, quickness, BMI index, and academic achievement of high school students were measured for 641 male and female high school students in 2014 and 2017. The results of this study show that cardiopulmonary endurance is correlated with cardiopulmonary endurance factors (p<0.05), cardiopulmonary endurance is correlated with flexibility and quickness (p<0.05), and flexibility is correlated with academic achievement (p<0.01). Muscle strength was correlated with quickness and body fat (p<0.05), and muscle endurance was correlated with muscle strength, quickness, and BMI (p<0.05), and correlation between quickness (p<0.01), and there was a correlation between academic achievement (p<0.01). The conclusion of this study is that developing and implementing a more effective physical fitness program can contribute to the academic achievement and physical fitness of domestic high school students because various physical activities have a positive relationship with academic achievement in addition to physical fitness.

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