• 제목/요약/키워드: cardiopulmonary

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심폐소생술 시행 시 피구조자의 위치, 성별, 체중에 따른 가슴압박과 인공호흡 정확도 비교 (A Comparison of Accuracy in Artificial Respiration and Chest Compression Depending on Position, Gender, and Weight of a Victim Given Cardiopulmonary Resuscitation)

  • 백홍석;박상섭
    • 한국콘텐츠학회논문지
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    • 제11권5호
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    • pp.280-290
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    • 2011
  • 본 연구는 심폐소생술 수행 시 피구조자의 위치, 성별, 체중에 따른 가슴압박과 인공호흡 정확도 비교를 통하여 심폐소생술 수행에 정확성을 높이는데 그 목적이 있다. 본 연구는 G도 소재 대학생 72명(실험군 36명, 대조군 36명)을 편의추출 하여 시행하였으며, 조사기간은 2009년 11월 5일부터 11월 19일까지 시행되었다. 수집된 자료는 SPSS WIN 12.0 Version 프로그램을 사용하여 분석하였다. 연구결과 대부분 영역에서 우측이 좌측보다 인공호흡과 가슴압박의 효과적으로 나타났음이 증명되었기에 향후 심폐소생술 수행방법과 교육방법에 있어서 우측 편에서 시행하는 심폐소생술 수행방법을 적용해 볼 필요가 있다. 하지만 실제 응급현장에서 심폐소생술 생존율이 우측 편에서 효과적인가에 대해서는 지속적 연구가 이루어져야 할 것으로 여겨진다.

소아에서 인공심폐기 충전액의 첨가용액으로서 사용한 crystalloid와 colloid 용액에 관한 임상연구 (A Prospective Clinical Study of Crystalloid and Colloid Solutions as Priming Additive Fluids for Cardiopulmonary bypass of the Small Children)

  • 한재진;서경필
    • Journal of Chest Surgery
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    • 제25권5호
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    • pp.469-479
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    • 1992
  • Searching for the clinical effects of colloid solutions that used to increasing the oncotic pressure of priming solutions at the cardiopulmonary bypass, 29 patients [who were diagnosised as simple VSD around 10kg of body weight and scheduled to be operated from June 1990 to December 1990 at Sejong General Hospital] were divided randomly and prospectively to the two groups: A group [15] was received 4gm% albumin as addition to the priming solutions and B Group [14] the same amount of Ringer`s lactated solution. 34 clinical parameters [Body weight, sex, age, body surface area, Qp/Qs, pulmonary arterial pressure, cardiopulmonary bypass time, anesthetic time, intraoperatively infused crystalloid and colloid amount, hemoglobin, hematocrit, serum sodium concentration, serum osmolarity, urine osmolarity, urine specific gravity, serum concentration, serum osmolarity, urine osmolarity, urine specific gravity, serum protein, serum albumin concentration, urine output, central venous pressure, postoperatively infused colloid amount, immedediate post-operative peak inspiratory pressure, cardiac index, blood pressure and pump flow during cardiopulmonary bypass, inotro-pic assist, diuretics, extubation period, total drain amount, duration of ICU] were measured and compaired between the two groups. There were no differences of preoperative and operative clinical parameters. And postoper-atively, practically there were no nearly differences at the clinical outcomes between the two groups, but some parameters [cardiac index, PIP, BP and pumpflow during CPB, etc] contributed to being preferable to the Group A at certain times [P<0.05]. Conclusively, it might be thought that the priming solution of cardiopulmonary bypass added by colloid solution had some beneficial effects on the patients, especially younger and associated with complex anomaly to be expected taken longer time of cardiopulmonary bypass, and more studies about the neonatal and complex anomaly cases were needed in that points.

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구급상황관리사에 의한 심폐소생술 안내 실태 연구 (A study on the cardiopulmonary resuscitation by the emergency medical dispatcher)

  • 김창성;피혜영;이슬기;이현범
    • 한국응급구조학회지
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    • 제25권1호
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    • pp.223-234
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    • 2021
  • Purpose: The purpose of the study is to check up the status of 119 emergency control centers usage. Therefore, the status of use of 119 emergency control centers and the incidence of pre-hospital cardiac arrest patients were investigated. Methods: The emergency activity daily reports and first aid diaries of 119 emergency control centers from January to December 2018 were reviewed. For more accurate status analysis, Among the first aid guidance received in the emergency rescue standard system, the cardiopulmonary resuscitation guide log was reviewed. Results: In 2018, the total usage of the 119 emergency control centers was 1,358,356 calls, hospital guidance werethe most commom (n=629,676, 46.4%), followed by first aid (n=428,027, 31.5%), disease consultation (n=170,238, 12.5%), medical oversight (n=111,188, 8.2%), and interhospital transfer (n=5,052, 0.4%). Regarding the user number per 1,000 persons, Jeju was the greatest at 48.0, whereas Changwon was the lowest at 13.0. A total number of dispatcher-assisted cardiopulmonary resuscitation was 12.181. The time from report to chest compression were 156.2±80.8 seconds for those with previous cardiopulmonary resuscitation training and 168.0±79.3 seconds for those without such training (p<.05). Conclusion: The ratio of first aid instructions, including dispatcher-assisted cardiopulmonary resuscitation, among total usage of the 119 emergency control centers increased. Therefore, additional efforts are required to improve the quality and expertise of information provided through the 119 emergency control centers.

노인의 심폐소생술 지식에 영향을 미치는 요인 (Factors Affecting Knowledge about Cardiopulmonary Resuscitation of Older Persons)

  • 이성은
    • 문화기술의 융합
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    • 제9권5호
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    • pp.203-209
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    • 2023
  • 본 연구는 노인의 심폐소생술 지식의 수준과 심폐소생술 지식에 영향을 미치는 요인을 파악하는 것을 목적으로 하고 있다. 연구의 목적을 위해 통계청에서 실시한 2022년 사회조사 자료를 활용하였으며 65세 이상 노인 총 8,862명을 분석대상으로 하였다. 분석결과 노인의 개인적 자원과 사회적 자원은 심폐소생술 지식에 유의미한 영향을 미치는 것으로 나타났다. 개인적 자원의 경우 교육수준이 높아질수록, 소득수준이 높아질수록, 주관적 건강상태가 좋을수록, 인지기능이 좋을수록 노인의 심폐소생술 지식 수준이 높아지는 것으로 나타났다. 사회적 자원의 경우 배우자가 있을 경우와 자녀와의 관계 만족도가 높을수록 노인의 심폐소생술 지식 수준이 높아지는 것으로 나타났다. 본 연구의 결과를 바탕으로 응급상황에 대한 대처지식에 있어 취약한 노인그룹을 대상으로 심폐소생술 지식 수준을 향상시키기 위한 개입 방안들이 다각적으로 모색될 필요가 있다.

체외순환에 따른 혈중 Interleukin-10의 변화 (Changes of Interleukin-10 level in Patients Undergoing cardiopulmonary Bypass)

  • 홍남기;이동협;정태은;이정철;한승세
    • Journal of Chest Surgery
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    • 제33권8호
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    • pp.648-654
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    • 2000
  • Background: Cardiopulmonary bypass during open heart surgery causes systemic inflammatory respose. IL-10 is an anti-inflammatory cytokine that inhibits inflammatory process and protects organ function by down regulation of pro-inflammatory cytokine release and maintenance of blood level balance with pro-inflammatory cytokines. Mateial and Method: Plasma IL-10 levels were measured and analyzed in 22 patients who underwent open heart surgery (11 cases of coronary artery bypass graft, 11 cases of valve replacement) under cardiopulmonary bypass since 1988 January to July at Department of Thoracic and Czardiovascular surgery, Yeungnam University Hospital. 1g of methylprednisolone was administrated to thirteen patients randomly. Blood samp.es were taken and collected at the time of induction of anesthesia, 10 min before cardiopulmonary bypass, 10 min after starting of CPB, 10 min aftr aortic cross clamping, 10 min after ACC release, and 10 min, 2 hours, and `5 hours after CPB respectively. The plasma levels of IL-10 were determined by enzyme-linked immunosorbent assays(ELISA). Wilcoxon-Raule Sum test was used for statistical analysis. Result: In all 22 patients, cardiopulmonary bypass time was used for statistical analysis. Result: In all 22 patients, cardiopulmonary bypass time was 171$\pm$41.4 min and aortic cross clamp time was 118$\pm$36.5 min. Peak IL-10 level was achieved at 10 min after ACC(361.0$\pm$52.81pg/ml) and was decreased sharply at 2 hours after CPB. Peak IL-10 level was correlated positively with aortic cross clamp time(p=0.011); however, it did not correlated with bypass time(p=0.181). In valve replacement group, mean IL-10 level at peak point was 567.89$\pm$107.69 pg/ml and was significantly higher than that of coronary artery bypass group(205.67$\pm$192.70 pg/ml)(p<0.001). ACC time in valve replacement group was significantly longer than that of coronary artery bypass group(p<0.01), however, bypass time was not(p=0.212). Thirteen patients with steroid pretreatment before starting of CPB showed relatively higher plasma IL-10 level than in control group, however, no statistical significance was noted(p=0.19). Conclusion: plasma level of IL-10 was increased in association with cardiopulmonary bypass and revealed peak at 10 min after ACC release. IL-10 level was correlated positively with ACC time. Therefore, systemic inflammatory respeonse in association with cardiopulmonary bypass could be decreased by reducing ACC time during cardiac surgery.

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일부 초등학생의 심폐소생술교육의 효과 (The effectiveness of Cardiopulmonary Resuscitation training in elementary students)

  • 김희정;최은숙
    • 한국응급구조학회지
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    • 제11권2호
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    • pp.51-66
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    • 2007
  • Purpose: With a view to providing basic data to develop cardiopulmonary resuscitation education suitable for elementary students, the cardiopulmonary resuscitation education was conducted to grasp students' knowledge, skills accuracy and the attitude change before and after the education. Methods: Convenience sampling was made on fourth and fifth graders(total-35 students) of S elementary school located in K city, Chungcheongnam-do, and this was a pre-experiment research designed before and after choosing a single group. In terms of methods, specifically we, researchers ; 1) Handed out questionnaires to students directly to make them fill in firsthand and collected the questionnaires. 2) Utilized PPT materials based on 2005 AHA guideline and DVD materials of AHA, to give students theoretical education of cardiopulmonary resuscitation. We used Anne/SkillReporter$^{(R)}$ torso produced by Leardal Inc, and Little Anne to conduct practical education individually. 3) Asked students to give Anne/SkillReporter$^{(R)}$ torso cardiopulmonary resuscitation five times with the ratio of 30 : 2, and then one of researchers filled in the evaluation sheet individually. 4) Evaluated the accuracy of students' ability to perform the resuscitation based on the record of Anne/SkillReporter$^{(R)}$ integrated printer(which was the objective tool to grasp students' skills accuracy). 5) Gave out questionnaires to make students fill them in and then collected them. after completing the practical evaluation. Results: 1) In case of the attitude about cardiopulmonary resuscitation, Students' confidency rose from 19.28%(before the education) to 93.57(after the education)- which is a positive change. 2) As the result of the education, some elementary students scored 11 points (full score-16 points), up from 5 points before the education, in terms of the knowledge about cardiopulmonary resuscitation. The average point also reached 13.14 points(after the education), jump from 8.37(before the education), which was the rise of 29.8%. 3) When it comes to the practical performance, the skills accuracy was 80.93% on average, and the calculation method was as follows: total items were 16, and each item was marked form 0 to 2 points, meaning the full score was 32 points. The minimum score was 19 points and the maximum was 32($M{\pm}SD=25.90{\pm}2.88$), which was calculated based on percentage. 4) Regarding skills accuracy, respiration accuracy(%)($M{\pm}SD=30.20{\pm}27.16$) was higher than pressure accuracy(%) ($M{\pm}SD=15.34{\pm}25.27$). Conclusion: The result showed that students' attitude on cardiopulmonary resuscitation changed positively. and meaningful difference(p = .00) existed in the change of students' knowledge. In terms of skills accuracy. chest compression and airway control showed high accuracy, but the result of Anne/SkillReporter$^{(R)}$ performance showed that the accuracy of chest compression was lower than that of mouth-to-mouth resuscitation.

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일부 여대생의 기본심폐소생술 교육 효과 (The Effectiveness of Basic Cardiopulmonary Resuscitation training in female college students)

  • 김희정
    • 한국응급구조학회지
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    • 제12권1호
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    • pp.17-26
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    • 2008
  • Purpose : With a view to providing basic data to develop basic cardiopulmonary resuscitation education suitable for female college students, the basic cardiopulmonary resuscitation education was conducted to grasp students' knowledge, skill accuracy and the attitude change before and after the education. Methods : Convenience sampling was made on first graders(total-38 students) of K college located in K city, Chungcheongnam-do, and this was a preliminary research designed before and after choosing a single group. In terms of methods, the researchers as specified ; 1) Handed out questionnaires to students directly to make them fill in firsthand and collected the questionnaires. 2) Utilized Power Point materials based on 2005 AHA guideline and used Anne/Skill Reporter$^{(R)}$ torso produced by Leardal Inc, and Little Anne$^{(R)}$ to conduct practical education individually. 3) Asked students to give Anne/Skill Reporter$^{(R)}$ torso basic cardiopulmonary resuscitation five times with the ratio of 30:2, and then one of researchers filled in the evaluation sheet individually. 4) Evaluated the accuracy of students' ability to perform the resuscitation based on the record of Anne/Skill Reporter$^{(R)}$ integrated printer(which was the objective tool to grasp students' skills accuracy). 5) Gave out questionnaires to make students fill them in and then collected them, after completing the practical evaluation. Results : 1) In case of the attitude(confidence) about basic cardiopulmonary resuscitation, students' confidency rose from 14%(before the education) to 55.5%(after the education)- which was a positive change. 2) In case of the attitude(educational necessity) about basic cardiopulmonary resuscitation, students' confidency rose from 94.7%(before the education) to 100%(after the education)- which was a positive change. 3) As a result of the education, some female college students' scored knowledge about basic cardiopulmonary resuscitation. The average point also reached 88.95%(after the education), jump from 63.51%(before the education), which was the rise of 25.44%. 4) Regarding skill accuracy, pressure accuracy(%)($M{\pm}SD=91.37{\pm}14.16$) was higher than respiration accuracy(%)($M{\pm}SD=61.55{\pm}26.13$). Conclusion : The result showed that students' attitude(confidence, on basic cardiopulmonary resuscitation changed positively, and meaningful difference(p= .000) existed in the change of students' knowledge. Anne/Skill Reporter$^{(R)}$ performance showed that the accuracy of mouth-to-mouth resuscitation was lower than that of chest compression.

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탁구프로그램이 지체장애인의 자기효능감, 심폐기능, 혈청지질, Catalase 활성도에 미치는 영향 (The Effects of Table Tennis Program on Self Efficacy, Cardiopulmonary Function, Serum Lipids, Catalase Activity in the Physical Disabilities)

  • 정영주;박재경;유경원;이희경;김미란;김권영
    • Journal of Korean Biological Nursing Science
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    • 제11권1호
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    • pp.1-13
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    • 2009
  • Purpose: This study was conducted to evaluate the effects of table tennis program on self efficacy, cardiopulmonary function, serum lipids, catalase activity in the physical disabilities. Method: Physical disabilities were allocated to one of two groups: control group (n=7), experiment group (n=8). The experiment group took table tennis program four times a week for 12 weeks. Self efficacy was measured by questionnaire. Serum lipid profiles, catalase and cardiopulmonary function were checked after the exercise program and compared with pre-exercise data. Result: Self efficacy was significantly higher in the table tennis group. Maximum oxygen consumption and forced vital capacity were significantly increased and heart rate at rest was decreased in the table tennis group. Total cholesterol and triglyceride were decreased in the table tennis group. There was no significant change in catalase activity between two groups. Conclusion: These results indicate that table tennis program has positive effects on the health of the physical disabilities by improving the self efficacy and cardiopulmonary function and serum cholesterol profile.

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심폐소생술에 대한 병원 간호사의 지식 및 수행능력에 관한 연구 (A study on knowledge and competence of hospital nurses inperforming cardiopulmonary resuscitation)

  • 최향옥
    • 중환자간호학회지
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    • 제1권1호
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    • pp.85-97
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    • 2008
  • Purpose: This study was done to identify the level of knowledge and competence of nurses with regard to cardiopulmonary resuscitation. Methods: The participants were 360 nurses who worked in 3 general hospitals affiliated with universities in K-province. The study was done in May and June, 2005. Analysis was done using SPSS 12.0 and descriptive statistics, t test, ANOVA, Pearson’s correlation coefficients, and multiple regression were used to analyze the data. Results: The results showed that nurses’knowledge and competence levels vary. Mean scores for knowledge were 19.64. Using a score of 1, the mean was 0.65. Mean scores for competence were 96.29. Using a score of 5, the mean was 3.57. Correlation between total knowledge and total competence was r=.49 (p=.00). Conclusion: Lack of knowledge and low competence in nurses should be addressed in cardiopulmonary resuscitation education programs. For more effective education, the type of education should not be limited to lectures only, but should include both lectures and practice. As knowledge and competence were affected by work experience, it is important to provide nurses not only with knowledge but with work experience to increase levels of knowledge and competence in cardiopulmonary resuscitation.

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20대 성인 흡연자의 조깅운동이 심장호흡기능에 미치는 영향 (Influence of Smokers's Jogging Exercises on Cardiopulmonary Function of Normal Adults in Their Twenties)

  • 이삼철
    • 대한물리치료과학회지
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    • 제23권1호
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    • pp.9-17
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    • 2016
  • Background and Purpose : Effects of smokers's jogging exercises on oxygen uptake, ventilation, heart rate, and vital-capacity of normal adults have not been studied in details on. In this study, people that had completed the established jogging exercises was selected for the study. We could examine the effects of imposed jogging in smokers who might be considered by an experienced physical therapist to be well practiced and proficient in this exercises. Subjects and Methods : A total number of 24 young healthy subjects participated in a randomized crossover controlled study and completed the study. The subjects of this study were divided into jogging and controlled groups which were composed 14 people respectively. The members of exercise group had jogging exercises 50 minutes a day, five times a week, for 5 weeks in same conditions, otherwise controlled group did not. Results : The results of this study were as follows. The jogging group demonstrated significant increases in cardiopulmonary function, vital-capacity and exercise capacity, compared with control group, which demonstrated no change in baseline measurements of 5 weeks. Conclusion : Jogging exercises can increase cardiopulmonary function in people after they have undergone successful PA. These results suggested that it was improved on cardiopulmonary function and lung capacity, since jogging exercise had. The results of this study could be applied for valuable criterion cardiopulmonary function. It is necessary to selects in various groups of the purpose of enhancing confidence in of this research.

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