Real-time feedback systems for improvement of resuscitation quality

被引:0
作者
Lukas, R. P. [1 ]
Van Aken, H. [1 ]
Engel, P. [1 ]
Bohn, A. [1 ,2 ]
机构
[1] Univ Klinikum Munster, Arbeitsgrp Forsch Notfallmed AGFiN, Klin & Poliklin Anasthesiol & Operat Intens Med, D-48149 Munster, Germany
[2] Berufsfeuerwehr Stadt Munster, Arztliche Leitung Rettungsdienst, Munster, Germany
来源
ANAESTHESIST | 2011年 / 60卷 / 07期
关键词
Life support care; Feedback; Chest compression; Ventilation; Quality control; SIMULATED CARDIAC-ARREST; BASIC LIFE-SUPPORT; CARDIOPULMONARY-RESUSCITATION; AUDIOVISUAL FEEDBACK; COUNCIL GUIDELINES; CPR; PERFORMANCE; COMPRESSIONS; CPREZY(TM); RETENTION;
D O I
10.1007/s00101-011-1909-9
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
The quality of chest compression is a determinant of survival after cardiac arrest. Therefore, the European Resuscitation Council (ERC) 2010 guidelines on resuscitation strongly focus on compression quality. Despite its impact on survival, observational studies have shown that chest compression quality is not reached by professional rescue teams. Real-time feedback devices for resuscitation are able to measure chest compression during an ongoing resuscitation attempt through a sternal sensor equipped with a motion and pressure detection system. In addition to the electrocardiograph (ECG) ventilation can be detected by transthoracic impedance monitoring. In cases of quality deviation, such as shallow chest compression depth or hyperventilation, feedback systems produce visual or acoustic alarms. Rescuers can thereby be supported and guided to the requested quality in chest compression and ventilation. Feedback technology is currently available both as a so-called stand-alone device and as an integrated feature in a monitor/defibrillator unit. Multiple studies have demonstrated sustainable enhancement in the education of resuscitation due to the use of real-time feedback technology. There is evidence that real-time feedback for resuscitation combined with training and debriefing strategies can improve both resuscitation quality and patient survival. Chest compression quality is an independent predictor for survival in resuscitation and should therefore be measured and documented in further clinical multicenter trials.
引用
收藏
页码:653 / 660
页数:8
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