A New Algorithm to Diagnose during Chest Compressions: Effect on Cardiopulmonary Resuscitation Delivery

被引:0
作者
Ayala, Unai [1 ]
Irusta, Unai [1 ]
Ruiz, Jesus [1 ]
Gonzalez-Otero, Digna [1 ]
Alonso, Erik [1 ]
Kramer-Johansen, Jo [2 ,3 ]
Eftestol, Trygve [4 ]
机构
[1] Univ Basque Country UPV EHU, Bilbao, Spain
[2] Oslo Univ Hosp, Oslo, Norway
[3] Univ Oslo, Oslo, Norway
[4] Univ Stavanger, Stavanger, Norway
来源
2013 COMPUTING IN CARDIOLOGY CONFERENCE (CINC) | 2013年 / 40卷
关键词
DEFIBRILLATION; ARTIFACTS;
D O I
暂无
中图分类号
TP39 [计算机的应用];
学科分类号
081203 ; 0835 ;
摘要
Rhythm analysis methods for shock advice during CPR are evaluated in terms of sensitivity and specificity. However, these figures do not convey the real impact that using these methods would have on the delivery of CPR. This study evaluates the impact on CPR delivery of a new rhythm analysis method. First, the original method was modified to increase the reliability of a shock diagnosis by the addition of high and low confidence diagnoses and the combination of several diagnoses before deciding a shock. Compared to the current CPR guidelines, the modified rhythm analysis method showed a 94.4% probability of delivering the shock earlier to patients in shockable rhythms and a 94.1% probability of reducing CPR interruptions for rhythm reassessment in nonshockable rhythms. Although the results are promising further testing is needed on complete resuscitation episodes.
引用
收藏
页码:129 / 132
页数:4
相关论文
共 11 条
[1]   Adverse hemodynamic effects of interrupting chest compressions for rescue breathing during cardiopulmonary resuscitation for ventricular fibrillation cardiac arrest [J].
Berg, RA ;
Sanders, AB ;
Kern, KB ;
Hilwig, RW ;
Heidenreich, JW ;
Porter, ME ;
Ewy, GA .
CIRCULATION, 2001, 104 (20) :2465-2470
[2]   Effects of cardiopulmonary resuscitation on predictors of ventricular fibrillation defibrillation success during out-of-hospital cardiac arrest [J].
Eftestol, T ;
Wik, L ;
Sunde, K ;
Steen, PA .
CIRCULATION, 2004, 110 (01) :10-15
[3]   Feasibility of shock advice analysis during CPR through removal of CPR artefacts from the human ECG [J].
Eilevstjonn, J ;
Eftestol, T ;
Aase, SO ;
Myklebust, H ;
Husoy, JH ;
Steen, PA .
RESUSCITATION, 2004, 61 (02) :131-141
[4]   Ventricular fibrillation hampers the restoration of creatine-phosphate levels during simulated cardiopulmonary resuscitations [J].
Hoogendijk, Mark G. ;
Schumacher, Cees A. ;
Belterman, Charly N. W. ;
Boukens, Bas J. ;
Berdowski, Jocelyn ;
de Bakker, Jacques M. T. ;
Koster, Rudolph W. ;
Coronel, Ruben .
EUROPACE, 2012, 14 (10) :1518-1523
[5]   A Least Mean-Square Filter for the Estimation of the Cardiopulmonary Resuscitation Artifact Based on the Frequency of the Compressions [J].
Irusta, Unai ;
Ruiz, Jesus ;
Ruiz de Gauna, Sofia ;
Eftestol, Trygve ;
Kramer-Johansen, Jo .
IEEE TRANSACTIONS ON BIOMEDICAL ENGINEERING, 2009, 56 (04) :1052-1062
[6]  
Kerber RE, 1997, CIRCULATION, V95, P1677
[7]  
Li Y, 2011, BIOMEDICAL ENG IEEE, V59, P78
[8]   Direct evaluation of the effect of filtering the chest compression artifacts on the uninterrupted cardiopulmonary resuscitation time [J].
Ruiz, Jesus ;
Ayala, Unai ;
Ruiz de Gauna, Sofia ;
Irusta, Unai ;
Gonzalez-Otero, Digna ;
Aramendi, Elisabete ;
Alonso, Erik ;
Eftestol, Trygve .
AMERICAN JOURNAL OF EMERGENCY MEDICINE, 2013, 31 (06) :910-915
[9]   Part 5: Adult Basic Life Support 2010 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations [J].
Sayre, Michael R. ;
Koster, Rudolph W. ;
Botha, Martin ;
Cave, Diana M. ;
Cudnik, Michael T. ;
Handley, Anthony J. ;
Hatanaka, Tetsuo ;
Hazinski, Mary Fran ;
Jacobs, Ian ;
Monsieurs, Koen ;
Morley, Peter T. ;
Nolan, Jerry P. ;
Travers, Andrew H. .
CIRCULATION, 2010, 122 (16) :8298-8324
[10]   The impact of increased chest compression fraction on return of spontaneous circulation for out-of-hospital cardiac arrest patients not in ventricular fibrillation [J].
Vaillancourt, Christian ;
Everson-Stewart, Siobhan ;
Christenson, Jim ;
Andrusiek, Douglas ;
Powell, Judy ;
Nichol, Graham ;
Cheskes, Sheldon ;
Aufderheide, Tom P. ;
Berg, Robert ;
Stiell, Ian G. .
RESUSCITATION, 2011, 82 (12) :1501-1507