Resuscitation
Volume 73, Issue 1 , Pages 54-61 , April 2007

CPR quality improvement during in-hospital cardiac arrest using a real-time audiovisual feedback system

  • Benjamin S. Abella

      Affiliations

    • Department of Emergency Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA
    • Corresponding Author InformationCorresponding author at: Department of Emergency Medicine, Center for Resuscitation Science, University of Pennsylvania, 3400 Spruce Street, Ground Ravdin, Philadelphia, PA 19104, USA. Tel.: +1 215 279 3452; fax: +1 215 662 3953.
    • ,
  • Dana P. Edelson

      Affiliations

    • Section of General Internal Medicine, University of Chicago Hospitals, Chicago, IL 60637, USA
    • ,
  • Salem Kim

      Affiliations

    • Department of Emergency Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA
    • ,
  • Elizabeth Retzer

      Affiliations

    • Section of Emergency Medicine, University of Chicago Hospitals, Chicago, IL 60637, USA
    • ,
  • Helge Myklebust

      Affiliations

    • Laerdal Medical Corporation, 4002 Stavanger, Norway
    • ,
  • Anne M. Barry

      Affiliations

    • Section of Emergency Medicine, University of Chicago Hospitals, Chicago, IL 60637, USA
    • ,
  • Nicholas O’Hearn

      Affiliations

    • Department of Critical Care, University of Chicago Hospitals, Chicago, IL 60637, USA
    • ,
  • Terry L. Vanden Hoek

      Affiliations

    • Section of Emergency Medicine, University of Chicago Hospitals, Chicago, IL 60637, USA
    • ,
  • Lance B. Becker

      Affiliations

    • Department of Emergency Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA

Received 1 July 2006 ,Revised 29 September 2006 ,Accepted 2 October 2006.

References 

  1. 2005 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2005;112:IV-1–IV-203
  2. Eisenberg MS, Mengert TJ. Cardiac resuscitation. N Engl J Med. 2001;344:1304–1313
  3. Gallagher EJ, Lombardi G, Gennis P. Effectiveness of bystander cardiopulmonary resuscitation and survival following out-of-hospital cardiac arrest. JAMA. 1995;274:1922–1925
  4. Cobb LA, Fahrenbruch CE, Walsh TR, et al. Influence of cardiopulmonary resuscitation prior to defibrillation in patients with out-of-hospital ventricular fibrillation. JAMA. 1999;281:1182–1188
  5. Wik L, Hansen TB, Fylling F, et al. Delaying defibrillation to give basic cardiopulmonary resuscitation to patients with out-of-hospital ventricular fibrillation: a randomized trial. JAMA. 2003;289:1389–1395
  6. Wik L, Kramer-Johansen J, Myklebust H, et al. Quality of cardiopulmonary resuscitation during out-of-hospital cardiac arrest. JAMA. 2005;293:299–304
  7. Abella BS, Alvarado JP, Myklebust H, et al. Quality of cardiopulmonary resuscitation during in-hospital cardiac arrest. JAMA. 2005;293:305–310
  8. Abella BS, Sandbo N, Vassilatos P, et al. Chest compression rates during cardiopulmonary resuscitation are suboptimal: a prospective study during in-hospital cardiac arrest. Circulation. 2005;111:428–434
  9. Valenzuela TD, Kern KB, Clark LL, et al. Interruptions of chest compressions during emergency medical systems resuscitation. Circulation. 2005;112:1259–1265
  10. Aufderheide TP, Sigurdsson G, Pirrallo RG, et al. Hyperventilation-induced hypotension during cardiopulmonary resuscitation. Circulation. 2004;109:1960–1965
  11. Wik L, Thowsen J, Steen PA. An automated voice advisory manikin system for training in basic life support without an instructor. A novel approach to CPR training. Resuscitation. 2001;50:167–172
  12. Handley AJ, Handley SA. Improving CPR performance using an audible feedback system suitable for incorporation into an automated external defibrillator. Resuscitation. 2003;57:57–62
  13. Williamson LJ, Larsen PD, Tzeng YC, Galletly DC. Effect of automatic external defibrillator audio prompts on cardiopulmonary resuscitation performance. Emerg Med J. 2005;22:140–143
  14. Noordergraaf GJ, Drinkwaard BW, van Berkom PF, et al. The quality of chest compressions by trained personnel: the effect of feedback, via the CPREzy, in a randomized controlled trial using a manikin model. Resuscitation. 2006;69:241–252
  15. Aase SO, Myklebust H. Compression depth estimation for CPR quality assessment using DSP on accelerometer signals. IEEE Trans Biomed Eng. 2002;49:263–268
  16. Peberdy MA, Kaye W, Ornato JP, et al. Cardiopulmonary resuscitation of adults in the hospital: a report of 14720 cardiac arrests from the National Registry of Cardiopulmonary Resuscitation. Resuscitation. 2003;58:297–308
  17. Hodgetts TJ, Kenward G, Vlackonikolis I, et al. Incidence, location and reasons for avoidable in-hospital cardiac arrest in a district general hospital. Resuscitation. 2002;54:115–123
  18. Kramer-Johansen J, Myklebust H, Wik L, et al. Real time automated verbal feedback improves quality of out-of-hospital cardiopulmonary resuscitation. Resuscitation. 2006;71(3):283–292
  19. Boyle AJ, Wilson AM, Connelly K, et al. Improvement in timing and effectiveness of external cardiac compressions with a new non-invasive device: the CPR-Ezy. Resuscitation. 2002;54:63–67
  20. Chiang WC, Chen WJ, Chen SY, et al. Better adherence to the guidelines during cardiopulmonary resuscitation through the provision of audio-prompts. Resuscitation. 2005;64:297–301
  21. Eftestøl T, Sunde K, Steen PA. Effects of interrupting precordial compressions on the calculated probability of defibrillation success during out-of-hospital cardiac arrest. Circulation. 2002;105:2270–2273
  22. Edelson DP, Abella BS, Kramer-Johansen J, et al. Effects of compression depth and pre-shock pauses predict defibrillation failure during cardiac arrest. Resuscitation. 2006;71:137–145
  23. Timerman S, Cardoso LF, Ramires JA, Halperin H. Improved hemodynamic performance with a novel chest compression device during treatment of in-hospital cardiac arrest. Resuscitation. 2004;61:273–280
  24. Steen S, Sjöberg T, Olsson P, Young M. Treatment of out-of-hospital cardiac arrest with LUCAS, a new device for automatic mechanical compression and active decompression resuscitation. Resuscitation. 2005;67:25–30
  25. Hallstrom A, Rea TD, Sayre MR, et al. Manual chest compression vs use of an automated chest compression device during resuscitation following out-of-hospital cardiac arrest: a randomized trial. JAMA. 2006;295:2620–2628
  26. Ong ME, Ornato JP, Edwards DP, et al. Use of an automated, load-distributing band chest compression device for out-of-hospital cardiac arrest resuscitation. JAMA. 2006;295:2629–2637

☆ A Spanish translated version of the summary of this article appears as Appendix in the final online version at 10.1016/j.resuscitation.2006.10.027

PII: S0300-9572(06)00730-1

doi: 10.1016/j.resuscitation.2006.10.027

Resuscitation
Volume 73, Issue 1 , Pages 54-61 , April 2007

Article Tools

* Image Usage & Resolution