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Effect of chest compression with kneeling on the bed in clinical situations

AIM: Cardiopulmonary resuscitation is vital for survival after cardiac arrest, and chest compressions are an important aspect of this. When performing chest compression in a hospital setting, the rescuer often has to kneel on the bed to overcome inconvenient differences in height between the rescuer...

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Autores principales: Hasegawa, Tomoyuki, Okane, Ritsu, Ichikawa, Yoko, Inukai, Sayuri, Saito, Shin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons Australia, Ltd 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7189814/
https://www.ncbi.nlm.nih.gov/pubmed/31957258
http://dx.doi.org/10.1111/jjns.12314
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author Hasegawa, Tomoyuki
Okane, Ritsu
Ichikawa, Yoko
Inukai, Sayuri
Saito, Shin
author_facet Hasegawa, Tomoyuki
Okane, Ritsu
Ichikawa, Yoko
Inukai, Sayuri
Saito, Shin
author_sort Hasegawa, Tomoyuki
collection PubMed
description AIM: Cardiopulmonary resuscitation is vital for survival after cardiac arrest, and chest compressions are an important aspect of this. When performing chest compression in a hospital setting, the rescuer often has to kneel on the bed to overcome inconvenient differences in height between the rescuer and the bed. However, as yet no study has evaluated the quality of chest compressions in this position. The aim of this study was to examine the impact on the quality of chest compressions while kneeling on the bed. METHODS: Fifteen female students performed 2‐min chest compressions on a manikin placed on the floor and a bed. Measurement parameters included compression depth, heart rate, integrated electromyogram, and a visual analog scale. The parameters were measured every 30 s and were statistically compared between the conditions. RESULTS: Compression depth at 30, 60, 90, and 120 s differed significantly between the conditions. Heart rate values at 150 and 210 s of recovery significantly differed between the conditions. Integrated electromyogram values for the trapezius, rectus femoris, and biceps femoris differed between the floor and bed conditions during 2‐min chest compressions, whereas the external oblique muscle significantly differed at 60 and 120 s. Visual analog scales for fatigue, effectiveness, and stability significantly differed between the conditions. CONCLUSION: Kneeling on the bed does not enable grounding of the toe, causing the upper body to be unstable and limiting generation of the power required for chest compression. Our results suggest that rotation every minute is necessary to maintain effective cardiopulmonary resuscitation while kneeling on the bed.
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spelling pubmed-71898142020-04-30 Effect of chest compression with kneeling on the bed in clinical situations Hasegawa, Tomoyuki Okane, Ritsu Ichikawa, Yoko Inukai, Sayuri Saito, Shin Jpn J Nurs Sci Original Articles AIM: Cardiopulmonary resuscitation is vital for survival after cardiac arrest, and chest compressions are an important aspect of this. When performing chest compression in a hospital setting, the rescuer often has to kneel on the bed to overcome inconvenient differences in height between the rescuer and the bed. However, as yet no study has evaluated the quality of chest compressions in this position. The aim of this study was to examine the impact on the quality of chest compressions while kneeling on the bed. METHODS: Fifteen female students performed 2‐min chest compressions on a manikin placed on the floor and a bed. Measurement parameters included compression depth, heart rate, integrated electromyogram, and a visual analog scale. The parameters were measured every 30 s and were statistically compared between the conditions. RESULTS: Compression depth at 30, 60, 90, and 120 s differed significantly between the conditions. Heart rate values at 150 and 210 s of recovery significantly differed between the conditions. Integrated electromyogram values for the trapezius, rectus femoris, and biceps femoris differed between the floor and bed conditions during 2‐min chest compressions, whereas the external oblique muscle significantly differed at 60 and 120 s. Visual analog scales for fatigue, effectiveness, and stability significantly differed between the conditions. CONCLUSION: Kneeling on the bed does not enable grounding of the toe, causing the upper body to be unstable and limiting generation of the power required for chest compression. Our results suggest that rotation every minute is necessary to maintain effective cardiopulmonary resuscitation while kneeling on the bed. John Wiley & Sons Australia, Ltd 2020-01-19 2020-04 /pmc/articles/PMC7189814/ /pubmed/31957258 http://dx.doi.org/10.1111/jjns.12314 Text en © 2019 The Authors Japan Journal of Nursing Science published by John Wiley & Sons Australia, Ltd on behalf of Japan Academy of Nursing Science This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Hasegawa, Tomoyuki
Okane, Ritsu
Ichikawa, Yoko
Inukai, Sayuri
Saito, Shin
Effect of chest compression with kneeling on the bed in clinical situations
title Effect of chest compression with kneeling on the bed in clinical situations
title_full Effect of chest compression with kneeling on the bed in clinical situations
title_fullStr Effect of chest compression with kneeling on the bed in clinical situations
title_full_unstemmed Effect of chest compression with kneeling on the bed in clinical situations
title_short Effect of chest compression with kneeling on the bed in clinical situations
title_sort effect of chest compression with kneeling on the bed in clinical situations
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7189814/
https://www.ncbi.nlm.nih.gov/pubmed/31957258
http://dx.doi.org/10.1111/jjns.12314
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