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Impact of Application of Multifunction Electrode (MFE) Pads on Cardiopulmonary Resuscitation Quality

BACKGROUND: Early defibrillation and high-quality chest compressions are crucial in treatment of sudden cardiac arrest (SCA) subjects. The aim of this study was to assess an impact of defibrillation methods on cardiopulmonary resuscitation (CPR) quality. METHODS: A randomized simulation cross-study...

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Autores principales: Zalewski, Radosław, Puślecki, Mateusz, Szarpak, Łukasz, Kłosiewicz, Tomasz, Dąbrowski, Marek, Perek, Bartłomiej
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7591968/
https://www.ncbi.nlm.nih.gov/pubmed/33133695
http://dx.doi.org/10.1155/2020/2675214
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author Zalewski, Radosław
Puślecki, Mateusz
Szarpak, Łukasz
Kłosiewicz, Tomasz
Dąbrowski, Marek
Perek, Bartłomiej
author_facet Zalewski, Radosław
Puślecki, Mateusz
Szarpak, Łukasz
Kłosiewicz, Tomasz
Dąbrowski, Marek
Perek, Bartłomiej
author_sort Zalewski, Radosław
collection PubMed
description BACKGROUND: Early defibrillation and high-quality chest compressions are crucial in treatment of sudden cardiac arrest (SCA) subjects. The aim of this study was to assess an impact of defibrillation methods on cardiopulmonary resuscitation (CPR) quality. METHODS: A randomized simulation cross-study was designed, in which 100 two-person paramedical teams participated. Two 10-minute scenarios of SCA in the mechanism of ventricular fibrillation were analysed. In the first one, teams had at their disposal defibrillator with hard paddles (group C), whereas in the second one, adhesive electrodes were used (group MFE). The CPR quality was evaluated on the basis of the chest compression parameters (rate, depth, recoil, compression fraction (CCF), and no-flow time), airways patency achievement, and successful emergency drug administration. RESULTS: Substituting standard hard paddles with adhesive electrodes led to an increase in CCF (77% vs 73%; p < 0.05), higher rate of complete chest recoil, and a decrease in no-flow time (6.0 ± 1.1 vs. 7.3 ± 1.1; p < 0.001). The airway patency was ensured sooner in group MFE (271 ± 118 s vs. 322 ± 106 s in group C; p < 0.001). All teams in scenario with adhesive electrodes were able to administer two doses of adrenaline, meanwhile only 74% of them in group C (p < 0.001). Moreover, in 8% of group C scenarios, paramedics did not have enough time to administer amiodarone. CONCLUSION: Our simulation-based analysis revealed that use of adhesive electrodes during defibrillation instead of standard hard paddles may improve the quality of CPR performed by two-person emergency team.
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spelling pubmed-75919682020-10-30 Impact of Application of Multifunction Electrode (MFE) Pads on Cardiopulmonary Resuscitation Quality Zalewski, Radosław Puślecki, Mateusz Szarpak, Łukasz Kłosiewicz, Tomasz Dąbrowski, Marek Perek, Bartłomiej Emerg Med Int Research Article BACKGROUND: Early defibrillation and high-quality chest compressions are crucial in treatment of sudden cardiac arrest (SCA) subjects. The aim of this study was to assess an impact of defibrillation methods on cardiopulmonary resuscitation (CPR) quality. METHODS: A randomized simulation cross-study was designed, in which 100 two-person paramedical teams participated. Two 10-minute scenarios of SCA in the mechanism of ventricular fibrillation were analysed. In the first one, teams had at their disposal defibrillator with hard paddles (group C), whereas in the second one, adhesive electrodes were used (group MFE). The CPR quality was evaluated on the basis of the chest compression parameters (rate, depth, recoil, compression fraction (CCF), and no-flow time), airways patency achievement, and successful emergency drug administration. RESULTS: Substituting standard hard paddles with adhesive electrodes led to an increase in CCF (77% vs 73%; p < 0.05), higher rate of complete chest recoil, and a decrease in no-flow time (6.0 ± 1.1 vs. 7.3 ± 1.1; p < 0.001). The airway patency was ensured sooner in group MFE (271 ± 118 s vs. 322 ± 106 s in group C; p < 0.001). All teams in scenario with adhesive electrodes were able to administer two doses of adrenaline, meanwhile only 74% of them in group C (p < 0.001). Moreover, in 8% of group C scenarios, paramedics did not have enough time to administer amiodarone. CONCLUSION: Our simulation-based analysis revealed that use of adhesive electrodes during defibrillation instead of standard hard paddles may improve the quality of CPR performed by two-person emergency team. Hindawi 2020-10-19 /pmc/articles/PMC7591968/ /pubmed/33133695 http://dx.doi.org/10.1155/2020/2675214 Text en Copyright © 2020 Radosław Zalewski et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Zalewski, Radosław
Puślecki, Mateusz
Szarpak, Łukasz
Kłosiewicz, Tomasz
Dąbrowski, Marek
Perek, Bartłomiej
Impact of Application of Multifunction Electrode (MFE) Pads on Cardiopulmonary Resuscitation Quality
title Impact of Application of Multifunction Electrode (MFE) Pads on Cardiopulmonary Resuscitation Quality
title_full Impact of Application of Multifunction Electrode (MFE) Pads on Cardiopulmonary Resuscitation Quality
title_fullStr Impact of Application of Multifunction Electrode (MFE) Pads on Cardiopulmonary Resuscitation Quality
title_full_unstemmed Impact of Application of Multifunction Electrode (MFE) Pads on Cardiopulmonary Resuscitation Quality
title_short Impact of Application of Multifunction Electrode (MFE) Pads on Cardiopulmonary Resuscitation Quality
title_sort impact of application of multifunction electrode (mfe) pads on cardiopulmonary resuscitation quality
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7591968/
https://www.ncbi.nlm.nih.gov/pubmed/33133695
http://dx.doi.org/10.1155/2020/2675214
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