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Higher resuscitation guideline adherence in paramedics with use of real-time ventilation feedback during simulated out-of-hospital cardiac arrest: A randomised controlled trial

OBJECTIVES: To investigate whether real-time ventilation feedback would improve provider adherence to ventilation guidelines. DESIGN: Non-blinded randomised controlled simulation trial. SETTING: One Emergency Medical Service trust in Copenhagen. PARTICIPANTS: 32 ambulance crews consisting of 64 on-d...

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Autores principales: Lyngby, Rasmus Meyer, Clark, Lyra, Kjoelbye, Julie Samsoee, Oelrich, Roselil Maria, Silver, Annemarie, Christensen, Helle Collatz, Barfod, Charlotte, Lippert, Freddy, Nikoletou, Dimitra, Quinn, Tom, Folke, Fredrik
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8244327/
https://www.ncbi.nlm.nih.gov/pubmed/34223348
http://dx.doi.org/10.1016/j.resplu.2021.100082
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author Lyngby, Rasmus Meyer
Clark, Lyra
Kjoelbye, Julie Samsoee
Oelrich, Roselil Maria
Silver, Annemarie
Christensen, Helle Collatz
Barfod, Charlotte
Lippert, Freddy
Nikoletou, Dimitra
Quinn, Tom
Folke, Fredrik
author_facet Lyngby, Rasmus Meyer
Clark, Lyra
Kjoelbye, Julie Samsoee
Oelrich, Roselil Maria
Silver, Annemarie
Christensen, Helle Collatz
Barfod, Charlotte
Lippert, Freddy
Nikoletou, Dimitra
Quinn, Tom
Folke, Fredrik
author_sort Lyngby, Rasmus Meyer
collection PubMed
description OBJECTIVES: To investigate whether real-time ventilation feedback would improve provider adherence to ventilation guidelines. DESIGN: Non-blinded randomised controlled simulation trial. SETTING: One Emergency Medical Service trust in Copenhagen. PARTICIPANTS: 32 ambulance crews consisting of 64 on-duty basic or advanced life support paramedics from Copenhagen Emergency Medical Service. INTERVENTION: Participant exposure to real-time ventilation feedback during simulated out-of-hospital cardiac arrest. MAIN OUTCOME MEASURES: The primary outcome was ventilation quality, defined as ventilation guideline-adherence to ventilation rate (8–10 bpm) and tidal volume (500−600 ml) delivered simultaneously. RESULTS: The intervention group performed ventilations in adherence with ventilation guideline recommendations for 75.3% (Interquartile range (IQR) 66.2%–82.9%) of delivered ventilations, compared to 22.1% (IQR 0%–44.0%) provided by the control group. When controlling for participant covariates, adherence to ventilation guidelines was 44.7% higher in participants receiving ventilation feedback. Analysed separately, the intervention group performed a ventilation guideline-compliant rate in 97.4% (IQR 97.1%–100%) of delivered ventilations, versus 66.7% (IQR 40.9%–77.9%) for the control group. For tidal volume compliance, the intervention group reached 77.5% (IQR 64.9%–83.8%) of ventilations within target compared to 53.4% (IQR 8.4%–66.7%) delivered by the control group. CONCLUSIONS: Real-time ventilation feedback increased guideline compliance for both ventilation rate and tidal volume (combined and as individual parameters) in a simulated OHCA setting. Real-time feedback has the potential to improve manual ventilation quality and may allow providers to avoid harmful hyperventilation.
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spelling pubmed-82443272021-07-02 Higher resuscitation guideline adherence in paramedics with use of real-time ventilation feedback during simulated out-of-hospital cardiac arrest: A randomised controlled trial Lyngby, Rasmus Meyer Clark, Lyra Kjoelbye, Julie Samsoee Oelrich, Roselil Maria Silver, Annemarie Christensen, Helle Collatz Barfod, Charlotte Lippert, Freddy Nikoletou, Dimitra Quinn, Tom Folke, Fredrik Resusc Plus Simulation and Education OBJECTIVES: To investigate whether real-time ventilation feedback would improve provider adherence to ventilation guidelines. DESIGN: Non-blinded randomised controlled simulation trial. SETTING: One Emergency Medical Service trust in Copenhagen. PARTICIPANTS: 32 ambulance crews consisting of 64 on-duty basic or advanced life support paramedics from Copenhagen Emergency Medical Service. INTERVENTION: Participant exposure to real-time ventilation feedback during simulated out-of-hospital cardiac arrest. MAIN OUTCOME MEASURES: The primary outcome was ventilation quality, defined as ventilation guideline-adherence to ventilation rate (8–10 bpm) and tidal volume (500−600 ml) delivered simultaneously. RESULTS: The intervention group performed ventilations in adherence with ventilation guideline recommendations for 75.3% (Interquartile range (IQR) 66.2%–82.9%) of delivered ventilations, compared to 22.1% (IQR 0%–44.0%) provided by the control group. When controlling for participant covariates, adherence to ventilation guidelines was 44.7% higher in participants receiving ventilation feedback. Analysed separately, the intervention group performed a ventilation guideline-compliant rate in 97.4% (IQR 97.1%–100%) of delivered ventilations, versus 66.7% (IQR 40.9%–77.9%) for the control group. For tidal volume compliance, the intervention group reached 77.5% (IQR 64.9%–83.8%) of ventilations within target compared to 53.4% (IQR 8.4%–66.7%) delivered by the control group. CONCLUSIONS: Real-time ventilation feedback increased guideline compliance for both ventilation rate and tidal volume (combined and as individual parameters) in a simulated OHCA setting. Real-time feedback has the potential to improve manual ventilation quality and may allow providers to avoid harmful hyperventilation. Elsevier 2021-01-30 /pmc/articles/PMC8244327/ /pubmed/34223348 http://dx.doi.org/10.1016/j.resplu.2021.100082 Text en © 2021 The Authors https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Simulation and Education
Lyngby, Rasmus Meyer
Clark, Lyra
Kjoelbye, Julie Samsoee
Oelrich, Roselil Maria
Silver, Annemarie
Christensen, Helle Collatz
Barfod, Charlotte
Lippert, Freddy
Nikoletou, Dimitra
Quinn, Tom
Folke, Fredrik
Higher resuscitation guideline adherence in paramedics with use of real-time ventilation feedback during simulated out-of-hospital cardiac arrest: A randomised controlled trial
title Higher resuscitation guideline adherence in paramedics with use of real-time ventilation feedback during simulated out-of-hospital cardiac arrest: A randomised controlled trial
title_full Higher resuscitation guideline adherence in paramedics with use of real-time ventilation feedback during simulated out-of-hospital cardiac arrest: A randomised controlled trial
title_fullStr Higher resuscitation guideline adherence in paramedics with use of real-time ventilation feedback during simulated out-of-hospital cardiac arrest: A randomised controlled trial
title_full_unstemmed Higher resuscitation guideline adherence in paramedics with use of real-time ventilation feedback during simulated out-of-hospital cardiac arrest: A randomised controlled trial
title_short Higher resuscitation guideline adherence in paramedics with use of real-time ventilation feedback during simulated out-of-hospital cardiac arrest: A randomised controlled trial
title_sort higher resuscitation guideline adherence in paramedics with use of real-time ventilation feedback during simulated out-of-hospital cardiac arrest: a randomised controlled trial
topic Simulation and Education
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8244327/
https://www.ncbi.nlm.nih.gov/pubmed/34223348
http://dx.doi.org/10.1016/j.resplu.2021.100082
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