Quality of in-hospital CPR may fail to meet guidelines

In the second report, Benjamin S. Abella, M.D., M.Phil., of the University of Chicago Hospitals, Chicago, and colleagues conducted a study to determine whether well-trained hospital staff perform CPR compressions and ventilations according to guideline recommendations.

According to background information in the article, survival from cardiac arrest remains low despite the introduction of CPR over 50 years ago. The delivery of CPR, with correctly performed chest compressions and ventilations, exerts a significant survival benefit. Conversely, interruptions in CPR or failure to provide compressions during cardiac arrest have been noted to have a negative impact on survival in animal studies. Consensus guidelines clearly define how CPR is to be performed, but the parameters of CPR in actual practice are not routinely measured, nor has the quality been known. Recent studies have challenged the notion that CPR is uniformly performed according to established international guidelines.

This study examined in-hospital cardiac arrests at the University of Chicago Hospitals from December 11, 2002 until April 5, 2004. Using a monitor/defibrillator with novel additional sensing capabilities, the researchers recorded parameters of CPR quality including chest compression rate, compression depth, ventilation rate and the fraction of arrest time without chest compressions (no-flow fraction; NFF).

Data were collected from 67 in-hospital arrests. The researchers found that analysis of the first 5 minutes of each resuscitation by 30 second segments revealed that chest compression rates were less than 90 compressions per minute in 28.1 percent of segments. Compression depth was too shallow for 37.4 percent of compressions. Ventilation rates were high, with 60.9 percent of segments containing a rate of more than 20/min. A total of 27 patients (40.3 percent) achieved return of spontaneous circulation and 7 (10.4 percent) were discharged from the hospital. '"/>

Contact: John Easton
JAMA and Archives Journals

Page: 1 2

Related medicine news :

1. Quality patient care not met by blanket screenings, warns UCSF/SFVAMC physician
2. Quality of life continues to change long-term after treatment for prostate cancer
3. Quality improvement program enhances heart care, closes gender gap
4. Quality time with physical therapists above fancy equipment, convenient parking
5. Product Quality Research Institute (PQRI) issues first recommendation to FDA
6. Quality of health information on the internet has improved
7. Product Quality Research Institutes (PQRI)
8. Quality Parenting Helps Kids Cope With Inner-City Stress
9. Patient Satisfaction And Decision Making Quality Greatly Improved During Improved Medical Consultations, UCSF Researchers Report
10. Patients May Not Be Receiving The Highest Quality Of Care
11. Modafinil Improves The Quality Of Life Of Narcolepsy Patients

Post Your Comments:

(Date:9/3/2020)... (PRWEB) , ... September 03, 2020 , ... ... of Approval for Sunrise Technologies WALI wireless parking lot controller. This advanced LED ... minimizing glare, reducing light trespass, and protecting the night sky against light pollution. ...
(Date:9/1/2020)... SEATTLE (PRWEB) , ... September 01, 2020 , ... ... that it has completed $3 million convertible note financing, which will be used ... , With the funds from this financing, the company will continue to expand ...
(Date:9/1/2020)... ... 01, 2020 , ... Dr. Kiran Gill is a Board ... the face, breast, and body. In 2018, she founded Aesthetics in Plastic Surgery ... aesthetic practice in Southwest Florida. Dr. Gill and her team offer surgical and ...
(Date:8/31/2020)... ... August 31, 2020 , ... Just found out your dear friend has cancer? , It’s ... friend or family member shares their diagnosis. Once the shock wears off, the questions and ... thing? What are the best ways to help? Words are failing me. I’m scared. I ...
(Date:8/31/2020)... ... August 31, 2020 , ... Genesis Chiropractic Software and ... the launch of its integrated, HIPAA compliant, telehealth solution, available to US-based clients ... under 90 seconds. , According to the U.S. Department of Health & ...
Breaking Medicine News(10 mins):
(Date:8/27/2020)... ... August 27, 2020 , ... Austin Oral Surgery – an oral and maxillofacial ... David Szalay, DDS, MD, has joined the practice. An accomplished oral and maxillofacial surgeon, ... which is scheduled to open this fall. The new office is slated for 1601 ...
(Date:8/27/2020)... FORT MYERS, Fla. (PRWEB) , ... August 27, 2020 , ... ... its Board of Directors. Dr. Friedman is an adult and pediatric neuro-oncologist who serves ... Duke University and as an educator at Duke University Medical School. , Internationally recognized, ...
(Date:8/26/2020)... CHARLES, Mo. (PRWEB) , ... ... ... Services, a member of Eurofins BioPharma Services, Laboratory Testing division, expands its ... the existing suite of Flow Cytometry platforms available. With industry-leading biomarker solutions, ...
Breaking Medicine Technology:
Cached News: