심폐소생술 시행 시에 실시간 시청각 되먹임 감시장비의 사용이 흉부압박의 질에미치는 영향: 마네킨 모델을 이용한 무작위 시뮬레이션 연구|RISS 상세보기

다국어 초록 (Multilingual Abstract)

Purpose: The survival benefit to patients of high-quality
cardiopulmonary resuscitation (CPR) is well-documented.
In the 2005 resuscitation guidelines, the quality of CPR was
emphasized and the monitoring of CPR quality variables
broadly recommended. However, little objective data exist
regarding the effect of a monitoring and feedback system
on CPR quality variables during resuscitation.
Methods: Forty-nine volunteers among hospital nurses and
doctors were randomly assigned to two groups and asked
to perform five minutes of continuous chest compression on
a manikin either with or without a real time audiovisual feedback
system. The quality variables of chest compression
including compression rate, compression depth, the proportion
of adequate compression depth, and the proportion of
complete recoil were recorded.
Results: Data from 25 chest compression episodes in the
control group were compared to 24 episodes in the feedback
group. There was a improvement in the mean compression
rate in the feedback group with a statistically significant
narrowing of distribution (107.4±19.3 to 102.9±5.7
/min; test of means, p=0.071; test of variance, p<0.001).
There were statistically significant improvements in the
mean values of other quality variables in the feedback
group including compression depth (from 39.7±5.9 to 42.3
±2.8 mm; test of means, p=0.039; test of variance,
p=0.026), the proportion of adequate compression depth
(from 65.8±33.5% to 86.9±16.2%; test of means,
p=0.011; test of variance, p<0.001), and the proportion of
incomplete recoil (44.6±34.9% to 16.3±19.2%; test of
means, p=0.014; test of variance, p=0.005).
Conclusion: In this study, we confirmed that a real time
audiovisual feedback system significantly improve the quality
of chest compression during resuscitation.

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참고문헌 (Reference)

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