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Cardiopulmonary resuscitation performance during simulator-based trainings - a comparative retrospective analysis of adherence to 2005 and 2010 guidelines.
MedLine Citation:
PMID:  23306397     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: New cardiopulmonary resuscitation (CPR) guidelines have been published in 2010 emphasizing the importance of minimizing interruptions during chest compression. The aim of our study was to compare the simulator-based CPR training performance of physicians not specialized in anaesthesia and intensive care nurses before and after implementation of new resuscitation guidelines. METHODS: In autumn 2010, a total of 74 scenarios during six 1.5 day simulation-based CPR trainings were performed. Four of them were conducted after the implementation of the 2010 guidelines. During each simulated scenario a programmed script standardized the conditions of the simulator and its reactions on the trainees' actions. CPR relevant parameters were extracted on the basis of the simulator's log files and no-flowtime fraction and median cardiac output of the simulator were calculated. Results before and after the guideline implementation were compared using the Wilcoxon Two Sample Test. RESULTS: 34 out of 74 scenarios were included into the analysis. During training according to the 2010 guidelines, the no-flow-time fraction was lower (median: 21.8 % [IQR: 16.1-27.1 %] vs. 29.1 % [IQR: 25.0- 30.9 %]; p=0.04). The median cardiac output increased from 1.60 l*min-1 [IQR: 1.50-1.65 l*min-1] to 1.90 l*min-1 [IQR: 1.80-2.10 l*min-1]; p<0.001) when the CPR training was conducted according to the 2010 resuscitation guidelines. CONCLUSION: Non-anaesthesiological physicians and intensive care nurses training demonstrated an improved CPR performance in a high-fidelity human patient simulator with respect to the median cardiac output and duration of no-flow-time when 2010 CPR guidelines were applied.
Authors:
V Mayer; C M Schulz; M Kreuzer; K J Wagner; G Schneider; E F Kochs
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-10
Journal Detail:
Title:  Minerva anestesiologica     Volume:  -     ISSN:  1827-1596     ISO Abbreviation:  Minerva Anestesiol     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-11     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0375272     Medline TA:  Minerva Anestesiol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Klinik für Anaesthesiologie, Klinikum rechts der Isar Technische Universität München, Germany - c.m.schulz@lrz.tum.de.
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