Skip to main content

Improving the Quality of Cardiac Arrest Resuscitation Care

  • Conference paper
Yearbook of Intensive Care and Emergency Medicine

Part of the book series: Yearbook of Intensive Care and Emergency Medicine ((YEARBOOK,volume 2008))

  • 1099 Accesses

Abstract

Sudden cardiac arrest is defined as the cessation of mechanical cardiac activity as confirmed by the absence of signs of circulation [1]. Sudden cardiac arrest is one of the leading causes of mortality in the hospital as well as in the community setting. There are similar rates of sudden cardiac arrest in North America and Europe, leading to over 700,000 deaths in both regions combined annually [2]–[4] and, although overall cardiovascular mortality is decreasing, the proportion of deaths from sudden cardiac arrest has remained constant with a high mortality rate [5]. In fact, the survival rate from out-of-hospital sudden cardiac arrest has been reported to vary between 5 to 18 %, depending on the original arrest rhythm and other factors [6].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Eisenberg MS, Mengert TJ (2001) Cardiac resuscitation. N Engl J Med 344:1304–1313

    Article  CAS  PubMed  Google Scholar 

  2. Zipes DP, Wellens HJ (1998) Sudden cardiac death. Circulation 98:2334–2351

    CAS  PubMed  Google Scholar 

  3. Myerburg RJ, Kessler KM, Castellanos A (1993) Sudden cardiac death epidemiology, transient risk, and intervention assessment. Ann Intern Med 119:1187–1197

    CAS  PubMed  Google Scholar 

  4. Priori SG, Aliot E, Blomstrom-Lundqvist C, et al (2001) Task Force on Sudden Cardiac Death of the European Society of Cardiology. Eur Heart J 22:1374–1450

    Article  CAS  PubMed  Google Scholar 

  5. Myerburg RJ, Interian A Jr, Mitrani RM, Kessler KM, Castellanos A (1997) Frequency of sudden cardiac death and profiles of risk. Am J Cardiol 80:10F–19F

    Article  CAS  PubMed  Google Scholar 

  6. Ali B, Zafari, AM (2007) Narrative review: Cardiopulmonary resuscitation and emergency cardiovascular care: Review of the current guidelines. JAMA 147:171–179

    Google Scholar 

  7. Van Hoeyweghen RJ, Bossert LL, Mullie A, et al (1993) Quality and efficiency of bystander CPR. Belgian Cerebral Resuscitation Study Group. Resuscitation 26:47–52

    Article  PubMed  Google Scholar 

  8. Gallagher EJ, Lombardi G, Gennis P (1995) Effectiveness of bystander cardiopulmonary resuscitation and survival following out-of-hospital arrest. JAMA 274:1922–1925

    Article  CAS  PubMed  Google Scholar 

  9. Berg RA, Sanders AB, Kern KB, et al (2001) Adverse hemodynamic effects of interrupting chest compressions for rescue breathing during cardiopulmonary resuscitation for ventricular fibrillation cardiac arrest. Circulation 104:2465–2470

    Article  CAS  PubMed  Google Scholar 

  10. Dowie R, Campbell H, Donohoe R, Clarke P (2003) “Event tree” analysis of out-of-hospital cardiac arrest data: confirming the importance of bystander CPR. Resuscitation 56:173–18

    Article  PubMed  Google Scholar 

  11. Abella BS, Alvarado JP, Myklebust H, et al (2005) Quality of cardiopulmonary resuscitation during in-hospital cardiac arrest. JAMA 293:305–310

    Article  CAS  PubMed  Google Scholar 

  12. Olasveengen TM, Wik L, Steen PA (2007) Quality of cardiopulmonary resuscitation before and during transport in out-of-hospital cardiac arrest. Resuscitation [epub ahead of print]

    Google Scholar 

  13. ECC Committee, Subcommittee and Task Forces of the American Heart Association (2005) 2005 American Heart Association Guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation 112(24 suppl):IV1–203

    Google Scholar 

  14. So HY, Buckley TA, Oh TE (1994) Factors affecting outcome following cardiopulmonary resuscitation. Anaesth Intensive Care 22:647–58

    CAS  PubMed  Google Scholar 

  15. Mitchell RG, Brady W, Guly UM, Pirrallo RG, Robertson CE (1997) Comparison of two emergency response systems and their effect on survival from out of hospital cardiac arrest. Resuscitation 35:225–229

    Article  CAS  PubMed  Google Scholar 

  16. Cheung S, Deakin CD, Hsu R, Petley GW, Clewlow F (2007) A prospective manikin-based observational study of telephone cardiopulmonary resuscitation. Resuscitation 72:425–35

    Article  PubMed  Google Scholar 

  17. Deakin CD, Cheung S, Petley GW, Clewlow F (2007) Assessment of the quality of cardiopulmonary resuscitation following modification of a standard telephone-directed protocol. Resuscitation 72:436–334

    Article  PubMed  Google Scholar 

  18. Shibata K, Taniguchi T, Yoshida M, Yamamoto K (2000) Obstacles to bystander cardiopulmonary resuscitation in Japan. Resuscitation 44:187–193

    Article  CAS  PubMed  Google Scholar 

  19. Berg RA, Kern KB, Sanders AB, Otto CW, Hilwig RW, Ewy GA (1993) Bystander cardiopulmonary resuscitation. Is ventilation necessary? Circulation 88:1907–1915

    CAS  PubMed  Google Scholar 

  20. Babbs CF, Kern KB (2002) Optimum compression to ventilation ratios in CPR under realistic, practical conditions: a physiological and mathematical analysis. Resuscitation 54:147–157

    Article  PubMed  Google Scholar 

  21. Sanders AB, Kern KB, Berg RA, Hilwig RW, Heidenrich J, Ewy GA (2002) Survival and neurologic outcome after cardiopulmonary resuscitation with four different chest compression-ventilation ratios. Ann Emerg Med 40:553–562

    Article  PubMed  Google Scholar 

  22. Heidenreich JW, Sanders AB, Higdon TA, Kern KB, Berg RA, Ewy GA (2004) Uninterrupted chest compression CPR is easier to perform and remember than standard CPR. Resuscitation 63:123–130

    Article  PubMed  Google Scholar 

  23. Yannopoulos D, Sigurdsson G, McKnite S, Benditt D, Lurie KG (2004) Reducing ventilation frequency combined with an inspiratory impedance device improves CPR efficiency in swine model of cardiac arrest. Resuscitation 61:75–82

    Article  PubMed  Google Scholar 

  24. SOS-KANTO study group (2007) Cardiopulmonary resuscitation by bystanders with chest compression only (SOS-KANTO): an observational study. Lancet 369:920–926

    Article  Google Scholar 

  25. Williamson LJ, Larsen PD, Tzeng YC, Galletly DC (2005) Effect of automatic external defibrillator audio prompts on cardiopulmonary resuscitation performance. Emerg Med J 22:140–143

    Article  CAS  PubMed  Google Scholar 

  26. Wik L, Thowsen J, Steen PA (2001) An automated voice advisory manikin system for training in basic life support without an instructor. A novel approach to CPR training. Resuscitation 50:167–172

    Article  CAS  PubMed  Google Scholar 

  27. Handley AJ, Handley SA (2003) Improving CPR performance using an audible feedback system suitable for incorporation into an automated external defibrillator. Resuscitation 57: 57–62

    Article  PubMed  Google Scholar 

  28. Abella BS, Edelson DP, Kim S, et al (2007) CPR quality improvement using in-hospital cardiac arrest using a real time audiovisual feedback system. Resuscitation 73:54–61

    Article  PubMed  Google Scholar 

  29. Lurie KG, Zielinski T, McKnite S, Aufderheide TP, Voelckel W (2002) Use of an inspiratory impedance valve improves neurologically intact survival in a porcine model of ventricular fibrillation. Circulation 105:124–129

    Article  PubMed  Google Scholar 

  30. Pirrallo RG, Aufderheide TP, Provo TA, Lurie KG (2005) Effect of an inspiratory impedance threshold device on hemodynamics during conventional manual cardiopulmonary resuscitation. Resuscitation 66:13–20

    Article  PubMed  Google Scholar 

  31. Aufderheide TP, Pirrallo RG, Provo TA, Lurie KG (2005) Clinical evaluation of an inspiratory impedance threshold device during standard cardiopulmonary resuscitation in patients with out-of-hospital cardiac arrest. Crit Care Med 33:734–740

    Article  PubMed  Google Scholar 

  32. Ong ME, Ornato JP, Edwards DP, et al (2006) Use of an automated, load-distributing band chest compression device for out-of-hospital cardiac arrest resuscitation. JAMA 295:2629–2637

    Article  CAS  PubMed  Google Scholar 

  33. Hallstrom A, Rea TD, Sayre MR, et al (2006) Manual chest compression vs use of an automated chest compression device during resuscitation following out-of-hospital cardiac arrest: a randomized trial. JAMA 295:2661–2664

    Article  Google Scholar 

  34. Steen S, Sjöberg T, Olsson P, Young M (2005) Treatment of out-of-hospital cardiac arrest with LUCAS, a new device for automatic mechanical compressions and active decompression resuscitation. Resuscitation 67:25–30

    Article  PubMed  Google Scholar 

  35. Hayes CW, Rhee A, Detsky ME, Leblanc VR, Wax RS (2007) Residents feel unprepared and unsupervised as leaders of cardiac arrest teams in teaching hospitals: a survey of internal medicine residents. Crit Care Med 35:1668–1672

    Article  PubMed  Google Scholar 

  36. Perkins GD (2007) Simulation in resuscitation training. Resuscitation 73:202–211

    Article  PubMed  Google Scholar 

  37. Nolan JP (2001) Advanced life support training. Resuscitation 50:9–11

    Article  CAS  PubMed  Google Scholar 

  38. Wayne DB, Butter J, Siddal VJ, et al (2005) Simulation-based training of internal medicine residents in advanced cardiac life support protocols: A randomized trial. Teach Learn Med 17:202–208

    Article  PubMed  Google Scholar 

  39. Marsch SC, Müller C, Marquardt K, Conrad G, Tschan F, Hunziker PR (2004) Human factors affect the quality of cardiopulmonary resuscitation in simulated cardiac arrests. Resuscitation 60:51–56

    Article  PubMed  Google Scholar 

  40. Edelson DP, Litzinger B, Arora V, et al (2007) Resuscitation with actual performance integrated debriefing (rapid) improves trainee cpr quality and initial patient survival. Arch Intern Med (in press)

    Google Scholar 

  41. Lottes AE, Rundell AE, Geddes LA, Kemeny AE, Otlewski MP, Babbs CF (2007) Sustained abdominal compression during CPR raises coronary perfusion pressures as much as vasopressor drugs. Resuscitation 75:515–524

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 2008 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Dine, C.J., Abella, B.S. (2008). Improving the Quality of Cardiac Arrest Resuscitation Care. In: Yearbook of Intensive Care and Emergency Medicine. Yearbook of Intensive Care and Emergency Medicine, vol 2008. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-77290-3_11

Download citation

  • DOI: https://doi.org/10.1007/978-3-540-77290-3_11

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-77289-7

  • Online ISBN: 978-3-540-77290-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics