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Journal of Clinical Monitoring and Computing

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11.08.2020 | Original Research

Pulse rate as an alternative, real-time feedback indicator for chest compression rate: a porcine model of cardiac arrest

verfasst von: Yangyang Fu, Lu Yin, Samuel Seery, Jiayuan Dai, Huadong Zhu, Kui Jin, Yi Li, Shanshan Yu, Lili Zhang, Jun Xu, Xuezhong Yu

Erschienen in: Journal of Clinical Monitoring and Computing | Ausgabe 5/2021

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Abstract

Feedback indicators can improve chest compression quality during cardiopulmonary resuscitation (CPR). However, the application of feedback indicators in the clinic practice is rare. Pulse oximetry has been widely used and reported to correlate spontaneous circulation restoration during CPR. However, it is unclear if pulse oximetry can monitor the quality of chest compression. We hypothesized that pulse rate monitored by pulse oximetry can be used as a feedback indicator of the chest compression rate during CPR in a porcine model of cardiac arrest. Seven domestic male pigs (30–35 kg) were utilized in this study. Eighteen intermittent chest compression periods of 2 min were performed on each animal. Chest compression and pulse oximetry plethysmographic waveforms were recorded simultaneously. Chest compression and pulse rates were calculated based on both waveforms. Compression interruption and synchronous pulse interruption times were also measured. Agreement was analyzed between pulse rates and synchronous chest compression rates, as well as between compression interruption times and synchronous pulse interruption times. A total of 126 compression periods of 2 min were performed on seven animals. Interclass correlation coefficients and Bland–Altman analysis revealed reliable agreement between pulse rates and synchronous chest compression rates. Similarly, compression interruption and synchronous pulse interruption times obtained also showed high agreement. Pulse rate can be used as an alternative indicator of chest compression rate during CPR in a porcine model of cardiac arrest. Pulse interruption time also can be used to reflect compression interruption time precisely in this model.

Berdowski J, Berg RA, Tijssen JG, Koster RW. Global incidences of out-of-hospital cardiac arrest and survival rates: systematic review of 67 prospective studies. Resuscitation. 2010;81(11):1479–87. https://doi.org/10.1016/j.resuscitation.2010.08.006.CrossRefPubMed

Benjamin EJ, Virani SS, Callaway CW, Chamberlain AM, Chang AR, Cheng S, Chiuve SE, Cushman M, Delling FN, Deo R, de Ferranti SD, Ferguson JF, Fornage M, Gillespie C, Isasi CR, Jimenez MC, Jordan LC, Judd SE, Lackland D, Lichtman JH, Lisabeth L, Liu S, Longenecker CT, Lutsey PL, Mackey JS, Matchar DB, Matsushita K, Mussolino ME, Nasir K, O’Flaherty M, Palaniappan LP, Pandey A, Pandey DK, Reeves MJ, Ritchey MD, Rodriguez CJ, Roth GA, Rosamond WD, Sampson UKA, Satou GM, Shah SH, Spartano NL, Tirschwell DL, Tsao CW, Voeks JH, Willey JZ, Wilkins JT, Wu JH, Alger HM, Wong SS, Muntner P, American Heart Association Council on E, Prevention Statistics C, Stroke Statistics S. Heart disease and stroke statistics-2018 update: a report from the American Heart Association. Circulation. 2018;137(12):e67-492. https://doi.org/10.1161/CIR.0000000000000558. CrossRef

Luc G, Baert V, Escutnaire J, Genin M, Vilhelm C, Di Pompeo C, Khoury CE, Segal N, Wiel E, Adnet F, Tazarourte K, Gueugniaud PY, Hubert H, On behalf GRR. Epidemiology of out-of-hospital cardiac arrest: a French national incidence and mid-term survival rate study. Anaesth Crit Care Pain Med. 2019;38(2):131–5. https://doi.org/10.1016/j.accpm.2018.04.006.CrossRefPubMed

Kronick SL, Kurz MC, Lin S, Edelson DP, Berg RA, Billi JE, Cabanas JG, Cone DC, Diercks DB, Foster JJ, Meeks RA, Travers AH, Welsford M. Part 4: systems of care and continuous quality improvement: 2015 American Heart Association Guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2015;132(18 Suppl 2):397–413. https://doi.org/10.1161/CIR.0000000000000258.CrossRef

Neumar RW, Eigel B, Callaway CW, Estes III NA, Jollis JG, Kleinman ME, Morrison LJ, Peberdy MA, Rabinstein A, Rea TD, Sendelbach S, American Heart A. American Heart Association response to the 2015 institute of medicine report on strategies to improve cardiac arrest survival. Circulation. 2015;132(11):1049–70. https://doi.org/10.1161/CIR.0000000000000233.CrossRefPubMed

Wik L, Kramer-Johansen J, Myklebust H, Sørebø H, Svensson L, Fellows B, Steen PA. Quality of cardiopulmonary resuscitation during out-of-hospital cardiac arrest. JAMA. 2005;293(3):299–304. https://doi.org/10.1001/jama.293.3.299.CrossRefPubMed

Meaney PA, Bobrow BJ, Mancini ME, Christenson J, de Caen AR, Bhanji F, Abella BS, Kleinman ME, Edelson DP, Berg RA, Aufderheide TP, Menon V, Leary M, Cpr Quality Summit Investigators tAHAECCC, the Council on Cardiopulmonary CCP, Resuscitation. Cardiopulmonary resuscitation quality: [corrected] improving cardiac resuscitation outcomes both inside and outside the hospital: a consensus statement from the American Heart Association. Circulation. 2013;128(4):417–35. https://doi.org/10.1161/CIR.0b013e31829d8654.CrossRefPubMed

Kirkbright S, Finn J, Tohira H, Bremner A, Jacobs I, Celenza A. Audiovisual feedback device use by health care professionals during CPR: a systematic review and meta-analysis of randomised and non-randomised trials. Resuscitation. 2014;85(4):460–71. https://doi.org/10.1016/j.resuscitation.2013.12.012.CrossRefPubMed

Kleinman ME, Brennan EE, Goldberger ZD, Swor RA, Terry M, Bobrow BJ, Gazmuri RJ, Travers AH, Rea T. part 5: adult basic life support and cardiopulmonary resuscitation quality: 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2015;132(18 Suppl 2):414–35. https://doi.org/10.1161/CIR.0000000000000259.CrossRef

10.

Deakin CD, Sidebottom DB, Potter R. Can rescuers accurately deliver subtle changes to chest compression depth if recommended by future guidelines? Resuscitation. 2018;124:58–62. https://doi.org/10.1016/j.resuscitation.2018.01.010.CrossRefPubMed

11.

Cheskes S, Schmicker RH, Verbeek PR, Salcido DD, Brown SP, Brooks S, Menegazzi JJ, Vaillancourt C, Powell J, May S, Berg RA, Sell R, Idris A, Kampp M, Schmidt T, Christenson J, Resuscitation Outcomes Consortium i. The impact of peri-shock pause on survival from out-of-hospital shockable cardiac arrest during the Resuscitation Outcomes Consortium PRIMED trial. Resuscitation. 2014;85(3):336–42. https://doi.org/10.1016/j.resuscitation.2013.10.014.CrossRefPubMed

12.

Christenson J, Andrusiek D, Everson-Stewart S, Kudenchuk P, Hostler D, Powell J, Callaway CW, Bishop D, Vaillancourt C, Davis D, Aufderheide TP, Idris A, Stouffer JA, Stiell I, Berg R, Resuscitation Outcomes Consortium I. Chest compression fraction determines survival in patients with out-of-hospital ventricular fibrillation. Circulation. 2009;120(13):1241–7. https://doi.org/10.1161/CIRCULATIONAHA.109.852202.CrossRefPubMedPubMedCentral

13.

Bobrow BJ, Vadeboncoeur TF, Stolz U, Silver AE, Tobin JM, Crawford SA, Mason TK, Schirmer J, Smith GA, Spaite DW. The influence of scenario-based training and real-time audiovisual feedback on out-of-hospital cardiopulmonary resuscitation quality and survival from out-of-hospital cardiac arrest. Ann Emerg Med. 2013;62(1):47-56.e41. https://doi.org/10.1016/j.annemergmed.2012.12.020.CrossRefPubMed

14.

Nassar BS, Kerber R. Improving CPR performance. Chest. 2017;152(5):1061–9. https://doi.org/10.1016/j.chest.2017.04.178.CrossRefPubMed

15.

Kramer-Johansen J, Myklebust H, Wik L, Fellows B, Svensson L, Sørebø H, Steen PA. Quality of out-of-hospital cardiopulmonary resuscitation with real time automated feedback: a prospective interventional study. Resuscitation. 2006;71(3):283–92. https://doi.org/10.1016/j.resuscitation.2006.05.011.CrossRefPubMed

16.

Lakomek F, Lukas RP, Brinkrolf P, Mennewisch A, Steinsiek N, Gutendorf P, Sudowe H, Heller M, Kwiecien R, Zarbock A, Bohn A. Real-time feedback improves chest compression quality in out-of-hospital cardiac arrest: a prospective cohort study. PLoS ONE. 2020;15(2):e0229431. https://doi.org/10.1371/journal.pone.0229431.CrossRefPubMedPubMedCentral

17.

Anto-Ocrah M, Maxwell N, Cushman J, Acheampong E, Kodam RS, Homan C, Li T. Public knowledge and attitudes towards bystander cardiopulmonary resuscitation (CPR) in Ghana, West Africa. Int J Emerg Med. 2020;13(1):29. https://doi.org/10.1186/s12245-020-00286-w.CrossRefPubMedPubMedCentral

18.

Veronese JP, Wallis L, Allgaier R, Botha R. Cardiopulmonary resuscitation by Emergency Medical Services in South Africa: barriers to achieving high quality performance. Afr J Emerg Med. 2018;8(1):6–11. https://doi.org/10.1016/j.afjem.2017.08.005.CrossRefPubMed

19.

Severinghaus JW. History, status and future of pulse oximetry. Adv Exp Med Biol. 1987;220:3–8.PubMed

20.

Li C, Xu J, Han F, Walline J, Zheng L, Fu Y, Zhu H, Chai Y, Yu X. Identification of return of spontaneous circulation during cardiopulmonary resuscitation via pulse oximetry in a porcine animal cardiac arrest model. J Clin Monit Comput. 2019;33(5):843–51. https://doi.org/10.1007/s10877-018-0230-4.CrossRefPubMed

21.

Idris AH, Guffey D, Pepe PE, Brown SP, Brooks SC, Callaway CW, Christenson J, Davis DP, Daya MR, Gray R, Kudenchuk PJ, Larsen J, Lin S, Menegazzi JJ, Sheehan K, Sopko G, Stiell I, Nichol G, Aufderheide TP, Resuscitation Outcomes Consortium I. Chest compression rates and survival following out-of-hospital cardiac arrest. Crit Care Med. 2015;43(4):840–8. https://doi.org/10.1097/CCM.0000000000000824.CrossRefPubMed

22.

Brown LL, Lin Y, Tofil NM, Overly F, Duff JP, Bhanji F, Nadkarni VM, Hunt EA, Bragg A, Kessler D, Bank I, Cheng A, International Network for Simulation-based Pediatric Innovation RECPRI. Impact of a CPR feedback device on healthcare provider workload during simulated cardiac arrest. Resuscitation. 2018;130:111–7. https://doi.org/10.1016/j.resuscitation.2018.06.035.CrossRefPubMed

23.

Sarma S, Bucuti H, Chitnis A, Klacman A, Dantu R. Real-time mobile device-assisted chest compression during cardiopulmonary resuscitation. Am J Cardiol. 2017;120(2):196–200. https://doi.org/10.1016/j.amjcard.2017.04.007.CrossRefPubMed

24.

Lima A, Bakker J. Noninvasive monitoring of peripheral perfusion. Intensive Care Med. 2005;31(10):1316–26. https://doi.org/10.1007/s00134-005-2790-2.CrossRefPubMed

25.

Marquez AM, Morgan RW, Ross CE, Berg RA, Sutton RM. Physiology-directed cardiopulmonary resuscitation: advances in precision monitoring during cardiac arrest. Curr Opin Crit Care. 2018;24(3):143–50. https://doi.org/10.1097/MCC.0000000000000499.CrossRefPubMed

26.

Xu J, Li C, Zheng L, Han F, Li Y, Walline J, Fu Y, Yao D, Zhang X, Zhang H, Zhu H, Guo S, Wang Z, Yu X. Pulse oximetry: a non-invasive, novel marker for the quality of chest compressions in porcine models of cardiac arrest. PLoS ONE. 2015;10(10):e0139707. https://doi.org/10.1371/journal.pone.0139707.CrossRefPubMedPubMedCentral

27.

Parnia S, Yang J, Nguyen R, Ahn A, Zhu J, Inigo-Santiago L, Nasir A, Golder K, Ravishankar S, Bartlett P, Xu J, Pogson D, Cooke S, Walker C, Spearpoint K, Kitson D, Melody T, Chilwan M, Schoenfeld E, Richman P, Mills B, Wichtendahl N, Nolan J, Singer A, Brett S, Perkins GD, Deakin CD. Cerebral oximetry during cardiac arrest: a multicenter study of neurologic outcomes and survival. Crit Care Med. 2016;44(9):1663–74. https://doi.org/10.1097/CCM.0000000000001723.CrossRefPubMed

Titel: Pulse rate as an alternative, real-time feedback indicator for chest compression rate: a porcine model of cardiac arrest
verfasst von: Yangyang Fu
Lu Yin
Samuel Seery
Jiayuan Dai
Huadong Zhu
Kui Jin
Yi Li
Shanshan Yu
Lili Zhang
Jun Xu
Xuezhong Yu
Publikationsdatum: 11.08.2020
Verlag: Springer Netherlands
Erschienen in: Journal of Clinical Monitoring and Computing / Ausgabe 5/2021
Print ISSN: 1387-1307
Elektronische ISSN: 1573-2614
DOI: https://doi.org/10.1007/s10877-020-00576-x

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Pulse rate as an alternative, real-time feedback indicator for chest compression rate: a porcine model of cardiac arrest

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