Chest compression components (rate, depth, chest wall recoil and leaning): A scoping review

RESUSCITATION

卷:146

Review

Considine, Julie^1,2,3  Gazmuri, Raul J.^3,4,5  Perkins, Gavin D.^3,6,7  Kudenchuk, Peter J.^3,8,9,10  Olasveengen, Theresa M.^3,11  Vaillancourt, Christian^3,12,13  Nishiyama, Chika^3,14  Hatanaka, Tetsuo^3,15  Mancini, Mary E.^3,16  Chung, Sung Phil^3,17  Escalante-Kanashiro, Raffo^3,18,19  Morley, Peter^3,20,21 

[1] Deakin Univ, Sch Nursing & Midwifery, Ctr Qual & Patient Safety Res, 1 Gheringhap St, Geelong, Vic 3220, Australia

[2] Eastern Hlth Partnership, Ctr Qual & Patient Safety Res, 5 Arnold St, Box Hill, Vic 3128, Australia

[3] Int Liaison Comm Resuscitat, Basic Life Support Task Force, Dallas, TX USA

[4] Rosalind Franklin Univ Med & Sci, Resuscitat Inst, N Chicago, IL USA

[5] Captain James A Lovell Fed Hlth Care Ctr, 3001 Green Bay Rd, N Chicago, IL USA

[6] Univ Warwick, Warwick Clin Trials Unit, Coventry CV4 7AL, W Midlands, England

[7] Univ Hosp Birmingham NHS Fdn Trust, Crit Care Unit, Birmingham B9 5SS, W Midlands, England

[8] Univ Washington, Div Cardiol, Electrophysiol Serv, 1959 NE Pacific St, Seattle, WA 98195 USA

[9] King Cty Medic One, Publ Hlth, Seattle, WA USA

[10] King Cty Medic One, Publ Hlth, King Cty, WA USA

[11] Oslo Univ Hosp, Dept Anesthesiol, POB 4956 Nydalen, N-0424 Oslo, Norway

[12] Univ Ottawa, Emergency Med, Ottawa, ON, Canada

[13] Ottawa Hosp Res Inst, Clin Epidemiol Unit, Civ Campus,Rm F649,1053 Carling Ave, Ottawa, ON K1Y 4E9, Canada

[14] Kyoto Univ, Grad Sch Human Hlth Sci, Dept Crit Care Nursing, Sakyo Ku, 53 Shogoin Kawahara Cho, Kyoto 6068507, Japan

[15] Emergency Life Saving Tech Acad, 3-8-1 Oura, Kitakyushu, Fukuoka 8000213, Japan

[16] Univ Texas Arlington, Coll Nursing & Hlth Innovat, 411 S Nedderman Dr,Box 19407, Arlington, TX 76019 USA

[17] Yonsei Univ, Gangnam Severance Hosp, Emergency Med, 211 Eonju Ro, Seoul, South Korea

[18] Inst Nacl Salud Nino, Unidad Cuidados Intens, Dept Emergencias & Areas Crit, Lima, Peru

[19] InterAmer Heart Fdn, Emergency Cardiovasc Care, Lima, Peru

[20] Royal Melbourne Hosp, Intens Care, 300 Grattan St, Parkville, Vic 3050, Australia

[21] Univ Melbourne, Fac Med Dent & Hlth Sci, Royal Melbourne Hosp, Sch Clin, Grattan St, Parkville, Vic 3010, Australia

关键词: Resuscitation;    Cardiopulmonary resuscitation;    CPR;    Chest compression;    Basic life support;    Advanced life support;    Scoping review;   

DOI  :  10.1016/j.resuscitation.2019.08.042

来源: Elsevier

【 摘 要 】

Aim: To understand whether the science to date has focused on single or multiple chest compression components and identify the evidence related to chest compression components to determine the need for a full systematic review. Methods: This review was undertaken by members of the International Liaison Committee on Resuscitation and guided by a specific methodological framework and the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for scoping reviews (PRISMA-ScR). Studies were eligible for inclusion if they were peer-reviewed human studies that examined the effect of different chest compression depths or rates, or chest wall or leaning, on physiological or clinical outcomes. The databases searched were MEDLINE complete, Embase, and Cochrane. Results: Twenty-two clinical studies were included in this review: five observational studies involving 879 patients examined both chest compression rate and depth; eight studies involving 14,285 patients examined chest compression rate only; seven studies involving 12001 patients examined chest compression depth only, and two studies involving 1848 patients examined chest wall recoil. No studies were identified that examined chest wall leaning. Three studies reported an inverse relationship between chest compression rate and depth. Conclusion: This scoping review did not identify sufficient new evidence that would justify conducting new systematic reviews or reconsideration of current resuscitation guidelines. This scoping review does highlight significant gaps in the research evidence related to chest compression components, namely a lack of high-level evidence, paucity of studies of in-hospital cardiac arrest, and failure to account for the possibility of interactions between chest compression components.

【 授权许可】

Free