Cardiopulmonary resuscitation quality and beyond: the need to improve real-time feedback and physiologic monitoring

Steve Lin; Damon C Scales

doi:10.1186/s13054-016-1371-9

Cardiopulmonary resuscitation quality and beyond: the need to improve real-time feedback and physiologic monitoring

Crit Care. 2016 Jun 28;20(1):182. doi: 10.1186/s13054-016-1371-9.

Authors

Steve Lin^{1

2

3}, Damon C Scales^{4

5

6}

Affiliations

¹ Rescu, Li Ka Shing Knowledge Institute of St. Michael's Hospital, Toronto, Ontario, Canada. LinS@smh.ca.
² Division of Emergency Medicine, Department of Medicine, University of Toronto, Toronto, Ontario, Canada. LinS@smh.ca.
³ Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada. LinS@smh.ca.
⁴ Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.
⁵ Department of Critical Care Medicine, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
⁶ Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, Ontario, Canada.

Abstract

High-quality cardiopulmonary resuscitation (CPR) has been shown to improve survival outcomes after cardiac arrest. The current standard in studies evaluating CPR quality is to measure CPR process measures-for example, chest compression rate, depth, and fraction. Published studies evaluating CPR feedback devices have yielded mixed results. Newer approaches that seek to optimize CPR by measuring physiological endpoints during the resuscitation may lead to individualized patient care and improved patient outcomes.

Keywords: Cardiopulmonary resuscitation; End-tidal carbon dioxide; Feedback; Near-infrared spectroscopy; Randomized controlled trial.

Publication types

Research Support, Non-U.S. Gov't
Comment

MeSH terms

Cardiopulmonary Resuscitation / instrumentation*
Feedback
Heart Arrest*
Humans
Monitoring, Physiologic