alexa Improving Chest Compressions Following Cardiac Arrest: Pushing Ahead
ISSN: 2155-6148

Journal of Anesthesia & Clinical Research
Open Access

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Review Article

Improving Chest Compressions Following Cardiac Arrest: Pushing Ahead

Nizar Hassan1, Steven C Brooks1,2, Martin Beed3, Daniel W Howes1, Matthew Douma4 and Peter G Brindley4*

1 Department of Emergency Medicine, Queens University at Kingston, Canada

2 Li Ka Shing Knowledge Institute, St. Michael’s, University of Toronto, Canada

3 Department of Intensive Care, Nottingham University Hospital, UK

4 Division of Critical Care Medicine, University of Alberta, Canada

*Corresponding Author:
Peter G Brindley
Professor, Critical Care Medicine
Adjunct Professor, Dosseter Ethics Centre
Adjunct Professor, Anesthesiology
3c1.04 University of Alberta, Hospital
Edmonton, Alberta, Canada
Tel: (780)407-8822
Fax: (780) 407-1224
E-mail: [email protected]

Received date: February 20, 2014; Accepted date: March 18, 2014; Published date: March 20, 2014

Citation: Hassan N, Brooks SC, Beed M, Howes DW, Douma M (2014) Improving Chest Compressions Following Cardiac Arrest: Pushing Ahead. J Anesth Clin Res 5:390. doi: 10.4172/2155-6148.1000390

Copyright: © 2014 Hassan N, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



In Canada there are in excess of 40,000 annual cardiac arrests. Unfortunately, survival remains low following both out-of-hospital and in-hospital cardiac arrest, and many premature deaths are believed to be preventable. Studies have shown that high-quality chest compressions are key to survival, and the American Heart Association has summarized the need for: 1) adequate compression depth 2) adequate compression rate 3) avoiding leaning 4) minimizing interruptions 5) and minimizing chest rise. However, both laypersons and professionals are failing to reliably achieve these recommendations. Several devices (which provide real-time visual and audio feedback) have been developed with the goal of improving performance. Voice advisory manikins and motion capture technology utilize accelerometer technology and infrared sensors. Portable devices- including the CPREzyTM, PocketCPRTM, and CPRmeterTM- use accelerometer or pressure sensor technology. A number of defibrillators have been modified to provide real-time feedback. Recently, two applications, iCPR and PocketCPR, have been developed to capitalize on the ubiquity and familiarity of smartphones. These novel devices have shown the potential to improve the quality of chest compressions. What is needed is further research (and development) into how to translate these exciting opportunities into improved survival following cardiac arrest.

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