U SO CARE—The Impact of Cardiac Ultrasound during Cardiopulmonary Resuscitation: A Prospective Randomized Simulator-Based Trial

Background: Actual cardiopulmonary resuscitation (CPR) guidelines recommend point-of-care ultrasound (POCUS); however, data on POCUS during CPR are sparse and conflicting. This randomized trial investigated the effects of POCUS during CPR on team performance and diagnostic accuracy. Methods: Intensi...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Karim Zöllner, Timur Sellmann, Dietmar Wetzchewald, Heidrun Schwager, Corvin Cleff, Serge C. Thal, Stephan Marsch
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	cardiopulmonary resuscitation echocardiography simulation randomized controlled trial POCUS Medicine R
Acceso en línea:	https://doaj.org/article/e60fb2dbe556494c9a7a5da1d42403b6
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:e60fb2dbe556494c9a7a5da1d42403b6
record_format	dspace
spelling	oai:doaj.org-article:e60fb2dbe556494c9a7a5da1d42403b62021-11-25T18:00:34ZU SO CARE—The Impact of Cardiac Ultrasound during Cardiopulmonary Resuscitation: A Prospective Randomized Simulator-Based Trial10.3390/jcm102252182077-0383https://doaj.org/article/e60fb2dbe556494c9a7a5da1d42403b62021-11-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/22/5218https://doaj.org/toc/2077-0383Background: Actual cardiopulmonary resuscitation (CPR) guidelines recommend point-of-care ultrasound (POCUS); however, data on POCUS during CPR are sparse and conflicting. This randomized trial investigated the effects of POCUS during CPR on team performance and diagnostic accuracy. Methods: Intensive Care and Emergency Medicine residents performed CPR with or without available POCUS in simulated cardiac arrests. The primary endpoint was hands-on time. Data analysis was performed using video recordings. Results: Hands-on time was 89% (87–91) in the POCUS and 92% (89–94) in the control group (difference 3, 95% CI for difference 2–4, <i>p</i> < 0.001). POCUS teams had delayed defibrillator attachments (33 vs. 26 sec, <i>p</i> = 0.017) and first rhythm analysis (74 vs. 52 sec, <i>p</i> = 0.001). Available POCUS was used in 71%. Of the POCUS teams, 3 stated a POCUS-derived diagnosis, with 49 being correct and 42 followed by a correct treatment decision. Four teams made a wrong diagnosis and two made an inappropriate treatment decision. Conclusions: POCUS during CPR resulted in lower hands-on times and delayed rhythm analysis. Correct POCUS diagnoses occurred in 52%, correct treatment decisions in 44%, and inappropriate treatment decisions in 2%. Training on POCUS during CPR should focus on diagnostic accuracy and maintenance of high-quality CPR.Karim ZöllnerTimur SellmannDietmar WetzchewaldHeidrun SchwagerCorvin CleffSerge C. ThalStephan MarschMDPI AGarticlecardiopulmonary resuscitationechocardiographysimulationrandomized controlled trialPOCUSMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5218, p 5218 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	cardiopulmonary resuscitation echocardiography simulation randomized controlled trial POCUS Medicine R
spellingShingle	cardiopulmonary resuscitation echocardiography simulation randomized controlled trial POCUS Medicine R Karim Zöllner Timur Sellmann Dietmar Wetzchewald Heidrun Schwager Corvin Cleff Serge C. Thal Stephan Marsch U SO CARE—The Impact of Cardiac Ultrasound during Cardiopulmonary Resuscitation: A Prospective Randomized Simulator-Based Trial
description	Background: Actual cardiopulmonary resuscitation (CPR) guidelines recommend point-of-care ultrasound (POCUS); however, data on POCUS during CPR are sparse and conflicting. This randomized trial investigated the effects of POCUS during CPR on team performance and diagnostic accuracy. Methods: Intensive Care and Emergency Medicine residents performed CPR with or without available POCUS in simulated cardiac arrests. The primary endpoint was hands-on time. Data analysis was performed using video recordings. Results: Hands-on time was 89% (87–91) in the POCUS and 92% (89–94) in the control group (difference 3, 95% CI for difference 2–4, <i>p</i> < 0.001). POCUS teams had delayed defibrillator attachments (33 vs. 26 sec, <i>p</i> = 0.017) and first rhythm analysis (74 vs. 52 sec, <i>p</i> = 0.001). Available POCUS was used in 71%. Of the POCUS teams, 3 stated a POCUS-derived diagnosis, with 49 being correct and 42 followed by a correct treatment decision. Four teams made a wrong diagnosis and two made an inappropriate treatment decision. Conclusions: POCUS during CPR resulted in lower hands-on times and delayed rhythm analysis. Correct POCUS diagnoses occurred in 52%, correct treatment decisions in 44%, and inappropriate treatment decisions in 2%. Training on POCUS during CPR should focus on diagnostic accuracy and maintenance of high-quality CPR.
format	article
author	Karim Zöllner Timur Sellmann Dietmar Wetzchewald Heidrun Schwager Corvin Cleff Serge C. Thal Stephan Marsch
author_facet	Karim Zöllner Timur Sellmann Dietmar Wetzchewald Heidrun Schwager Corvin Cleff Serge C. Thal Stephan Marsch
author_sort	Karim Zöllner
title	U SO CARE—The Impact of Cardiac Ultrasound during Cardiopulmonary Resuscitation: A Prospective Randomized Simulator-Based Trial
title_short	U SO CARE—The Impact of Cardiac Ultrasound during Cardiopulmonary Resuscitation: A Prospective Randomized Simulator-Based Trial
title_full	U SO CARE—The Impact of Cardiac Ultrasound during Cardiopulmonary Resuscitation: A Prospective Randomized Simulator-Based Trial
title_fullStr	U SO CARE—The Impact of Cardiac Ultrasound during Cardiopulmonary Resuscitation: A Prospective Randomized Simulator-Based Trial
title_full_unstemmed	U SO CARE—The Impact of Cardiac Ultrasound during Cardiopulmonary Resuscitation: A Prospective Randomized Simulator-Based Trial
title_sort	u so care—the impact of cardiac ultrasound during cardiopulmonary resuscitation: a prospective randomized simulator-based trial
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/e60fb2dbe556494c9a7a5da1d42403b6
work_keys_str_mv	AT karimzollner usocaretheimpactofcardiacultrasoundduringcardiopulmonaryresuscitationaprospectiverandomizedsimulatorbasedtrial AT timursellmann usocaretheimpactofcardiacultrasoundduringcardiopulmonaryresuscitationaprospectiverandomizedsimulatorbasedtrial AT dietmarwetzchewald usocaretheimpactofcardiacultrasoundduringcardiopulmonaryresuscitationaprospectiverandomizedsimulatorbasedtrial AT heidrunschwager usocaretheimpactofcardiacultrasoundduringcardiopulmonaryresuscitationaprospectiverandomizedsimulatorbasedtrial AT corvincleff usocaretheimpactofcardiacultrasoundduringcardiopulmonaryresuscitationaprospectiverandomizedsimulatorbasedtrial AT sergecthal usocaretheimpactofcardiacultrasoundduringcardiopulmonaryresuscitationaprospectiverandomizedsimulatorbasedtrial AT stephanmarsch usocaretheimpactofcardiacultrasoundduringcardiopulmonaryresuscitationaprospectiverandomizedsimulatorbasedtrial
_version_	1718411775091671040

U SO CARE—The Impact of Cardiac Ultrasound during Cardiopulmonary Resuscitation: A Prospective Randomized Simulator-Based Trial

Ejemplares similares