Chest compression quality is vital in cardiopulmonary resuscitation (CPR) to optimise
the odds of survival. With great interest we read the article by Goulding et al. on
the use of a BariBoard™ during CPR in patients with morbid obesity. In brief, the
pilot study concluded that the control group achieved better results than the intervention
group to improve efficacy of adequate chest compressions (13.4% vs. 4.5%; p = 0.001) and its secondary outcomes including adequate depth (31.3% vs. 15.9%, p < 0.001) and mean rate velocity (63.7% vs. 41.3%, p < 0.001). Adequate CPR was defined as a rate of 100–120 for >80% of compressions,
a depth >5 cm for >80% of compressions, and a mean velocity recoil of >350 mm/s over
a 2-min cycle of compressions. Furthermore, there was no difference in overall efficacy
(odds ratio: 0.62, 85% confidence interval: 0.20–1.90, p = 0.40).
[1]
In order to mimic the clinical characteristics of an obese patient, sealed bags of
porcine fat were added to the manikins’ torso. We have some concerns about the methodology
of the study.To read this article in full you will need to make a payment
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References
- Does the use of BariBoardTM improve adequacy of chest compressions in morbid obesity? A pilot study using a simulation model.Aust Crit Care. 2021; (Dec 17:S1036-7314(21)00158-2) (Epub ahead of print. PMID: 34930648)
- The impact of compliant surfaces on in-hospital chest compressions: effects of common mattresses and a backboard.Resuscitation. 2009; 80: 546-552https://doi.org/10.1016/j.resuscitation.2009.03.023
- Impact of a feedback device on chest compression quality during extended manikin cardiopulmonary resuscitation: a randomized crossover study.Am J Emerg Med. 2016; 34 (PMID: 27349359): 1754-1760https://doi.org/10.1016/j.ajem.2016.05.077
- European Resuscitation Council Guidelines 2021: education for resuscitation.Resuscitation. 2021; 161: 388-407https://doi.org/10.1016/j.resuscitation.2021.02.016
- Effect of a backboard on chest compression quality during in-hospital adult cardiopulmonary resuscitation: a randomised, single-blind, controlled trial using a manikin model.Intensive Crit Care Nurs. 2021; 69 (PMID: 34893397): 103164https://doi.org/10.1016/j.iccn.2021.103164
Article info
Publication history
Published online: July 06, 2022
Accepted:
May 14,
2022
Received:
May 10,
2022
Identification
Copyright
© 2022 Australian College of Critical Care Nurses Ltd. Published by Elsevier Ltd. All rights reserved.
