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The use of a backboard during cardiopulmonary resuscitation and chest compression quality

  • Author Footnotes
    a Joint first authorship.
    Ruben Houthoofdt
    Correspondence
    Corresponding author at: AZ Damiaan, Intensive Care Department, Gouwelozestraat 100, Ostend, 8400, Belgium. Tel.: +32 (0) 496 70 90 62.
    Footnotes
    a Joint first authorship.
    Affiliations
    Intensive Care Department, AZ Damiaan (General Hospital), Gouwelozestraat 100, Ostend, 8400, Belgium
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  • Zara Cuvelier
    Affiliations
    Emergency Department, Ghent University Hospital, Corneel Heymanslaan 10, Ghent, 9000, Belgium
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  • Brecht Serraes
    Affiliations
    Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, Corneel Heymanslaan 10, Ghent, 9000, Belgium
    Clinical Nursing and Allied Health Research and Development Group (CNuAH-RD), Nursing and Paramedical Department, VITAZ (General Hospital), Moerlandstraat 1, Sint-Niklaas, 9100, Belgium
    Executive Board of the Flemish Society for Critical Care Nurses, Ghent, Belgium
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  • Carl Haentjens
    Affiliations
    Emergency Department, VITAZ (General Hospital), Moerlandstraat 1, Sint-Niklaas, 9100, Belgium
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  • Nicolas Mpotos
    Affiliations
    Emergency Department, St. Lucas General Hospital, Groenebriel 1, Ghent, 9000, Belgium
    Department of Fundamental and Applied Medical Sciences, Ghent University, Corneel Heymanslaan 10, Ghent, 9000, Belgium
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  • Stijn Blot
    Affiliations
    Executive Board of the Flemish Society for Critical Care Nurses, Ghent, Belgium
    Department of Internal Medicine and Pediatrics, Faculty of Medicine and Health Sciences, Ghent University, Corneel Heymanslaan 10 Ghent, 9000, Belgium
    Burns, Trauma, and Critical Care Research Centre, Faculty of Medicine, The University of Queensland, Australia
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  • Author Footnotes
    a Joint first authorship.
      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).
      • Goulding K.
      • Marchetti R.
      • Perera R.
      • Johnson R.
      • Bailey M.
      • Secombe P.
      Does the use of BariBoardTM improve adequacy of chest compressions in morbid obesity? A pilot study using a simulation model.
      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.
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      References

        • Goulding K.
        • Marchetti R.
        • Perera R.
        • Johnson R.
        • Bailey M.
        • Secombe P.
        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)
        • Noordergraaf G.
        • Paulussen I.
        • Venema A.
        • van Berkom P.
        • Woerlee P.
        • Scheffer G.
        • et al.
        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
        • Buléon C.
        • Delaunay J.
        • Parienti J.
        • Halbout L.
        • Arrot X.
        • Gérard J.
        • et al.
        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
        • Greif R.
        • Lockey A.
        • Breckwoldt J.
        • Carmona F.
        • Conaghan P.
        • Kuzovlev A.
        • et al.
        European Resuscitation Council Guidelines 2021: education for resuscitation.
        Resuscitation. 2021; 161: 388-407https://doi.org/10.1016/j.resuscitation.2021.02.016
        • Cuvelier Z.
        • Houthoofdt R.
        • Serraes B.
        • Haentjens C.
        • Blot S.
        • Mpotos N.
        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