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Journal of Clinical Monitoring and Computing

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01-10-2021 | Ventricular Fibrillation | Original Research

Pulse rate as an alternative, real-time feedback indicator for chest compression rate: a porcine model of cardiac arrest

Authors: Yangyang Fu, Lu Yin, Samuel Seery, Jiayuan Dai, Huadong Zhu, Kui Jin, Yi Li, Shanshan Yu, Lili Zhang, Jun Xu, Xuezhong Yu

Published in: Journal of Clinical Monitoring and Computing | Issue 5/2021

Abstract

Feedback indicators can improve chest compression quality during cardiopulmonary resuscitation (CPR). However, the application of feedback indicators in the clinic practice is rare. Pulse oximetry has been widely used and reported to correlate spontaneous circulation restoration during CPR. However, it is unclear if pulse oximetry can monitor the quality of chest compression. We hypothesized that pulse rate monitored by pulse oximetry can be used as a feedback indicator of the chest compression rate during CPR in a porcine model of cardiac arrest. Seven domestic male pigs (30–35 kg) were utilized in this study. Eighteen intermittent chest compression periods of 2 min were performed on each animal. Chest compression and pulse oximetry plethysmographic waveforms were recorded simultaneously. Chest compression and pulse rates were calculated based on both waveforms. Compression interruption and synchronous pulse interruption times were also measured. Agreement was analyzed between pulse rates and synchronous chest compression rates, as well as between compression interruption times and synchronous pulse interruption times. A total of 126 compression periods of 2 min were performed on seven animals. Interclass correlation coefficients and Bland–Altman analysis revealed reliable agreement between pulse rates and synchronous chest compression rates. Similarly, compression interruption and synchronous pulse interruption times obtained also showed high agreement. Pulse rate can be used as an alternative indicator of chest compression rate during CPR in a porcine model of cardiac arrest. Pulse interruption time also can be used to reflect compression interruption time precisely in this model.

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Title: Pulse rate as an alternative, real-time feedback indicator for chest compression rate: a porcine model of cardiac arrest
Authors: Yangyang Fu
Lu Yin
Samuel Seery
Jiayuan Dai
Huadong Zhu
Kui Jin
Yi Li
Shanshan Yu
Lili Zhang
Jun Xu
Xuezhong Yu
Publication date: 01-10-2021
Publisher: Springer Netherlands
Keywords: Ventricular Fibrillation
Cardiopulmonary Resuscitation
Published in: Journal of Clinical Monitoring and Computing / Issue 5/2021
Print ISSN: 1387-1307
Electronic ISSN: 1573-2614
DOI: https://doi.org/10.1007/s10877-020-00576-x

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Pulse rate as an alternative, real-time feedback indicator for chest compression rate: a porcine model of cardiac arrest

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