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| Name | Class |
|---|---|
| Shahid Beheshti University of Medical Sciences | OTHER |
| West Virginia University | OTHER |
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The investigators conducted a randomized, controlled, single-blinded study of patients undergoing CPR for cardiac arrest in the mixed medical-surgical ICUs of four academic teaching hospitals in Tehran, Iran from June 1 to October 31, 2014. Patients were randomized to receive CPR with either standard manual compression, or compression with real-time audiovisual feedback using the Cardio First Angelâ„¢ device.
The investigators sought to determine if the addition of a CPR feedback device to routine manual CPR would impact the quality and consistency of chest compression and patient survival. We conducted a randomized, controlled, single-blinded study of patients undergoing CPR for cardiac arrest in the mixed medical-surgical ICUs of four academic teaching hospitals. Patients were randomized to receive either standard manual CPR or CPR using the Cardio First Angelâ„¢ (CFA; INOTECH, Nubberg, Germany) feedback device. Recorded variables included return of spontaneous circulation, adherence to CPR guidelines and quality of CPR, nurse satisfaction and CPR associated morbidity.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Compression with Feedback | Experimental | CPR performed according to established international standards with chest compressions performed with the assistance of the Cardio First Angelâ„¢ (CFA; INOTECH, Nubberg, Germany) compression feedback device. |
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| Standard chest compression | Active Comparator | CPR performed according to established international standards with standard manual chest compression |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Compression with Feedback | Device | Patients in the intervention group received CPR in accordance to published guidelines using the CFA device per manufacturer instructions. The Cardio First Angel™ (CFA; INOTECH, Nubberg, Germany) is a lightweight device that consists of three components . Application of400 ± 30 Newtons of force (41 kg or 90 lb of pressure), which correlates toa sternum compression depth of 50-60 mm, is followed by an audible "click" sound to alert the rescuer to cease compression. The "click" sound is also audible upon spring decompression alerting the rescuer to resume compression. The device does not require an electrical power supply. |
| Measure | Description | Time Frame |
|---|---|---|
| Sustained Return of Spontaneous Circulation | ROSC lasting > 30 minutes | through resuscitation completion, an average of 30 to 60 minutes |
| Measure | Description | Time Frame |
|---|---|---|
| Nurse Satisfaction Score | Nurse satisfaction with resuscitation event using a validated tool | upon resuscitation completion, an average of 30 to 60 minutes |
| CPR Duration | Duration of CPR event |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Amir vahedian-azimi, PhD, RN | BMSU | Principal Investigator |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27184664 | Result | Vahedian-Azimi A, Hajiesmaeili M, Amirsavadkouhi A, Jamaati H, Izadi M, Madani SJ, Hashemian SM, Miller AC. Effect of the Cardio First Angel device on CPR indices: a randomized controlled clinical trial. Crit Care. 2016 May 17;20(1):147. doi: 10.1186/s13054-016-1296-3. |
| Label | URL |
|---|---|
| "Critical Care" site for full text | View source |
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| ID | Term |
|---|---|
| D006323 | Heart Arrest |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
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| Standard chest compression | Other | CPR in accordance with published international guidelines using standard manual chest compression. |
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| through resuscitation completion, an average of 30 to 60 minutes |
| New post-resuscitation Sternum or Rib Fractures | New sternum or Rib Fractures diagnosed post-resuscitation using X-ray, CT scan, or by Autopsy | through resuscitation completion, an average of 30 to 60 minutes |
| CPR Evaluation Score | CPR evaluation score assess quality of CPR including chest compression sing a validated tool | upon resuscitation completion, an average of 30 to 60 minutes |
| CPR Guideline Observation Score | Assesses guideline adherence | upon resuscitation completion, an average of 30 to 60 minutes |