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首页> 外文期刊>Pediatric critical care medicine: a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies >Influence of Cardiopulmonary Resuscitation Coaching and Provider Role on Perception of Cardiopulmonary Resuscitation Quality During Simulated Pediatric Cardiac Arrest
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Influence of Cardiopulmonary Resuscitation Coaching and Provider Role on Perception of Cardiopulmonary Resuscitation Quality During Simulated Pediatric Cardiac Arrest

机译：心肺复苏辅导和提供者作用对模拟小儿心脏骤停期间心肺复苏质量感知的影响

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Objectives: We aimed to describe the impact of a cardiopulmonary resuscitation coach on healthcare provider perception of cardiopulmonary resuscitation quality during simulated pediatric cardiac arrest. Design: Prospective, observational study. Setting: We conducted secondary analysis of data collected from a multicenter, randomized trial of providers who participated in a simulated pediatric cardiac arrest. Subjects: Two-hundred pediatric acute care providers. Interventions: Participants were randomized to having a cardiopulmonary resuscitation coach versus no cardiopulmonary resuscitation coach. Cardiopulmonary resuscitation coaches provided feedback on cardiopulmonary resuscitation performance and helped to coordinate key tasks. All teams used cardiopulmonary resuscitation feedback technology. Measurements and Main Results: Cardiopulmonary resuscitation quality was collected by the defibrillator, and perceived cardiopulmonary resuscitation quality was collected by surveying participants after the scenario. We calculated the difference between perceived and measured quality of cardiopulmonary resuscitation and defined accurate perception as no more than 10% deviation from measured quality of cardiopulmonary resuscitation. Teams with a cardiopulmonary resuscitation coach were more likely to accurately estimate chest compressions depth in comparison to teams without a cardiopulmonary resuscitation coach (odds ratio, 2.97; 95% CI, 1.61-5.46; p < 0.001). There was no significant difference detected in accurate perception of chest compressions rate between groups (odds ratio, 1.33; 95% CI, 0.77-2.32; p = 0.32). Among teams with a cardiopulmonary resuscitation coach, the cardiopulmonary resuscitation coach had the best chest compressions depth perception (80%) compared with the rest of the team (team leader 40%, airway 55%, cardiopulmonary resuscitation provider 30%) (p = 0.003). No differences were found in perception of chest compressions rate between roles (p = 0.86). Conclusions: Healthcare providers improved their perception of cardiopulmonary resuscitation depth with a cardiopulmonary resuscitation coach present. The cardiopulmonary resuscitation coach had the best perception of chest compressions depth.
机译：目标：我们旨在描述在模拟小儿心脏骤停期间对心肺复苏教练对医疗提供者的影响。设计：前瞻性，观测性研究。环境：我们进行了从参加模拟儿科心脏骤停的提供商的多中心，随机试验所收集的数据的二次分析。主题：二百家儿科急性护理提供商。干预措施：参与者被随机分配给具有心肺复苏的教练，而没有心肺复苏教练。心肺复苏教练提供了关于心肺复苏绩效的反馈，并帮助协调关键任务。所有团队使用心肺复苏反馈技术。测量和主要结果：通过除颤器收集心肺复苏质量，通过调查参与者在场景之后收集感知的心肺复苏质量。我们计算了心肺复苏的感知和测量质量的差异，并定义了从测量的心肺复苏质量的偏差不超过10％的偏差。与没有心肺复苏教练的团队的团队更有可能准确地估计胸部按压的胸部抑制胸部压缩深度（2.97; 95％CI，1.61-5.46; P <0.001）。在准确的胸部按压率之间检测到胸部按压（差距比例为1.33; 95％CI，0.77-2.32; P = 0.32），没有显着差异。在患有心肺复苏教练的团队中，与团队其他团队相比，心肺复苏教练具有最佳的胸部按压深度感知（80％）（团队领导40％，55％，心肺复苏提供者30％）（P = 0.003 ）。在角色之间的胸部按压率的感知中没有发现差异（P = 0.86）。结论：医疗保健提供者通过存在的心肺复苏教练改善了对心肺复苏深度的看法。心肺复苏教练具有最佳对胸部按压深度的看法。

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