How effective are body mass index and body muscle weight on cardiopulmonary resusitation?

Year 2022, Volume: 5 Issue: 1, 104 - 108, 17.01.2022

Ejder Saylav Bora , Adem Çakır , Adnan Yamanoğlu

https://doi.org/10.32322/jhsm.1017605

Abstract

Aim: The purpose of this study is searching the effect of BMI and BMW on the quality of CPR and the state of exhaustion applied by the professionals in the emergency department.
Material and Method: The software of the CPR education manikin was used in order to count and measure the number and the depth of the compressions and their correspondence to each other during the first and the second minutes of the procedure. Five cycles of chest compressions were asked to do from the rescurers. Each rescuer has handed the task of applying pressure over to his/her following team member after two minutes. Borg tiredness scores were asked to the rescuers and recorded at the end of each-minute period.
Results: The mean depth of pressure, the number of pressure attempts applied and the number of superficial compressions of the participants who were grouped due to their BMI showed no statistically meaningful difference. Both in the mean values of Borg tiredness scores which were calculated at the end of the first and second minutes; the group with lower BMW showed higher exhaustion significantly and this group couldn’t make sufficient compressions by means of depth and number, and also the latter showed more exhaustion compared to the first.
Conclusion: It is considered that choosing the health workers who are going to apply CPR among individuals with higher BMW or encouraging the workers in those departmnets who frequently apply CPR to be more interested in sports activities could be a promoting factor for having good quality CPR and reducing mortality as well.

Keywords

Cardiopulmonary resuscitation, body mass index, body muscle weight, borg fatigue scale

References

• Balcı B, Keskin Ö, Karabağ Y. Kardiyopulmoner resüsitasyon. Kafkas Tıp Bilimleri Derg 2011; 1: 41-6.
• Topçuoğlu MA. Kardiyopulmoner arrestte serebral koruma. Yoğun Bakım Dergisi 2008; 8: 22-48.
• Panchal AR, Bartos JA, Cabañas JG, et al. Part 3: Adult basic and advanced life support: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Circulation 2020; 142: 366-468.
• Taş D, Akyol A. New trend in to cardiopulmonary resuscitation training: high-fidelity simulation. Turk J Card Nur 2017; 8: 100-8.
• Roh YS, Lim EJ. Factors influencing quality of chest compression depth in nursing students. Int J Nurs Pract 2013; 19: 591-5.
• Lukas RP, Engel P, Wecker S, et al. Cardiopulmonary resuscitation guidance improves medical students' adherence to guidelines in simulated cardiac arrest: a randomised cross-over study. Eur J Anaesthesiol 2013; 30: 752-7.
• Steen PA, Kramer-Johansen J. Improving cardiopulmonary resuscitation quality to ensure survival. Curr Opin Crit Care 2008; 14: 299-304.
• Krikscionaitiene A, Pranskunas A, Stasaitis K, et al. Magical manoeuvre: a 5-s instructor's intervention helps lightweight female rescuers achieve the required chest compression depth. Eur J Emerg Med 2014; 21: 424- 8.
• Krikscionaitiene A, Stasaitis K, Dambrauskiene M, et al. Can lightweight rescuers adequately perform CPR according to 2010 resuscitation guideline requirements? Emerg Med J 2013; 30: 159-60.
• Wigginton JG, Miller AH, Benitez FL, Pepe PE. Mechanical devices for cardiopulmonary resuscitation. Curr Opin Crit Care 2005; 11: 219-23.
• Meaney PA, Bobrow BJ, Mancini ME, et al. Cardiopulmonary resuscitation quality: improving cardiac resuscitation outcomes both inside and outside the hospital. Circulation 2013; 128 :417- 35.
• Ock SM, Kim YM, Chung Jh, Kim SH. Influence of physical fitness on the performance of 5-minute continuous chest compression. Eur J Emerg Med 2011; 18: 251-6.
• Wik L, Kramer-Johansen J, Myklebust H, et al. Quality of cardiopulmonary resuscitation during out-of-hospital cardiac arrest. JAMA 2005; 293: 299-304.
• Abella BS, Alvarado JP, Myklebust H, et al. Quality of cardiopulmonary resuscitation during in-hospital cardiac arrest. JAMA 2005; 293: 305-10.
• Alspach G. CPR: the vanishing competency. Crit Care Nurse 2005; 25: 8-12.
• Brennan RT, Braslow A. Skill mastery in public CPR classes. Am J Emerg Med 1998; 16: 653-7.
• Zhang FL, Yan L, Huang SF, Bai XJ. Correlations between quality indexes of chest compression. World J Emerg Med 2013; 4: 54-8.
• Lucía A, de las Heras JF, Pérez M, et al. The importance of physical fitness in the performance of adequate cardiopulmonary resuscitation. Chest 1999; 115: 158-64.
• Cant RP, Cooper SJ. Simulation-based learning in nurse education: systematic review. J Adv Nurs 2010; 66: 3-15.
• Sánchez B, Algarte R, Piacentini E, et al. Low compliance with the 2 minutes of uninterrupted chest compressions recommended in the 2010 International Resuscitation Guidelines. J Crit Care 2015; 30: 711-4.
• Hokenek NM, Erdogan MO. Effect of differences in thorax volume and dimensions on CPR-related injuries. J Coll Physicians Surg Pak 2021; 31: 267-72.