J Korean Med Sci.  2013 Feb;28(2):315-319. 10.3346/jkms.2013.28.2.315.

Use of Backboard and Deflation Improve Quality of Chest Compression When Cardiopulmonary Resuscitation Is Performed on a Typical Air Inflated Mattress Configuration

Affiliations
  • 1Department of Emergency Medicine, Hanyang University College of Medicine, Seoul, Korea. emer0905@gmail.com
  • 2Department of Biomedical Engineering, University of Ulsan, Ulsan, Korea.

Abstract

No study has examined the effectiveness of backboards and air deflation for achieving adequate chest compression (CC) depth on air mattresses with the typical configurations seen in intensive care units. To determine this efficacy, we measured mattress compression depth (MCD, mm) on these surfaces using dual accelerometers. Eight cardiopulmonary resuscitation providers performed CCs on manikins lying on 4 different surfaces using a visual feedback system. The surfaces were as follows: A, a bed frame; B, a deflated air mattress placed on top of a foam mattress laid on a bed frame; C, a typical air mattress configuration with an inflated air mattress placed on a foam mattress laid on a bed frame; and D, C with a backboard. Deflation of the air mattress decreased MCD significantly (B; 14.74 +/- 1.36 vs C; 30.16 +/- 3.96, P < 0.001). The use of a backboard also decreased MCD (C; 30.16 +/- 3.96 vs D; 25.46 +/- 2.89, P = 0.002). However, deflation of the air mattress decreased MCD more than use of a backboard (B; 14.74 +/- 1.36 vs D; 25.46 +/- 2.89, P = 0.002). The use of a both a backboard and a deflated air mattress in this configuration reduces MCD and thus helps achieve accurate CC depth during cardiopulmonary resuscitation.

Keyword

Backboard; Beds; Cardiopulmonary Resuscitation; Mattresses

MeSH Terms

Beds
Cardiopulmonary Resuscitation/*instrumentation/methods
*Compressive Strength
Equipment Design
Heart Massage/*instrumentation/methods
Humans
Intensive Care Units
Manikins
Prospective Studies

Figure

  • Fig. 1 Typical configuration involving an inflated air mattress. In clinical settings, inflated air mattresses are typically placed a foam mattress laid on a bed frame.

  • Fig. 2 Configuration of the experimental setup. The 4 different surface configurations used to test chest compression depth in this study were as follows: A: a bed frame without a mattress. [⑦], B: a deflated air mattress placed on top of a foam mattress laid on a bed frame, [⑤ (deflated) + ⑥ + ⑦], C: an inflated air mattress placed on top of a foam mattress laid on a bed frame [⑤ (inflated) + ⑥ + ⑦], D: C with a backboard inserted between the manikin and the inflated air mattress [④ + ⑤ (inflated) + ⑥ + ⑦]. CCD was obtained by subtracting MCD from TCD. CCD, sternal-spinal chest compression depth; TCD, total compression depth; MCD, mattress compression depth.


Cited by  1 articles

Training a Chest Compression of 6–7 cm Depth for High Quality Cardiopulmonary Resuscitation in Hospital Setting: A Randomised Controlled Trial
Jaehoon Oh, Tae Ho Lim, Youngsuk Cho, Hyunggoo Kang, Wonhee Kim, Youngjoon Chee, Yeongtak Song, In Young Kim, Juncheol Lee
Yonsei Med J. 2016;57(2):505-511.    doi: 10.3349/ymj.2016.57.2.505.


Reference

1. Bellamy RF, Deguzman LR, Pedersen DC. Coronary blood flow during cardiopulmonary resuscitation in swine. Circulation. 1984. 69:174–180.
2. Edelson DP, Abella BS, Kramer-Johansen J, Wik L, Myklebust H, Barry AM, Merchant RM, Hoek TLV, Steen PA, Becker LB. Effects of compression depth and pre-shock pauses predict defibrillation failure during cardiac arrest. Resuscitation. 2006. 71:137–145.
3. Koster RW, Baubinb MA, Bossaertc LL, Gaballero A, Cassan P, Castren M, Granja C, Handley AJ, Monsieurs KG, Perkins GD, et al. European Resuscitation Council Guidelines for Resuscitation 2010. Section 2. Adult basic life support and use of automated external defibrillators. Resuscitation. 2010. 81:1277–1292.
4. Skorning M, Beckers SK, Brokmann JC, Rörtgen D, Bergrath S, Veiser T, Heussen N, Rossaint R. New visual feedback device improves performance of chest compressions by professionals in simulated cardiac arrest. Resuscitation. 2010. 81:53–58.
5. Perkins GD, Kocierz L, Smith SC, McCulloch RA, Davies RP. Compression feedback devices over estimate chest compression depth when performed on a bed. Resuscitation. 2009. 80:79–82.
6. Oh J, Song Y, Kang B, Kang H, Lim T, Suh Y, Chee Y. The use of dual accelerometers improves measurement of chest compression depth. Resuscitation. 2012. 83:500–504.
7. Nishisaki A, Maltese MR, Niles DE, Sutton RM, Urbano J, Berg RA, Nadkarni VM. Backboards are important when chest compressions are provided on a soft mattress. Resuscitation. 2012. 83:1013–1020.
8. Nishisaki A, Nysaether J, Sutton R, Maltese M, Niles D, Donoghue A, Bishnoi R, Helfaer M, Perkins GD, Berg R, et al. Effect of mattress deflection on CPR quality assessment for older children and adolescents. Resuscitation. 2009. 80:540–545.
9. Tweed M, Tweed C, Perkins GD. The effect of differing support surfaces on the efficacy of chest compression using a resuscitation manikin model. Resuscitation. 2001. 51:179–183.
10. Andersen LØ, Isbye DL, Rasmussen LS. Increasing compression depth during manikin CPR using a simple backboard. Acta Anaesthesiol Scand. 2007. 51:747–750.
11. Reddy M, Gill SS, Rochon PA. Preventing pressure ulcers: a systematic review. JAMA. 2006. 296:974–984.
12. Noordergraaf GJ, Paulussen IW, Venema A, van Berkom PF, Woerlee PH, Scheffer GJ, Noordergraaf A. The impact of compliant surfaces on in-hospital chest compressions: effects of common mattresses and a backboard. Resuscitation. 2009. 80:546–552.
13. Delvaux AB, Trombley MT, Rivet CJ, Dykla JJ, Jensen D, Smith MR, Gilbert RJ. Design and development of a cardiopulmonary resuscitation mattress. J Intensive Care Med. 2009. 24:195–199.
14. Song YT, Chee Y. The development of feedback monitoring device for CPR. Conf Proc IEEE Eng Med Biol Soc. 2011. 2011:3294–3297.
15. Handley AJ. In-hospital chest compressions: the patient on a bed. Resuscitation. 2012. 83:795–796.
16. Jäntti H, Silfvast T, Turpeinen A, Kiviniemi V, Uusaro A. Quality of cardiopulmonary resuscitation on manikins: on the floor and in the bed. Acta Anaesthesiol Scand. 2009. 53:1131–1137.
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