Factors that may contribute to longer pauses between chest compressions in point-of-care ultrasound cardiopulmonary resuscitation: a literature review
DOI:
https://doi.org/10.54143/jbmede.v3i2.124Keywords:
Ultrasonography, Cardiopulmonary resuscitation, Heart arrestAbstract
Point-of-care ultrasound is recommended for use in cardiopulmonary resuscitation when reversible causes are suspected. However, studies have shown that POCUS can increase the time of pauses between compressions, in which pulse and rhythm are checked. The objective of this study was to describe possible factors associated with longer pauses between chest compressions with the use of point-of-care ultrasound. Literature review on PubMed®, Embase, Scopus and Biblioteca Virtual em Saúde databases. The search was performed without time or language restriction, using the following strategy: ((arrest,
cardiopulmonary OR cardiopulmonary resuscitation OR Advanced Cardiac Life Support) AND (point of care ultrasound OR POCUS)). The database search resulted in 6,177 publications. Of these, only five studies were included. Lack of ultrasound training is associated with longer pauses by approximately 3.1 seconds (95%CI 0.6-5.6; p-value = 0.02). Operating the POCUS and leading the PCR at the same time was associated with a delay of up to 6.1 seconds (95%CI 0.4-11.7; p-value = 0.04). In addition, the timing of placing the ultrasound probe into the patient's chest and the lack of a systematization for the use of point-of-care ultrasound may also contribute to longer pauses. It is expected that this discussion will arouse interest in further research on the subject and that it will be used to design new protocols for the use of the point-of-care ultrasound in cardiopulmonary resuscitation, so that the pauses will be shorter than the 10 seconds recommended by the American Heart Association.
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