Resuscitation
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Randomized Controlled Trial Comparative Study
Comparison of traditional versus high-fidelity simulation in the retention of ACLS knowledge.
We performed a single-blinded, randomized controlled trial to evaluate the retention of advanced cardiac life support (ACLS) knowledge between high-fidelity simulation training (HFST) and traditional training (TT) in medical students. ⋯ Students demonstrated greater ACLS knowledge initially with HFST than with TT. However, after 1-year, both groups performed the same. Satisfaction with training was higher with HFST compared to TT. Confidence in ACLS knowledge was the same initially and decreased similarly over a 1-year time period regardless of the type of ACLS training. Further studies will need to determine optimal strategies to retain ACLS knowledge.
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Randomized Controlled Trial Comparative Study
A prospective evaluation of the efficacy of the laryngeal mask airway during neonatal resuscitation.
To study the feasibility, efficacy and safety of using the laryngeal mask airway (LMA) in neonatal resuscitation. ⋯ The LMA is safe, effective and easy to implement for the resuscitation of neonates with a gestational age of 34 or, more weeks.
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Heart and breathing rates are predictors of disease severity and of a poor outcome. However, few reports have compared their machine measurements with traditional manual methods. ⋯ There is a poor correlation between breathing and heart rates measured by traditional methods and those obtained by the BT16 device. BT16 derived breathing and heart rates, but not those measured manually, were independent predictors of in-hospital mortality.
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Clinical Trial
Blood pressure during resuscitation in man--the effect of pause during rhythm analysis revisited.
This study reports invasive arterial pressures before and after the rhythm analysing pauses during CPR and evaluates the possible association of the quality of CPR and the length of the pause with blood pressure around the pause. ⋯ Contrary to the previous animal studies, this preliminary study in humans demonstrates that blood pressures achieved before the rhythm analysis pause do not necessarily decrease after the pause but may even increase if the duration of the pause is under ten seconds and the quality of CPR is good both before and after the pause.