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牙科椅上与地板上实施胸外按压对患者的效果。

Efficacy of Chest Compressions Performed on Patients in Dental Chairs Versus on the Floor.

机构信息

Department of Dental Anesthesiology, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.

Department of Emergency and Critical Care Medicine, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.

出版信息

Anesth Prog. 2021 Jun 1;68(2):85-89. doi: 10.2344/anpr-68-01-07.

Abstract

This study aimed to investigate the characteristics of chest compressions performed in dental chairs (DCs) with 2 different structural support designs and on the floor. This randomized prospective study was conducted to compare the effectiveness of chest compressions (rate and depth) using a feedback device and a manikin reporting system. The mean anterior chest wall motion measurements captured using the feedback device were significantly increased in the DCs than on the floor, whereas the percentage of net chest compression depths ≥5 cm as measured using the manikin reporting system were significantly decreased in the DCs than on the floor. These findings suggest that cardiopulmonary resuscitation performed in a DC without the use of a supporting stool or stiff backboard is not likely to be effective even if a DC design that incorporates a supportive steel column is utilized.

摘要

本研究旨在探讨使用 2 种不同结构支撑设计的牙科椅(DC)和地面上进行的胸外按压的特点。这项随机前瞻性研究旨在比较使用反馈设备和人体模型报告系统进行的胸外按压(速率和深度)的效果。使用反馈设备捕获的平均前胸部壁运动测量值在 DC 中比在地板上显著增加,而使用人体模型报告系统测量的净胸按压深度百分比≥5cm 在 DC 中比在地板上显著降低。这些发现表明,即使使用包含支撑钢柱的 DC 设计,如果不使用支撑凳或硬背板,在 DC 中进行的心肺复苏术也可能无效。

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引用本文的文献

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Resuscitation in the dental practice.牙科诊所的复苏
Br Dent J. 2016 Mar 11;220(5):261-3. doi: 10.1038/sj.bdj.2016.181.
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Evaluation of the dentists' knowledge on medical urgency and emergency.评估牙医对医疗紧急情况的知识掌握情况。
Braz Oral Res. 2014;28. doi: 10.1590/10.1590/1807-3107bor-2014.vol28.0029. Epub 2014 Aug 18.
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Chest compression: not as effective on dental chair as on the floor.胸部按压:在牙科椅上不如在地板上有效。
Resuscitation. 2010 Dec;81(12):1729; author reply 1730. doi: 10.1016/j.resuscitation.2010.06.028. Epub 2010 Oct 6.
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Using a stool for stabilization of a dental chair when CPR is required.在需要进行心肺复苏时,使用凳子来稳定牙科椅。
Resuscitation. 2010 Apr;81(4):502. doi: 10.1016/j.resuscitation.2010.01.001. Epub 2010 Feb 1.

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