Więch Paweł, Muster Marek, Godek Łukasz, Sałacińska Izabela, Guty Edyta, Kucaba Grzegorz, Bazaliński Dariusz
Institute of Health Sciences, College of Medical Sciences, University of Rzeszow, 35-959 Rzeszów, Poland.
Institute of Social Sciences and Health Protection, East European State Higher School in Przemyśl, 37-700 Przemyśl, Poland.
J Clin Med. 2021 Dec 23;11(1):49. doi: 10.3390/jcm11010049.
The provision of cardiopulmonary resuscitation (CPR) may be related to the physical parameters of the medical personnel, including fat mass (FM) and fat-free mass (FFM) components. In this study, we aimed to assess the relationship between selected body composition components and chest compression and ventilation parameters provided by medical staff. An observational simulation study was undertaken between December 2017 and January 2019 at the Center for Innovative Research in Medical and Natural Sciences of Rzeszów. In all participants (505 nurses, 37.71 y ± 12.16), the body weight and height were measured and the body mass index (BMI) was calculated. The body composition indicators were obtained using a bioelectrical impedance device, AKERN BIA 101. Afterwards, all participants performed CPR sequences (30 chest compressions and rescue for 2 breaths) for 2 min on a Laerdal Resusci Anne simulator placed on an examination couch with a self-inflating bag and a face mask. Our observations proved that high values of the anthropometric, nutritional and body composition parameters of the medical staff demonstrated a positive significant correlation with the depth and rate chest parameters and were inversely related to the chest adequate recoil. No statistically significant differences were found between the FM or FFM components and ventilation parameters. This study showed that nutritional status and body composition components may be important factors affecting the quality of CPR.
实施心肺复苏(CPR)可能与医护人员的身体参数有关,包括脂肪量(FM)和去脂体重(FFM)成分。在本研究中,我们旨在评估选定的身体成分与医护人员提供的胸外按压和通气参数之间的关系。2017年12月至2019年1月期间,在热舒夫医学与自然科学创新研究中心进行了一项观察性模拟研究。对所有参与者(505名护士,年龄37.71岁±12.16岁)测量体重和身高,并计算体重指数(BMI)。使用生物电阻抗设备AKERN BIA 101获取身体成分指标。之后,所有参与者在放置于检查床上、配备自动充气袋和面罩的Laerdal复苏安妮模拟器上进行2分钟的CPR操作序列(30次胸外按压并进行2次人工呼吸)。我们的观察结果证明,医护人员的人体测量、营养和身体成分参数的高值与胸外按压的深度和频率参数呈显著正相关,与胸外按压的充分回弹呈负相关。在FM或FFM成分与通气参数之间未发现统计学上的显著差异。本研究表明,营养状况和身体成分可能是影响CPR质量的重要因素。