Peer-reviewed veterinary case report
Changes in adherence to cardiopulmonary resuscitation guidelines in a single referral center from January 2009 to June 2013 and assessment of factors contributing to the observed changes.
- Journal:
- Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)
- Year:
- 2015
- Authors:
- Holmes, Andrea C & Clark, Louise
- Affiliation:
- From Davies Veterinary Specialists · United Kingdom
Plain-English summary
This study looked at how well a small animal referral center followed cardiopulmonary resuscitation (CPR) guidelines from January 2009 to June 2013. CPR training started in October 2009 and was led by European experts in veterinary anesthesia. Over the years, there was a noticeable increase in the use of capnography, a tool that measures carbon dioxide levels to help assess breathing, and suction for tracheal intubation, which is when a tube is placed in the airway to help with breathing. The improvements in CPR practices were linked to updates in training based on new guidelines published in 2012. Overall, the study found that the teaching changes positively influenced how CPR was performed in the clinic.
Abstract
BACKGROUND: This retrospective study reviewed compliance to cardiopulmonary resuscitation (CPR) teaching at a small animal referral center from January 2009 to June 2013. CPR training commenced in October 2009. This was a lecture format by European specialists in veterinary anesthesia and analgesia. Teaching was originally based on published guidelines. Changes made to the content of the lectures after publication of the Reassessment Campaign on Veterinary Resuscitation (RECOVER) guidelines in 2012 are discussed. KEY FINDINGS: Data regarding basic life support and monitoring equipment were collected from all cases requiring CPR. A Mann-Kendall test for trend showed a significant increased use of both capnography (P = 0.017) and suction to aid tracheal intubation (P = 0.017) over the period of study. There was a significant increase in capnography use in 2011 (P = 0.046), 2012 (P = 0.002), and 2013 (P = 0.002) compared to 2009 (1/15). SIGNIFICANCE: The sequential increase in capnography use without any change to the number or availability of capnography units provides evidence that CPR teaching has altered clinical practice. The publication of the RECOVER guidelines provided an evidence base upon which to refine and improve teaching of CPR.
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Search related cases →Original publication: https://pubmed.ncbi.nlm.nih.gov/26409070/