• Title/Summary/Keyword: cardiopulmonary

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Factors Influencing the Willingness to Receive a Cardiopulmonary Resuscitation Education in Korean Remote Places (도서 산간 지역 주민의 심폐소생술교육 희망에 대한 영향 요인 분석)

  • Kang, Kyung-Hee;Im, Jeong-Soo
    • Journal of agricultural medicine and community health
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    • v.33 no.3
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    • pp.346-355
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    • 2008
  • - Abstract - Objectives: The purpose of this study is to describe and analyze the characteristics of which laypersons want the cardiopulmonary resuscitation(CPR) education. Methods: Based on a health survey(n=913) of 5 remote places in Korea, tests of the differences between the group that wants the CPR education(n=416) and the group that doesn't(n=497), and a logistic regression analysis of two groups was performed on socio-economic status and health-medical conditions. Results: Even the participation rate of the CPR education in Korea is only 5.8%, which is extremely lower than other developed countries, there are statistically significant differences between the group that wants the CPR and the group that doesn't on gender(p=0.001), age(p=0.000), education level(p=0.000), economic status(p=0.007), and CPR education taken(p=0.000), and health status(p=0.042). Furthermore, age(OR=1.599, p=0.002), age(OR=0.964, p=0.000), economic status(OR=0.804, p=0.028), and CPR education taken(OR=2.072, p=0.026) are statistically significant factors on the willingness to receive the CPR education. Conclusions: This study indicates that there is considerable variation in socio-economic status and health-medical conditions associated with the willingness to receive the CPR education. In remote places. certain subgroups of laypersons such as high-risk patients and family members need targeted outreach programs in CPR education.

The New International Guidelines for Cardiopulmonary Resuscitation (심폐소생술의 최신지침 소개)

  • 우건화
    • Journal of Chest Surgery
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    • v.36 no.6
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    • pp.451-455
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    • 2003
  • In August 2000, the American Heart Association and the European Resuscitation Council published the conclusions of tile International Guidelines 2000 Conference on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care which contains both the new recommendations and an in-depth review. The most important changes in the recommendations according to the authors are discontinuation of the pulse-check for lay people, 500 ml instead of 800∼1,200 ml tidal volume during bag-valve-mask ventilation (FiO2 > 0.4) of a patient with an unprotected airway, unifying correct endotracheal intubation size as 8.0 mm, vasopressin (40 units) and epinephrine (1 mg) as comparable drugs to treat patients with ventricular fibrillation, early prehospital survey and intravenous lysis for patients who have suffered coronary artery syndrome and stroke.

Respiration Rate and Oxygen Intake by Change of Wheelchair Backrest Angle

  • Chae, Soo-Young;Kwon, Hyuk-Cheol;Jeong, Dong-Hoon;Kong, Jin-Yong;Koo, Hyun-Mo
    • Physical Therapy Korea
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    • v.12 no.4
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    • pp.26-32
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    • 2005
  • This study was purposed to provide basic information on the correct application of a wheelchair's backrest angle by investigating the change in cardiopulmonary function according to backrest angle during propulsion. This study examined the effects of the wheelchair's backrest angle on the cardiopulmonary function by varying the angle to $0^{\circ}$, $10^{\circ}$ and $20^{\circ}$ with a propulsion velocity of 60 m/min. The experimental parameters were respiration rate, oxygen consumption rate and oxygen consumption rate/kg which were measured by a portable wireless oxygen consumption meter (COSMED, $K4b^2$). The results of the study were as follows: 1) There were no statistically significant differences in respiration rates due to changes in the wheelchair backrest angle (p>.05). 2) There were statistically significant differences in oxygen consumption rates due to changes in the wheelchair backrest angle (p<.05). 3) There were also statistically significant differences in the oxygen consumption rate/kg due to changes in the wheelchair backrest angle (p<.05). In conclusion, changes in the backrest angle of wheelchairs during propulsion influences oxygen consumption rates and heart rates, while respiration rates are not affected. Therefore, a training program for good seating and posture needs to be provided, and the wheelchair seating system should be equipped with the unadjustable-angle wheelchair to reduce the functional load on the cardiopulmonary system.

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Outcome of inflammatory response after normothermia during cardiopulmonary bypass surgery in infants with isolated ventricular septal defect

  • Kim, Dong Sub;Lee, Sang In;Lee, Sang Bum;Hyun, Myung Chul;Cho, Joon Yong;Lee, Young Ok
    • Clinical and Experimental Pediatrics
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    • v.57 no.5
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    • pp.222-225
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    • 2014
  • Purpose: A recent study analyzing several cytokines reported that long cardiopulmonary bypass (CPB) time and long aortic cross clamp (ACC) time were accompanied by enhanced postoperative inflammation, which contrasted with the modest influence of the degree of hypothermia. In this present study, we aimed to examine the effect of CPB temperature on the clinical outcome in infants undergoing repair of isolated ventricular septal defect (VSD). Methods: Of the 212 infants with isolated VSD who underwent open heart surgery (OHS) between January 2001 and December 2010, 43 infants were enrolled. They were classified into 2 groups: group 1, infants undergoing hypothermic CPB ($26^{\circ}C-28^{\circ}C$; n=19) and group 2, infants undergoing near-normothermic CPB ($34^{\circ}C-36^{\circ}C$; n=24). Results: The age at the time of the OHS, and number of infants aged<3 months showed no significant differences between the groups. The CPB time and ACC time in group 1 were longer than those in group 2 (88 minutes vs. 59 minutes, P =0.002, and 54 minutes vs. 37 minutes, P =0.006 respectively). The duration of postoperative mechanical ventilation was 1.6 days in group 1 and 1.8 days in group 2. None of the infants showed postoperative neurological and developmental abnormalities. Moreover, no postoperative differences in the white blood cell count and C-reactive protein levels were noted between two groups. Conclusion: This study revealed that hypothermic and near-normothermic CPB were associated with similar clinical outcomes and inflammatory reactions in neonates and infants treated for simple congenital heart disease.

Comparison of Educational Effects on Hands-only Cardiopulmonary Resuscitation (CPR) with Basic Cardiopulmonary Resuscitation (CPR) by Elementary School Students (초등학생 가슴압박소생술과 기본심폐소생술의 교육효과 비교)

  • Ahn, Myung Ja;Kim, Young Im
    • Journal of the Korean Society of School Health
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    • v.27 no.3
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    • pp.130-139
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    • 2014
  • Purpose: The object of this study was to compare the educational effect about self-efficacy and the quality of chest compressions of Hands-only CPR and Basic CPR. Methods: It's a nonequivalent control group pre-post repeated quasi-experiment study conducted with entire fifth grade students belong to one school in H city. The study participants are 68 persons, and data were collected from December 2, 2013 to February 7, 2014. Self-efficacy was measured by 10 items, and the quality of chest compressions was measured by 5 variables which are average compression depth(mm), average rate (n/min), average count per minutes (n), abnormal placement (n), compression accuracy (%). Results: Self-efficacy of the experimental group and control group showed no significant difference but showed significant difference over time and was the highest at posttest 1 (immediately after education), the lowest at pretest (before education), middle at posttest 2 (8weeks after education) (p<.001). Experimental group was significantly higher than control group in average rate per minute. At posttest 1, experimental group was $130.0{\pm}9.38$ times, control group was $95.1{\pm}11.82$ times. At posttest2, experimental group was $124.0{\pm}14.89$ times, control group was $90.8{\pm}14.89$ times.(p<.001). Average rate (n/min) was significantly declined at control group in the quality of chest compressions over time (t=-2.400, p=.022). Average count per minute and compression accuracy were declined significantly so it were not maintained to posttest2. Conclusion: We need continuous CPR education because self-efficacy of CPR getting lower significantly over time. Hands-only CPR can't be seen as a way to increase the CPR ability of elementary school students having difficulty to perform artificial breathing. And, because the effect of education is not maintained 8wks after training, the technique centered repeated training is needed and a method which can increase compression accuracy is also needed.