Kľúčové faktory ovplyvňujúce kvalitu vykonávania kardiopuplmonálnej resuscitácie
Key Factors Affecting the Quality Implementation of the Cardiopuplmonary Resuscitation

Summary/Abstract: Objectives The aim of our study was to analyze the quality of teaching and follow-up implementation of CPR (Chest Compression in Combination with artificial Breathing) in terms of changing chest compression frequency. We conducted the study under project no. 015ku-4/2018: “practical procedures for paramedics Multimedia dvd and Textbook”. Material and methods We selected a randomized controlled trial within the design of the study. a total of 113 volunteers with BMi (18.5-25) attended a 3-hour Basic Life Support Training. all participants were randomly assigned to 4 groups and each group performed CPR in a ratio 30:2, but in a different randomly generated frequency. participants of control group also performed CpR with a 30:2 ratio with a randomly generated frequency identical to other groups, but using metronome in real-time for feedback. all participants performed CPR for 10 minutes on Rescue anne QCPR, data were evaluated using the Reset anne® Wireless SkillReporter ™ program with parameters set according to the eRC 2015 guidelines. The key tracked parameters included: overall QCPR Score, Chest Compression Fraction (CCF), Chest Compression Frequency, depth of Chest Compression, Chest Wall Relaxation and effective ventilation. Results and ConclusionThe clear definition of chest compression frequency at 110 per minute led to a statistically significant improvement of overall QCpR Score compared to frequency 100 per minute or 120 per minute. The 110/minute chest compression frequency resulted in a significant increase in the number of real compressions compared to the 100/minute and did not statistically lead to a significant reduction in the depth of compression compared to the 120/minute compression frequency. in the assessment of the quality of chest compression, we concluded that it is appropriate to define the performance of the chest compression frequency for healthcare workers exactly at 110/minute, with the use of real-time feedback monitoring devices. This exact definition of a particular chest compression frequency is also appropriate for laity, with the obstruction that laymen may not have a metronome. it is possible to achieve a significantly better level of quality of urgent resuscitation and better survival of the patient. at this frequency, it is possible to statistically achieve a reasonable frequency even without the use of real time feedback monitoring devices. a statistically signifificant decrease in the quality of urgent resuscitation has occurred signifificantly after 120 seconds of its execution.

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