Impact of compression surfaces on cardiac massage during cardiopulmonary reanimation: an integrative review
Impacto de las superficies de compresión en el masaje cardíaco durante la reanimación cardiopulmonar: una revisión integrativa
Impacto das superfícies de compressão na massagem cardíaca durante a reanimação cardiopulmonar: uma revisão integrativa
Carla de Azevedo Vianna; Hudson Carmo de Oliveira; Lucimar Casimiro de Souza; Rafael Celestino da Silva; Marcos Antônio Gomes Brandão; Juliana Faria Campos
Abstract
Objective: To synthesize the available evidence in the literature on the types of compression surfaces used in CPR and to analyze which characteristics of the compression surfaces impact the effectiveness of chest compression during CPR.
Method: Integrative literature review, whose selection and inclusion criteria were complete articles, in English, Portuguese or Spanish and that answered the following research question: “What are the characteristics of the compression surfaces that impact the effectiveness of chest compressions during CPR?”. It was carried out between June and July 2019.
Results: 12 articles from experimental studies were included. 13 different types of mattresses were found. Regarding the boards, six different sizes and many materials were reported. Influences of the type of compression surface on the force required to perform chest compressions were found.
Conclusion: Evidence points out that larger mattresses with pressure reduction technology and larger beds have negative impacts on the quality of chest compressions.
Implication for practice: Knowledge about the influence of the type and characteristics of support surfaces on the quality of chest compressions can support professionals in the choice and incorporation of technologies in the hospital environment.
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Resumo
Objetivo: sintetizar as evidências disponíveis na literatura sobre os tipos de superfícies de compressão utilizadas na RCP e analisar quais características das superfícies de compressão têm impacto na eficácia da compressão torácica durante a RCP.
Método: revisão integrativa da literatura, cujos critérios de seleção e inclusão foram: artigos completos, em inglês, português ou espanhol e que respondessem a seguinte questão de pesquisa: “Quais são as características das superfícies de compressão que têm impacto na eficácia das compressões torácicas durante a RCP?”. Realizada entre os meses de junho e julho de 2019.
Resultados: inclui-se 12 artigos de estudos experimentais, cuja extração de dados revelou 13 tipos diferentes de colchões. Em relação às pranchas, seis tamanhos diferentes foram relatados, com diferentes materiais. Constatou-se influências do tipo de superfície de compressão na força necessária para realizar as compressões torácicas.
Conclusão: as evidências apontam que colchões de maiores dimensões e com tecnologia para redução de pressão e camas mais largas apresentam impactos negativos na qualidade das compressões torácicas.
Implicação para prática: o conhecimento sobre a influência do tipo e características das superfícies de apoio na qualidade das compressões torácicas podem subsidiar profissionais na escolha e incorporação de tecnologias no ambiente hospitalar.
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Referências
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Submetido em:
23/02/2021
Aceito em:
26/05/2021
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