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Original Research

Open Access

Quality of Chest Compressions on A Dental Chair -- A Randomized Simulation Trial as Observation in Support of A Procedure Proposal

  • Tomasz Kłosiewicz1
  • Mateusz Puślecki1,2
  • Radosław Zalewski1
  • Michał Mandecki1
  • Ilona Skitek-Adamczak1
  • Maciej Sip1
  • Marek Dąbrowski3
  • Martyna Ratajczak4
  • Przemysław Rachubiński5
  • Bogusz Szczepański5
  • Marek Dorożyński6
  • Beata Czarnecka7
  • Bartłomiej Perek2

1Department of Medical Rescue, Poznan University of Medical Sciences, Poznan, Poland

2Department of Cardiac Surgery and Transplantology, Poznan University of Medical Sciences, Poznan, Poland

3Chair and Department of Medical Education, Poznan University of Medical Sciences, Poznan, Poland

4Department of Emergency Medicine, Poznan University of Medical Sciences, Poznan, Poland

5Faculty of Health Sciences, Poznan University of Medical Sciences, Poznan, Poland

6Medical Faculty, Poznan University of Medical Sciences, Poznań, Poland

7Chair and Department of Biomaterials and Experimental Dentistry, Poznań, Poland

DOI: 10.22514/sv.2020.16.0073 Vol.16,Issue 2,October 2020 pp.175-181

Published: 28 October 2020

*Corresponding Author(s): Tomasz Kłosiewicz E-mail: klosiewicz.tomek@gmail.com

Abstract

Background: Although medical emergencies among dental patients are not frequent, several factors may provoke sudden cardiac arrests. Early initiation of high-quality chest compressions (CC) is of crucial importance for the safety and effectiveness of cardiopulmonary resuscitation (CPR). Aims: We aimed to evaluate the quality of chest compressions performed on a dental chair for the proposed procedure in case of cardiac arrest in a dental office. Methods: We designed a prospective, randomized, crossover simulation study. Sixty paramedic students were randomly assigned to the control group, in which resuscitation was performed on the floor (n = 30) or to the experimental group, in which compressions were performed on a dental unit (n = 30). We used a simulator that recorded number of compressions, rate, depth of compressions and chest recoil. Results: There were no significant differences in numbers, rate, depth of chest compressions or in chest recoil between groups. Conclusions: We proved that performing chest compressions on a dental chair might be as effective as on the floor. On this basis, we propose a procedure for safe and efficient performance of CPR in a dental office.

Keywords

Chest compressions, Dental equipment, Patient safety, Resuscitation, Simulation training

Cite and Share

Tomasz Kłosiewicz,Mateusz Puślecki,Radosław Zalewski,Michał Mandecki,Ilona Skitek-Adamczak,Maciej Sip,Marek Dąbrowski,Martyna Ratajczak,Przemysław Rachubiński,Bogusz Szczepański,Marek Dorożyński,Beata Czarnecka,Bartłomiej Perek. Quality of Chest Compressions on A Dental Chair -- A Randomized Simulation Trial as Observation in Support of A Procedure Proposal. Signa Vitae. 2020. 16(2);175-181.

References

[1] Atherton GJ, McCaul JA, Williams SA. Medical emergencies: Medical emergencies in general dental practice in Great Britain. Part 1: their prevalence over a 10-year period. Br Dent J. 1999;186:72-79.

[2] Atherton GJ, McCaul JA, Williams SA. Medical emergencies in general dental practice in Great Britain, part III: perceptions of training and competence of GDPs in their management. Br Dent J. 1999;186 234-237.

[3] Arsati F, Montalli VA, Flório FM, et al. Brazilian Dentists’ Attitudes About Medical Emergencies During Dental Treatment. J Dent Educ. 2010;74:661-666.

[4] Sooch S, Kaur A, Ahmed B. A ten year experience of medical emergencies at Birmingham Dental Hospital. BDJ. 2018;224:89-91.

[5] Girdler NM, Smith DG. Prevalence of emergency events in British dental practice and emergency management skills of British dentists. Resuscitation. 1999;41:159-67.

[6] Malamed SF. Medical emergencies in the dental surgery. J Ir Dent Assoc. 2016;6:302-308.

[7] Malamed SF. Medical emergencies in the dental surgery. Part 1: preparation of the office and basic management. J Ir Dent Assoc. 2015;61:302-308.

[8] Müller MP, Hänsel M, Stehr SN, et al. A state-wide survey of medical emergency management in dental practices: incidence of emergencies and training experience. Emerg Med J. 2008;25:296-300.

[9] Monsieurs KG, Nolan JP, Bossaert LL, et al. European Resuscitation Council Guidelines for Resuscitation 2015: Section 1. Executive Summary. Resuscitation. 2015;95:1-80.

[10] Wilson MH, McArdle NS, Fitzpatrick JJ, et al. Medical emergencies in dental practice. J Ir Dent Assoc. 2009;55:134-143.

[11] Qwen CP, Mizra N. Medical emergencies in dental practices in South Africa. S Afr Dent J. 2015;70:300-303.

[12] Laurent F, Segal N, Augustin P. Chest compression: Not as effective on dental chair as on the floor. Resuscitation. 2010;81:1729.

[13] Perkins GD, Handley AJ, Koster RW, et al. European Resuscitation Council Guidelines for Resuscitation 2015: Section 2. Adult basic life support and automated external defibrillation. Resuscitation. 2015;95:81-99.

[14] Truhlář A, Deakin CD, Soar J, et al. European Resuscitation Council Guidelines for Resuscitation 2015: Section 4. Cardiac arrest in special circumstances. Resuscitation. 2015;95:148-201.

[15] Kemp K, Webb S, Jevon P. Moving and handling techniques in the dental chair. Dental Nursing. 2015;11:199-201.

[16] Lepere AJ, Finn J, Jacobs I. Efficacy of cardiopulmonary resuscitation performed in a dental chair. Aust Dent J. 2003;48:244-247.

[17] Takeshi Y, Kazu-ichi Y, Kunio S. Efficacy of external cardiac compres-sion in a dental chair. Resuscitation . 2008;79:175-176.

[18] Field R, Soar J, Davies R, et al. The impact of chest compression rates on quality of chest compressions - A manikin study. Resuscitation. 2012;83:360-364.

[19] Sainio M, Hellevuo H, Huhtala H, et al. Effect of mattress and bed frame deflection on real chest compression depth measured with two CPR sensors. Resuscitation. 2014;85:840-843.

[20] Segal N, Laurent F, Maman L, et al. Accuracy of a feedback device for cardiopulmonary resuscitation on a dental chair. Emerg. Med. J. 2012;29:890-893.

[21] Fujino H, Yokoyama T, Yoshida K, et al. Using a stool for stabilization of a dental chair when CPR is required. Resuscitation. 2010;81:502.

[22] Ito S, Karube N, Hirokawa J, et al. The Effect of the Use of a Stabilizer and Different Height Settings on the Stability of the Dental Chair when Performing High-Quality Chest Compressions. Emergency Medicine: Open Access. 2015;5:268-272.

[23] Yun SW, Lee BK, Jeung KW, et al. The effect of inclined step stool on the quality of chest compression during in-hospital cardiopulmonary resuscitation. Am J Emerg Med. 2014;32:851-855.

[24] Hong CK, Park SO, Jeong HH, et al. The Most Effective Rescuer’s Position for Cardiopulmonary Resuscitation Provided to Patients on Beds: A Randomized, Controlled, Crossover Mannequin Study. The J Emerg Med. 2014;46:643-649.

[25] Oh J, Chee Y, Lim T, et al. Chest compression with kneeling posture in hospital cardiopulmonary resuscitation: A randomised crossover simulation study. Emerg Med Australas. 20014;26:585-590.

[26] Lewinsohn A, Sherren P, Wijayatilake D. The effects of bed height and time on the quality of chest compressions delivered during cardiopulmonary resuscitation: a randomised crossover simulation study. Emerg Med J. 2011;29:660-663.

[27] Oh J, Kim C, Kim S, et al. Comparison of chest compressions in the standing position beside a bed at knee level and the kneeling position: a non-randomised, single-blind, cross-over trial. Emerg Med

J. 2013;31:533-535.

[28] Zideman DA, De Buck ED, Singletary EM, et al. European Resuscitation Council Guidelines for Resuscitation 2015 Section 9. First aid. Resusci-tation. 2015;95:278-287.

[29] Nyman J, Sihvonen M. Cardiopulmonary resuscitation skills in nurses and nursing students. Resuscitation. 2000;47:179-84.

[30] Körber MI, Köhler T, Weiss V, et al. Quality of Basic Life Support - A Comparison between Medical Students and Paramedics. J. Clin. Diagn. Res. 2016;7:33-37.

[31] Malamed SF. Medical emergencies in the dental surgery. Part 1: Preparation of the office and basic management. J Ir Dent Assoc. 2015;61:302-308. Czekajlo M, Dabrowska A. In situ simulation of cardiac arrest. Disaster Emerg Med J. 2017;2:116-119.

[32] Czekajlo M, Dabrowska A. In situ simulation of cardiac arrest. Disaster Emerg Med J. 2017;2:116-119.

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