Efficacy of Chest Compression in A Dental Chair
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Abstract
Background : Cardiac arrest is the most life-threatening condition that may occur in dental surgery setting. Cardiopulmonary resuscitation (CPR) with effective chest compression must be required. However, there are few reports described about the efficacy of CPR in a dental chair. Objective: To comparethe efficacy of chest compression in the dental chair in comparison with on the floor.
Material and Methods : This research is an analytic study. Of the 70 participants (14 males and 56 females, with a mean age of 32.50 + 17.67 years) enrolled to learn 2 hours basic life support course launched by emergency department staffs and residents of Bhumiboladulyadej hospital. They were divided into 2 groups and perform handsonly CPR in 1 minute on the resuscitation manikin in two situations; in a dental chair with stool under horizontal backboard and on the floor. Rest for 30 minutes and switch group to preform CPR in different situation in 1 minute. Overall data was analyzed by SPSS statistics.
Result : 70 participants were performed hands-only CPR in two situations. The effectiveness of chest compression was evaluated by adequate compression depth 5-6 cm., compression rate 100-120/minute and complete release. more than 50 % of overall chest compression with correct hand position. There were 56 participants (80 %) who successful effective chest compression in a dental chair and 59 participants (84 %) who successful effective chest compression on the floor. That was no significant differences between two groups. (p = 0.508)
Conclusion : Chest compression in a dental chair with stool under horizontal backboard can be perform effectively, should not move the patient from the dental chair in order to start CPR because of the risk of injury to the patient and rescuers and the limited space for any resuscitative procedures.
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