The Study of CPR Guideline 2010 Adopted by Staff at the Intensive Care Unit of Sanpasitthiprasong Hospital, Ubonratchathani

Abstract

          Cardiac arrest was a crisis that needed help promptly, safely and effectively. However, there were variations in the practices, which may affect the survival rate of the patients. The aim of the study was to implement CPR Guideline 2010 by staff at intensive care unit, Sanpasitthiprasong Hospital. A pilot study was conducted between March 1, 2015 and July 31, 2015 among staff who provided resuscitation i.e. doctors, nurses, and nurse aids. Data
were collected by observing practice by those who received the CPR Guideline 2010 and by patient records. Data were analyzed using descriptive statistics: percentage and mean. There were 46 patients with cardiac arrest, 63 times of resuscitations. The patients with cardiac arrest were found to be more male than female, and more in >60 years of age. The common diseases were pneumonia, congestive heart failure, respiratory failure, and upper
GI bleeding, respectively. The pre-resuscitation conditions were bradycardia (51.61%) and the pre-resuscitation consciousness level was comatose (60%). The results of the CPR Guideline 2010 adoption revealed that all the resuscitation of the personnel team were within 4 minutes. The positioning and sites were correct 95.24%. Depression of at least 2 inches and speed of more than 100 times per minute were 100%. Chest pressure change
every 2 minutes were 96.83%. The correct use of a ventilator was 90.48%. The use of resuscitation board was 82.54%. The correct adrenaline administration was 96.83%. And doctors’ orders repeats by administrating nurses were 84.13%. Results from resuscitation indicated a 24 hours-survival rate of 23.91% and complications from resuscitation were 1.61%. Most of the staff were able to perform resuscitation according to CPR Guideline 2010 correctly. However, there were many other incorrect procedures. This may affect the survival rate of the patients. Training should be provided to renew the knowledge and practice of resuscitation for personnel every year to continuously improve their knowledge and skills.