Journal article
RECOVER evidence and knowledge gap analysis on veterinary CPR. Part 3: Basic life support
Journal of Veterinary Emergency and Critical Care, Vol.22(s1), pp.S26-S43
2012
Abstract
Objective
To systematically examine the evidence on basic life support (BLS) in veterinary CPR and to determine knowledge gaps.
Design
Standardized, systematic evaluation of the literature, categorization of relevant articles according to level of evidence and quality, and development of consensus on conclusions for application of the concepts to clinical practice. Relevant questions were answered on a worksheet template and reviewed by the Reassessment Campaign on Veterinary Resuscitation (RECOVER) BLS domain members, by the RECOVER committee and opened for comments by veterinary professionals for 30 days.
Setting
Academia, referral practice, and general practice.
Results
Sixteen worksheets were prepared to evaluate techniques for chest compression and ventilation strategies as well as identification of cardiopulmonary arrest (CPA). Major recommendations arising from this evidence review include performing chest compressions at a rate of at least 100/min at a compression depth of one‐third to half the width of the chest with minimal pauses, and early instigation of ventilation at a rate of 8–10 breaths/min in intubated patients, or using a 30:2 compression/ventilation ratio in nonintubated patients.
Conclusions
Although veterinary clinical trials are lacking, much of the experimental literature on BLS utilized canine models. The major conclusions from this analysis of the literature are the importance of early identification of CPA, and immediate initiation of BLS in these patients. Many knowledge gaps exist, most importantly in our understanding of the optimal hand placement and technique for chest compressions, warranting coordinated future studies targeted at questions of relevance to differences between veterinary species and humans.
Details
- Title
- RECOVER evidence and knowledge gap analysis on veterinary CPR. Part 3: Basic life support
- Authors/Creators
- K. Hopper (Author/Creator) - University of California, DavisS.E. Epstein (Author/Creator)D.J. Fletcher (Author/Creator) - Cornell UniversityM. Boller (Author/Creator) - University of PennsylvaniaT.C. Duffy (Author/Creator)J.C. Hess (Author/Creator)G.L. Hoareau (Author/Creator)R.L. Irizarry (Author/Creator)M.S. Mellema (Author/Creator)R.K. Nakamura (Author/Creator)D.W. Purvis (Author/Creator)D.M. Schropp (Author/Creator)M.B. Seekins (Author/Creator)C.R. Sharp (Author/Creator)
- Publication Details
- Journal of Veterinary Emergency and Critical Care, Vol.22(s1), pp.S26-S43
- Publisher
- Wiley
- Identifiers
- 991005540792107891
- Copyright
- © Veterinary Emergency and Critical Care Society 2012
- Murdoch Affiliation
- Murdoch University
- Language
- English
- Resource Type
- Journal article
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Source: InCites
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42 Record Views
InCites Highlights
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- Collaboration types
- Domestic collaboration
- Citation topics
- 1 Clinical & Life Sciences
- 1.134 Trauma & Emergency Surgery
- 1.134.600 Cardiopulmonary Resuscitation
- Web Of Science research areas
- Veterinary Sciences
- ESI research areas
- Plant & Animal Science