An investigation into the use of the impedance cardiogram as a predictor of manual chest compression efficacy

Olibhear McAlister, D Finlay, RR Bond, D Guldenring, Ben McCartney, Laura Davis, Hannah Torney, Paul Crawford, Frances Denny, Rebecca Funston, David McEneaney

Research output: Contribution to conferencePaper

Abstract

High quality chest compressions (CCs) have been proven to increase patient survival, during cardiac arrest. The impedance cardiogram (ICG) may provide a simple and non-invasive CPR coaching system to improve CC efficacy of minimally trained users. Cardiac arrest was induced in eleven swine. Manual CCs were applied at a fixed depth for two-minute episodes, increasing for each successive episode. Physiological data was recorded at 30s intervals. The primary analysis assessed the relationship between ICG amplitude and CC depth using a 5s analysis window. The secondary analysis compared the ICG amplitude against captured physiological data and CC depth, using a 30s window. The primary analysis yielded a strong Pearson correlation coefficient (95% confidence interval) of 0.90 (0.89, 0.91) between ICG amplitude and CC depth. The secondary analysis produced an overall correlation of 0.92 (0.90, 0.94) between ICG amplitude and CC depth. The within-animal correlation for ICG amplitude and both end-tidal carbon dioxide and systolic blood pressure was 0.94 (0.93, 0.95) and 0.90 (0.88, 0.92) respectively. Our data suggests that the amplitude of ICG is a good predictor of CC efficacy in a porcine model of cardiac arrest, when manual CCs are applied.

Conference

Conference44th Computing in Cardiology Conference, 2017, Rennes, France
Period9/10/17 → …

Fingerprint

Electric Impedance
Thorax
Heart Arrest
Swine
Data Compression
Blood Pressure
Induced Heart Arrest
Cardiopulmonary Resuscitation
Carbon Dioxide
Confidence Intervals
Survival

Keywords

  • Impedance
  • Cardiac arrest

Cite this

McAlister, O., Finlay, D., Bond, RR., Guldenring, D., McCartney, B., Davis, L., ... McEneaney, D. (2018). An investigation into the use of the impedance cardiogram as a predictor of manual chest compression efficacy. 1. Paper presented at 44th Computing in Cardiology Conference, 2017, Rennes, France, . https://doi.org/10.22489/CinC.2017.007-265
McAlister, Olibhear ; Finlay, D ; Bond, RR ; Guldenring, D ; McCartney, Ben ; Davis, Laura ; Torney, Hannah ; Crawford, Paul ; Denny, Frances ; Funston, Rebecca ; McEneaney, David. / An investigation into the use of the impedance cardiogram as a predictor of manual chest compression efficacy. Paper presented at 44th Computing in Cardiology Conference, 2017, Rennes, France, .4 p.
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abstract = "High quality chest compressions (CCs) have been proven to increase patient survival, during cardiac arrest. The impedance cardiogram (ICG) may provide a simple and non-invasive CPR coaching system to improve CC efficacy of minimally trained users. Cardiac arrest was induced in eleven swine. Manual CCs were applied at a fixed depth for two-minute episodes, increasing for each successive episode. Physiological data was recorded at 30s intervals. The primary analysis assessed the relationship between ICG amplitude and CC depth using a 5s analysis window. The secondary analysis compared the ICG amplitude against captured physiological data and CC depth, using a 30s window. The primary analysis yielded a strong Pearson correlation coefficient (95{\%} confidence interval) of 0.90 (0.89, 0.91) between ICG amplitude and CC depth. The secondary analysis produced an overall correlation of 0.92 (0.90, 0.94) between ICG amplitude and CC depth. The within-animal correlation for ICG amplitude and both end-tidal carbon dioxide and systolic blood pressure was 0.94 (0.93, 0.95) and 0.90 (0.88, 0.92) respectively. Our data suggests that the amplitude of ICG is a good predictor of CC efficacy in a porcine model of cardiac arrest, when manual CCs are applied.",
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McAlister, O, Finlay, D, Bond, RR, Guldenring, D, McCartney, B, Davis, L, Torney, H, Crawford, P, Denny, F, Funston, R & McEneaney, D 2018, 'An investigation into the use of the impedance cardiogram as a predictor of manual chest compression efficacy' Paper presented at 44th Computing in Cardiology Conference, 2017, Rennes, France, 9/10/17, pp. 1. https://doi.org/10.22489/CinC.2017.007-265

An investigation into the use of the impedance cardiogram as a predictor of manual chest compression efficacy. / McAlister, Olibhear; Finlay, D; Bond, RR; Guldenring, D; McCartney, Ben; Davis, Laura; Torney, Hannah; Crawford, Paul; Denny, Frances; Funston, Rebecca; McEneaney, David.

2018. 1 Paper presented at 44th Computing in Cardiology Conference, 2017, Rennes, France, .

Research output: Contribution to conferencePaper

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T1 - An investigation into the use of the impedance cardiogram as a predictor of manual chest compression efficacy

AU - McAlister, Olibhear

AU - Finlay, D

AU - Bond, RR

AU - Guldenring, D

AU - McCartney, Ben

AU - Davis, Laura

AU - Torney, Hannah

AU - Crawford, Paul

AU - Denny, Frances

AU - Funston, Rebecca

AU - McEneaney, David

PY - 2018/4/5

Y1 - 2018/4/5

N2 - High quality chest compressions (CCs) have been proven to increase patient survival, during cardiac arrest. The impedance cardiogram (ICG) may provide a simple and non-invasive CPR coaching system to improve CC efficacy of minimally trained users. Cardiac arrest was induced in eleven swine. Manual CCs were applied at a fixed depth for two-minute episodes, increasing for each successive episode. Physiological data was recorded at 30s intervals. The primary analysis assessed the relationship between ICG amplitude and CC depth using a 5s analysis window. The secondary analysis compared the ICG amplitude against captured physiological data and CC depth, using a 30s window. The primary analysis yielded a strong Pearson correlation coefficient (95% confidence interval) of 0.90 (0.89, 0.91) between ICG amplitude and CC depth. The secondary analysis produced an overall correlation of 0.92 (0.90, 0.94) between ICG amplitude and CC depth. The within-animal correlation for ICG amplitude and both end-tidal carbon dioxide and systolic blood pressure was 0.94 (0.93, 0.95) and 0.90 (0.88, 0.92) respectively. Our data suggests that the amplitude of ICG is a good predictor of CC efficacy in a porcine model of cardiac arrest, when manual CCs are applied.

AB - High quality chest compressions (CCs) have been proven to increase patient survival, during cardiac arrest. The impedance cardiogram (ICG) may provide a simple and non-invasive CPR coaching system to improve CC efficacy of minimally trained users. Cardiac arrest was induced in eleven swine. Manual CCs were applied at a fixed depth for two-minute episodes, increasing for each successive episode. Physiological data was recorded at 30s intervals. The primary analysis assessed the relationship between ICG amplitude and CC depth using a 5s analysis window. The secondary analysis compared the ICG amplitude against captured physiological data and CC depth, using a 30s window. The primary analysis yielded a strong Pearson correlation coefficient (95% confidence interval) of 0.90 (0.89, 0.91) between ICG amplitude and CC depth. The secondary analysis produced an overall correlation of 0.92 (0.90, 0.94) between ICG amplitude and CC depth. The within-animal correlation for ICG amplitude and both end-tidal carbon dioxide and systolic blood pressure was 0.94 (0.93, 0.95) and 0.90 (0.88, 0.92) respectively. Our data suggests that the amplitude of ICG is a good predictor of CC efficacy in a porcine model of cardiac arrest, when manual CCs are applied.

KW - Impedance

KW - Cardiac arrest

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U2 - 10.22489/CinC.2017.007-265

DO - 10.22489/CinC.2017.007-265

M3 - Paper

SP - 1

ER -

McAlister O, Finlay D, Bond RR, Guldenring D, McCartney B, Davis L et al. An investigation into the use of the impedance cardiogram as a predictor of manual chest compression efficacy. 2018. Paper presented at 44th Computing in Cardiology Conference, 2017, Rennes, France, . https://doi.org/10.22489/CinC.2017.007-265