Monday, June 18, 2012

RECOVER evidence and knowledge gap analysis on veterinary CPR. Part 2: Preparedness and prevention

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Publication HistoryIssue published online: 7 JUN 2012Article first published online: 7 JUN 2012Manuscript Accepted: 26 MAR 2012Manuscript Received: 12 MAR 2012 SEARCH Search Scope All contentPublication titlesIn this journal isFunctionalChemistryIn this issue Search String Advanced >Saved Searches > SEARCH BY CITATION Volume: Issue: Page: ARTICLE TOOLSGet PDF (522K)Save to My ProfileE-mail Link to this ArticleExport Citation for this ArticleGet Citation AlertsRequest Permissions AbstractArticleReferencesCited By View Full Article (HTML) Get PDF (522K) Keywords:cardiac arrest;CPR;evidenceAbstractObjective

To systematically examine the evidence on the effect of prevention and preparedness measures on outcomes in veterinary cardiopulmonary resuscitation 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) prevention and preparedness domain members, by the RECOVER committee, and opened for comments by veterinary professionals for 3 months.

Setting

Academia, referral practice, and general practice.

Results

Nine worksheets were prepared to determine the extent to which preparation of the environment (charts, visual aids, etc) and personnel (training, debriefing, etc) are beneficial in improving return of spontaneous circulation.

Conclusions

Of the questions evaluated, only the association between anesthesia‐related cardiopulmonary arrest and better outcomes was supported by strong evidence. There is some evidence from the human literature that the use of cognitive aids, standardized didactic, and hands‐on training with high‐fidelity simulators, team and leadership training, and post‐cardiac arrest debriefing improve adherence to cardiopulmonary resuscitation guidelines and, in some cases, patient outcomes. Veterinary studies investigating these issues are lacking, and development of initial guidelines is a crucial first step.

View Full Article (HTML) Get PDF (522K) More content like this Find more content: like this article Find more content written by:Maureen McMichaelJennifer HerringDaniel J. FletcherManuel Bollerthe RECOVER Preparedness and Prevention Domain Worksheet AuthorsAll Authors ABOUT USHELPCONTACT USAGENTSADVERTISERSMEDIAPRIVACYTERMS & CONDITIONSSITE MAP

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