Abstract 205: Are All Codes the Same? House Staff Perceptions of Cardiopulmonary Resuscitation in the Cardiac Catheterization Laboratory
Patients who are resuscitated after cardiac arrest (ROSC) are increasingly being taken to the cardiac catheterization laboratory (CCL) for diagnostic procedures and ventricular support. These critically ill patients may suffer a second arrest and need cardiopulmonary resuscitation (CPR) during their CCL procedure. The goal of this study was to assess housestaff perceptions of these codes and subsequent management.
All codes at our institution are run by housestaff. Seventy-five internal medicine and emergency medicine residents at a single tertiary care university hospital were sent a web-based survey. Residents were asked their level of training, the quality of the CPR in the CCL compared to other clinical areas, and the top reason why they felt quality CPR was hindered in the CCL. The identities of the respondents were anonymous, but the respondents self-identified training program was recorded.
Fifty of the residents responded (66.7%). Compared to codes in the ICU, 40% felt that the CPR in the CCL was worse while 46% reported that it was the same and 14% felt that the codes were better. Compared to codes in the Emergency Department, 28% felt that the CPR was worse while 44% felt it was the same and 28% felt it was better. The top three reasons that CPR was felt to be compromised was the physical interference of the imaging equipment, the need for frequent stops of CPR, and the fear of radiation exposure (Table 1).
This study identified perceived obstacles to resusitative efforts in the CCL. Standardization of care, identification of obstacles and removing these barriers are key to effective CPR and patient survival.
- © 2012 by American Heart Association, Inc.