Abstract

OBJECTIVE
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.

Links

Publisher Full Text

Authors

McMichael M, Herring J, Fletcher DJ, Boller M, RECOVER Preparedness and Prevention Domain Worksheet Authors

Institution

College of Veterinary Medicine, University of Illinois, Urbana, IL 61802, USA. mmcm@illinois.edu

Source

Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001) 22 Suppl 1: 2012 Jun pg S13-25

MeSH

Animals
Cardiopulmonary Resuscitation
Cat Diseases
Cats
Consensus
Dog Diseases
Dogs
Emergency Medical Services
Evidence-Based Medicine
Guideline Adherence
Health Knowledge, Attitudes, Practice
Heart Arrest
Humans
Practice Guidelines as Topic
Species Specificity
Treatment Outcome
Veterinarians
Veterinary Medicine

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22676282